Virtual care exercise interventions in multidisciplinary chronic pain clinics: a qualitative study of perspectives of adults living with chronic pain.

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Title: Virtual care exercise interventions in multidisciplinary chronic pain clinics: a qualitative study of perspectives of adults living with chronic pain.
Authors: Kaloty, Kiren, Rudecki, Julia, Craine, Vanessa, Moyes, Alexander, Armstrong, Robert, Baxter, Megan, Hunter, Judith, Mustafa, Nida, Grant, Gillian, Vader, Kyle, Bosma, Rachael
Source: Disability & Rehabilitation. Sep2023, Vol. 45 Issue 18, p2976-2983. 8p.
Subjects: Chronic pain treatment, Home environment, Health services accessibility, Virtual reality, Research methodology, Pain clinics, Interviewing, Patients' attitudes, Qualitative research, Health care teams, Descriptive statistics, Sound recordings, Thematic analysis, Technology, Judgment sampling, Exercise therapy
Geographic Terms: Canada
Abstract: Chronic pain affects 1 in 4 Canadians and is a leading contributor of disability. Although virtual care has become more prevalent, it is unclear how adults living with chronic pain perceive virtual delivery of exercise interventions within multidisciplinary chronic pain clinics (MCPC). This study explores the perspectives of adults living with chronic pain regarding their perceived barriers and facilitators and recommendations when implementing virtual care exercise interventions within MCPCs. We conducted an interpretive description qualitative study based on semi-structured interviews with adults (age ≥18 years) living with chronic pain from a MCPC in Toronto, Canada, between March 1 and April 30, 2021. We completed fifteen (N = 15) interviews of adults living with chronic pain. We identified eight themes that addressed the study objectives: 1) virtual care supplements in-person care, 2) virtual care improves accessibility, 3) impact of technology on participation, 4) navigating the home environment, 5) impact of pain on participation, 6) impact of supervision and feedback, 7) the need for tailored care, and 8) the need for preparation and additional support. Our results reveal that adults living with chronic pain view virtual care exercise interventions positively however, the implementation of these interventions must be carefully considered within MCPCs. Specifically, virtual care was considered an excellent adjunct to in-person care but should not replace it completely. Chronic pain is a leading contributor of disability. Exercise interventions are recommended component of comprehensive pain management. Virtual delivery of exercise interventions are becoming more prevalent. Adults living with chronic pain view virtual care exercise interventions positively as they can supplement in-person care and improve access to this type of care. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Virtual care exercise interventions in multidisciplinary chronic pain clinics: a qualitative study of perspectives of adults living with chronic pain.
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Sep2023, Vol. 45 Issue 18, p2976-2983. 8p.
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  Data: Chronic pain affects 1 in 4 Canadians and is a leading contributor of disability. Although virtual care has become more prevalent, it is unclear how adults living with chronic pain perceive virtual delivery of exercise interventions within multidisciplinary chronic pain clinics (MCPC). This study explores the perspectives of adults living with chronic pain regarding their perceived barriers and facilitators and recommendations when implementing virtual care exercise interventions within MCPCs. We conducted an interpretive description qualitative study based on semi-structured interviews with adults (age ≥18 years) living with chronic pain from a MCPC in Toronto, Canada, between March 1 and April 30, 2021. We completed fifteen (N = 15) interviews of adults living with chronic pain. We identified eight themes that addressed the study objectives: 1) virtual care supplements in-person care, 2) virtual care improves accessibility, 3) impact of technology on participation, 4) navigating the home environment, 5) impact of pain on participation, 6) impact of supervision and feedback, 7) the need for tailored care, and 8) the need for preparation and additional support. Our results reveal that adults living with chronic pain view virtual care exercise interventions positively however, the implementation of these interventions must be carefully considered within MCPCs. Specifically, virtual care was considered an excellent adjunct to in-person care but should not replace it completely. Chronic pain is a leading contributor of disability. Exercise interventions are recommended component of comprehensive pain management. Virtual delivery of exercise interventions are becoming more prevalent. Adults living with chronic pain view virtual care exercise interventions positively as they can supplement in-person care and improve access to this type of care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=170023028
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      – Type: doi
        Value: 10.1080/09638288.2022.2117864
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 2976
    Subjects:
      – SubjectFull: Chronic pain treatment
        Type: general
      – SubjectFull: Home environment
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Virtual reality
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      – SubjectFull: Research methodology
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      – SubjectFull: Pain clinics
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      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Qualitative research
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      – SubjectFull: Health care teams
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Sound recordings
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Technology
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Exercise therapy
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      – SubjectFull: Canada
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      – TitleFull: Virtual care exercise interventions in multidisciplinary chronic pain clinics: a qualitative study of perspectives of adults living with chronic pain.
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              Text: Sep2023
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