Striving for better outcomes of treating chronic pain: integrating behavioural change strategies before, during, and after modern pain science education

Date

2023

Authors

Roose, E.
Nijs, J.
Moseley, G.L.

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Journal article

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Brazilian Journal of Physical Therapy, 2023; 27(6, article no. 100578):1-4

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Abstract

The first and previous contributions to this Comprehensive Pain Management editorial series introduced the role of lifestyle factors such as physical (in)activity, sedentary behaviour, stress, poor sleep, and unhealthy diet as perpetuating factors of chronic pain. Engaging in a lifestyle approach implies a behavioural change from the patient. Hence, identifying and addressing the patient's barriers to engaging in behavioural change is required for pursuing a healthy lifestyle. Common barriers to an adaptive lifestyle change can be pure biomedical beliefs, fear of movement, catastrophizing, hypervigilance, low self-compassion, and poor acceptance. Pain Science Education aims to shift some of these barriers through reconceptualization of ‘how pain works’. In this fifth contribution of the Comprehensive Pain Management Editorial Series, we focus on the potential role of pain science education to facilitate a better lifestyle approach in the management of chronic pain. We will provide a brief update on the state of the field of patient pain education and discuss the importance of promoting two-way communication, for example via motivational interviewing techniques, to promote behaviour change before, during, and after pain education.

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Link to a related website: https://unpaywall.org/10.1016/j.bjpt.2023.100578, Open Access via Unpaywall

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Copyright 2023 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia

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