为患有慢性非特异性部疼痛的人共同开发基于证据的理论驱动的炼计划 (EPIC-Neck计划 - "通过共同设计改善炼处方")
Jonathan Price1,2, Alison Rushton3, Natalie Ives4
1Musculoskeletal Physiotherapy Services, Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK. Jonathan.price2@nhs.net.
这项研究共同开发了EPIC-Neck计划,通过提高炼效率和患者参与来改善慢性部疼痛管理. 该计划侧重于量身定制的练习和行为改变策略,以获得更好的结果.
科学领域:
- 康复科学是康复的科学.
- 行为科学是一种行为科学.
- 疼痛管理 疼痛管理
背景情况:
- 建议在慢性非特异性部疼痛时进行部炼.
- 目前的计划的有效性和患者参与度有限.
- 一个共同开发的计划旨在提高有效性和参与度.
研究的目的:
- 共同开发一个部炼计划 (EPIC-Neck),最大限度地提高慢性非特异性部疼痛的有效性和患者参与度.
- 整合以患者为中心的需求和基于证据的策略.
主要方法:
- 使用干预映射步骤1-4与患者输入 (n=17).
- 结果,目标行为,决定因素和变化技术是从文献和研讨会中合成的.
- 确定了练习目标,有效的练习和定制策略,以最大限度地提高效率.
- 与患者和物理治疗师共同开发了一份促进指南.
主要成果:
- EPIC-Neck干预措施针对疼痛,残疾,功能,睡眠,心理健康和关系影响.
- 生物心理社会框架指导运动量身定制神经肌肉功能,疼痛自我有效性和其他因素.
- 为了有效的运动管理,确定了四个患者表现目标.
- 促进指南使用24种变革技术来增强参与度.
结论:
- 一个基于证据的,理论驱动的炼计划 (EPIC-Neck) 是共同开发的.
- 该计划旨在提高部炼和患者参与的有效性.
- 未来的研究将评估可行性,可接受性和临床有效性.
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