Solution-Focused Chronic Pain Self-Management Education: A Pilot Study

Jay E. Valusek
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Abstract

Roughly one out of every three adults in the U.S. today has chronic pain. For this reason, the U.S. government recently issued a National Pain Strategy that advocates, among other things, the education of patients in proactive selfmanagement techniques. To evaluate the efficacy of Solution-Focused Chronic Pain Management (SFCPM)—a new outpatient psychoeducational program based on Solution-Focused Brief Therapy (SFBT)—a pilot study was conducted in Longmont, Colorado. Five self-report assessments were administered. Due to the small sample size (n = 12), only percent changes from baseline to follow-up were calculated. Improvements were noted in quality of life (41.4%), pain self-efficacy (22%), hope (16%), mental well-being (9.3%), and problem disengagement (12.3%). Initial results suggest that more rigorous investigation may be warranted. The solution-focused model offers a personalized, empowering alternative to more problem-focused approaches. Instead of fixating on what’s wrong, participants focus on what’s right with their bodies, minds, and lives—despite chronic pain.
以解决方案为重点的慢性疼痛自我管理教育:一项试点研究
如今,美国大约每三个成年人中就有一个患有慢性疼痛。出于这个原因,美国政府最近发布了一项国家疼痛战略,其中提倡对患者进行主动自我管理技术的教育。为了评估以解决为重点的慢性疼痛管理(SFCPM)——一种基于以解决为重点的简短治疗(SFBT)的新型门诊心理教育项目——的疗效,在科罗拉多州朗蒙特市进行了一项试点研究。进行了五次自我报告评估。由于样本量小(n = 12),仅计算从基线到随访的百分比变化。在生活质量(41.4%)、疼痛自我效能(22%)、希望(16%)、心理健康(9.3%)和问题脱离(12.3%)方面均有改善。初步结果表明,可能需要进行更严格的调查。以解决方案为中心的模型为更多以问题为中心的方法提供了个性化的、授权的替代方案。参与者不去关注他们的身体、思想和生活中的问题,而是关注他们的身体、思想和生活中的问题——尽管有慢性疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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