exploring self-management in chronic low back pain: the … · 2018-05-02 · • chronic low back...
TRANSCRIPT
McCrum, C.A.1,2, McGowan, J.F.1, Stenner, P.3, Cross, V.2 , Defever, E.2, Lloyd, P.4, Poole,
R. 4 & Moore, A.P.2
1 East Sussex Healthcare NHS Trust, UK; 2Centre for Health Research, University of Brighton, UK; 3 Faculty of Social Sciences,
The Open University, UK; 4 Patient representative.
• Chronic low back pain (CLBP) is very common and costly:
— Personal impact
— Disability
— Work loss
— Healthcare expenditure
• National guidelines encourage ‘self-management'
• Achieving effective self-management is challenging
• Partly due to patients and healthcare providers often having different
viewpoints…
Aim: To explore and identify the range of viewpoints of patients and
healthcare providers on self-management in CLBP
3 Those who do not try to self-manage in a responsible way should lose their rights to back pain treatments.
2 Successful self-management means coping on your own and not having to rely on health professionals.
1 Self-management means managing your pain rather than it managing you.
“Not sure what to change”
“Changing what I do”
“The others must change”
“Changing myself”
• Changing the “mind set”
• No “magic cure”
• Active life with the pain
• More than a medical matter
• Advice on tools & techniques
• Individually tailored treatment
“Not sure what to change”
“Changing what I do”
“The others must change”
“Changing myself”
• Not about coping alone
• Help as and when needed
• Image of being in chronic pain
• Proof of pain
• Cure for the pain
• Abandoned by the healthcare
• The viewpoints: diverse, complex and tensional
• Help patients and healthcare providers to recognise differing viewpoints
• Addressing these disparities will improve the services and accomplish better
self-management outcomes