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From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic
BACKGROUND: In March 2020, state‐wide lockdowns were declared in many countries, including Spain. Citizens were confined to their homes and remotely supported activities were prioritized as an alternative to in‐person interactions. Previous data suggest that remote and self‐management interventions...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320893/ https://www.ncbi.nlm.nih.gov/pubmed/35610958 http://dx.doi.org/10.1002/ejp.1968 |
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author | Gevers‐Montoro, Carlos Deldar, Zoha Furlan, Andrea Lazar, Eric A. Ghalibaf, Erfan Ortega‐De Mues, Arantxa Khatibi, Ali |
author_facet | Gevers‐Montoro, Carlos Deldar, Zoha Furlan, Andrea Lazar, Eric A. Ghalibaf, Erfan Ortega‐De Mues, Arantxa Khatibi, Ali |
author_sort | Gevers‐Montoro, Carlos |
collection | PubMed |
description | BACKGROUND: In March 2020, state‐wide lockdowns were declared in many countries, including Spain. Citizens were confined to their homes and remotely supported activities were prioritized as an alternative to in‐person interactions. Previous data suggest that remote and self‐management interventions may be successful at reducing pain and related psychological variables. However, individual factors influencing the effectiveness of these interventions remain to be identified. We aimed to investigate the psychological and motivational factors moderating changes in pain observed in chiropractic patients undertaking a novel telehealth self‐management programme. METHODS: A cohort of 208 patients from a chiropractic teaching clinic was recruited to participate in the study. Patients received telehealth consultations and individualized self‐management strategies tailored for their current complaint. They were encouraged to make use of these strategies daily for 2–4 weeks, whilst rating their pain intensity, motivation and adherence. Validated questionnaires were completed online to assess catastrophizing, kinesiophobia and anxiety. RESULTS: A total of 168 patients completed the first 2 weeks of the programme, experiencing significant reductions in all variables. Kinesiophobia emerged as a key factor influencing pain reduction and moderating the association between motivation and pain relief. In turn, adherence to the programme was associated with lower pain intensity, although moderated by the degree of motivation. CONCLUSIONS: In the context of COVID‐19, when introducing remote and self‐management strategies, pain cognitions and motivational factors should be taken into consideration to foster adherence and yield better pain outcomes. |
format | Online Article Text |
id | pubmed-9320893 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93208932022-07-30 From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic Gevers‐Montoro, Carlos Deldar, Zoha Furlan, Andrea Lazar, Eric A. Ghalibaf, Erfan Ortega‐De Mues, Arantxa Khatibi, Ali Eur J Pain Original Articles BACKGROUND: In March 2020, state‐wide lockdowns were declared in many countries, including Spain. Citizens were confined to their homes and remotely supported activities were prioritized as an alternative to in‐person interactions. Previous data suggest that remote and self‐management interventions may be successful at reducing pain and related psychological variables. However, individual factors influencing the effectiveness of these interventions remain to be identified. We aimed to investigate the psychological and motivational factors moderating changes in pain observed in chiropractic patients undertaking a novel telehealth self‐management programme. METHODS: A cohort of 208 patients from a chiropractic teaching clinic was recruited to participate in the study. Patients received telehealth consultations and individualized self‐management strategies tailored for their current complaint. They were encouraged to make use of these strategies daily for 2–4 weeks, whilst rating their pain intensity, motivation and adherence. Validated questionnaires were completed online to assess catastrophizing, kinesiophobia and anxiety. RESULTS: A total of 168 patients completed the first 2 weeks of the programme, experiencing significant reductions in all variables. Kinesiophobia emerged as a key factor influencing pain reduction and moderating the association between motivation and pain relief. In turn, adherence to the programme was associated with lower pain intensity, although moderated by the degree of motivation. CONCLUSIONS: In the context of COVID‐19, when introducing remote and self‐management strategies, pain cognitions and motivational factors should be taken into consideration to foster adherence and yield better pain outcomes. John Wiley and Sons Inc. 2022-05-24 2022-07 /pmc/articles/PMC9320893/ /pubmed/35610958 http://dx.doi.org/10.1002/ejp.1968 Text en © 2022 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation ‐ EFIC®. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Gevers‐Montoro, Carlos Deldar, Zoha Furlan, Andrea Lazar, Eric A. Ghalibaf, Erfan Ortega‐De Mues, Arantxa Khatibi, Ali From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic |
title | From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic |
title_full | From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic |
title_fullStr | From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic |
title_full_unstemmed | From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic |
title_short | From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic |
title_sort | from hands‐on to remote: moderators of response to a novel self‐management telehealth programme during the covid‐19 pandemic |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320893/ https://www.ncbi.nlm.nih.gov/pubmed/35610958 http://dx.doi.org/10.1002/ejp.1968 |
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