Perceived factors influencing the success of pain neuroscience education in chronic musculoskeletal pain: a meta-synthesis of qualitative studies.

Autor:	Ciolan F; Rehabilitation Unit, University Hospital of Verona, Verona, Italy., Bertoni G; Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy.; Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.; Training Unit, Azienda Socio-Sanitaria Territoriale di Cremona, Cremona, Italy., Crestani M; Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy., Falsiroli Maistrello L; Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy.; Department of Neuroscience, Physical Medicine and Rehabilitation Unit, ULSS8 - S. Bortolo Hospital, Vicenza, Italy.; School of Physiotherapy, University of Verona, Verona, Italy., Coppola I; Department of Education Sciences, School of Social Sciences, University of Genova, Genova, Italy., Rossettini G; School of Physiotherapy, University of Verona, Verona, Italy., Battista S; School of Health and Society, Centre for Human Movement and Rehabilitation, University of Salford, Salford, UK.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 Sep 03, pp. 1-16. Date of Electronic Publication: 2024 Sep 03.
DOI:	10.1080/09638288.2024.2398141
Abstrakt:	Purpose: We aimed to identify the factors influencing the success of Pain Neuroscience Education (PNE) in chronic musculoskeletal (MSK) pain from the perspective of those experiencing PNE first-hand. Materials and Methods: We conducted a meta-synthesis of qualitative studies. Articles were found on MEDLINE via Pubmed, EMBASE, Cochrane Library, CINHAL, and PsycINFO up to April 2023. Eligible qualitative studies focussed on adults (>16 years old) with a diagnosis of chronic primary or secondary MSK pain who performed PNE. Thematic synthesis by Thomas and Harden was followed. The Critical Appraisal Skills Programme (CASP) tool ensured the quality of the studies, while the Confidence in Evidence from the Reviews of Qualitative Research (CERQual) approach facilitated data confidence assessment. Results: Nine studies were included (188 participants). Three analytical themes were developed: (i) "Efficient Communication of Information", emphasising the importance of accurate content transmission; (ii) "Emotional Support and Well-being", recognising emotional aspects as integral to treatment; and (iii) "Empowerment Promotion", focusing on information retention and personal transformation. The studies showed good quality, with moderate confidence in the evidence. Conclusions: The perceived factors influencing the success of PNE are intricately related to the domain of communication, the emotional dimension of personal experience, and the capacity to be empowered.
Databáze:	MEDLINE
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