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Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?

BACKGROUND AND AIMS: Integration of care is lacking for chronic musculoskeletal pain patients. Network Pain Rehabilitation Limburg, a transmural health care network, has been designed to provide integrated rehabilitation care from a biopsychosocial perspective to improve patients’ levels of function...

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Autores principales: Lamper, Cynthia, Huijnen, Ivan P. J., Kroese, Mariëlle E. A. L., Köke, Albère J., Brouwer, Gijs, Ruwaard, Dirk, Verbunt, Jeanine A. M. C. F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9477302/
https://www.ncbi.nlm.nih.gov/pubmed/36107861
http://dx.doi.org/10.1371/journal.pone.0273030
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author Lamper, Cynthia
Huijnen, Ivan P. J.
Kroese, Mariëlle E. A. L.
Köke, Albère J.
Brouwer, Gijs
Ruwaard, Dirk
Verbunt, Jeanine A. M. C. F.
author_facet Lamper, Cynthia
Huijnen, Ivan P. J.
Kroese, Mariëlle E. A. L.
Köke, Albère J.
Brouwer, Gijs
Ruwaard, Dirk
Verbunt, Jeanine A. M. C. F.
author_sort Lamper, Cynthia
collection PubMed
description BACKGROUND AND AIMS: Integration of care is lacking for chronic musculoskeletal pain patients. Network Pain Rehabilitation Limburg, a transmural health care network, has been designed to provide integrated rehabilitation care from a biopsychosocial perspective to improve patients’ levels of functioning. This feasibility study aims to provide insight into barriers and facilitators for the development, implementation, and transferability. METHODS: This study was conducted with a three-phase iterative and incremental design from October 2017 to October 2018. The network comprises two rehabilitation practices, and three local primary care networks, with a general practitioner together with, a mental health practice nurse, and a physiotherapist or exercise therapist. These stakeholders with a random sample of participating patients took part in evaluations, consisting of interviews, focus groups, and observations. Field notes and observations were recorded during meetings. The Consolidated Framework for Implementation Research guided data collection and analysis. Results were used to refine the next phase. RESULTS: According to health care professionals, guidelines and treatment protocols facilitate consistency and transparency in collaboration, biopsychosocial language, and treatment. One mentioned barrier is the stigmatization of chronic pain by the general population. In regular care, approaches are often more biomedical than biopsychosocial, causing patients to resist participating. The current organization of health care acts as a barrier, complicating implementation between and within practices. Health care professionals were enthusiastic about the iterative, bottom-up development. A critical mass of participating organizations is needed for proper implementation. CONCLUSION: Network Pain Rehabilitation Limburg is feasible in daily practice if barriers are overcome and facilitators of development, implementation, and transferability are promoted. These findings will be used to refine Network Pain Rehabilitation Limburg. A large-scale process and effect evaluation will be performed. Our implementation strategies and results may assist other health care organizations aspiring to implement a transmural network using a similar model. TRAIL REGISTRATION: Registration number: NTR6654 or https://trialsearch.who.int/Trial2.aspx?TrialID=NTR6654.
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spelling pubmed-94773022022-09-16 Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned? Lamper, Cynthia Huijnen, Ivan P. J. Kroese, Mariëlle E. A. L. Köke, Albère J. Brouwer, Gijs Ruwaard, Dirk Verbunt, Jeanine A. M. C. F. PLoS One Research Article BACKGROUND AND AIMS: Integration of care is lacking for chronic musculoskeletal pain patients. Network Pain Rehabilitation Limburg, a transmural health care network, has been designed to provide integrated rehabilitation care from a biopsychosocial perspective to improve patients’ levels of functioning. This feasibility study aims to provide insight into barriers and facilitators for the development, implementation, and transferability. METHODS: This study was conducted with a three-phase iterative and incremental design from October 2017 to October 2018. The network comprises two rehabilitation practices, and three local primary care networks, with a general practitioner together with, a mental health practice nurse, and a physiotherapist or exercise therapist. These stakeholders with a random sample of participating patients took part in evaluations, consisting of interviews, focus groups, and observations. Field notes and observations were recorded during meetings. The Consolidated Framework for Implementation Research guided data collection and analysis. Results were used to refine the next phase. RESULTS: According to health care professionals, guidelines and treatment protocols facilitate consistency and transparency in collaboration, biopsychosocial language, and treatment. One mentioned barrier is the stigmatization of chronic pain by the general population. In regular care, approaches are often more biomedical than biopsychosocial, causing patients to resist participating. The current organization of health care acts as a barrier, complicating implementation between and within practices. Health care professionals were enthusiastic about the iterative, bottom-up development. A critical mass of participating organizations is needed for proper implementation. CONCLUSION: Network Pain Rehabilitation Limburg is feasible in daily practice if barriers are overcome and facilitators of development, implementation, and transferability are promoted. These findings will be used to refine Network Pain Rehabilitation Limburg. A large-scale process and effect evaluation will be performed. Our implementation strategies and results may assist other health care organizations aspiring to implement a transmural network using a similar model. TRAIL REGISTRATION: Registration number: NTR6654 or https://trialsearch.who.int/Trial2.aspx?TrialID=NTR6654. Public Library of Science 2022-09-15 /pmc/articles/PMC9477302/ /pubmed/36107861 http://dx.doi.org/10.1371/journal.pone.0273030 Text en © 2022 Lamper et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lamper, Cynthia
Huijnen, Ivan P. J.
Kroese, Mariëlle E. A. L.
Köke, Albère J.
Brouwer, Gijs
Ruwaard, Dirk
Verbunt, Jeanine A. M. C. F.
Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?
title Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?
title_full Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?
title_fullStr Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?
title_full_unstemmed Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?
title_short Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?
title_sort exploring the feasibility of a network of organizations for pain rehabilitation: what are the lessons learned?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9477302/
https://www.ncbi.nlm.nih.gov/pubmed/36107861
http://dx.doi.org/10.1371/journal.pone.0273030
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