scholarly journals Integrating Motivational Interviewing in Pain Neuroscience Education for People With Chronic Pain: A Practical Guide for Clinicians

2020 ◽  
Vol 100 (5) ◽  
pp. 846-859 ◽  
Author(s):  
Jo Nijs ◽  
Amarins J Wijma ◽  
Ward Willaert ◽  
Eva Huysmans ◽  
Paul Mintken ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Motivational Interviewing ◽  
Effect Sizes ◽  
Communication Style ◽  
Patient Centered ◽  
Pain Beliefs ◽  
Improved Outcomes ◽  
Combined Use ◽  
Neuroscience Education ◽  
Pain Knowledge

Abstract Pain neuroscience education (PNE) and motivational interviewing (MI) have been widely implemented and tested in the field of chronic pain management, and both strategies have been shown to be effective in the short term (small effect sizes) for the management of chronic pain. PNE uses contemporary pain science to educate patients about the biopsychosocial nature of the chronicity of their pain experience. The goal of PNE is to optimize patients’ pain beliefs/perceptions to facilitate the acquisition of adaptive pain–coping strategies. MI, on the other hand, is a patient-centered communication style for eliciting and enhancing motivation for behavior change by shifting the patient away from a state of indecision or uncertainty. Conceptually, PNE and MI appear to be complementary interventions, with complementary rather than overlapping effects; MI primarily improves cognitive and behavioral awareness and, potentially, adherence to treatment principles, whereas PNE potentially increases pain knowledge/beliefs, awareness, and willingness to explore psychological factors that are potentially associated with pain. Therefore, combining PNE with MI might lead to improved outcomes with larger and longer-lasting effect sizes. The combined use of PNE and MI in patients having chronic pain is introduced here, along with a description of how clinicians might be able to integrate PNE and MI in the treatment of patients experiencing chronic pain. Clinical trials are needed to examine whether combining PNE with MI is superior to PNE or MI alone for improving pain and quality of life in patients having chronic pain.

scholarly journals Group Differences Between Countries and Between Languages in Pain-Related Beliefs, Coping, and Catastrophizing in Chronic Pain: A Systematic Review

Pain Medicine ◽  
2020 ◽  
Vol 21 (9) ◽  
pp. 1847-1862 ◽  
Author(s):  
Saurab Sharma ◽  
Alexandra Ferreira-Valente ◽  
Amanda C de C. Williams ◽  
J Haxby Abbott ◽  
José Pais-Ribeiro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Pain ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Group Differences ◽  
Study Quality ◽  
Pain Beliefs ◽  
Coping Responses ◽  
Language Groups ◽  
Country Differences

Abstract Objective To evaluate the extent to which pain-related beliefs, appraisals, coping, and catastrophizing differ between countries, language groups, and country economy. Design Systematic review. Methods Two independent reviewers searched 15 databases without restriction for date or language of publication. Studies comparing pain beliefs/appraisals, coping, or catastrophizing across two or more countries or language groups in adults with chronic pain (pain for longer than three months) were included. Two independent reviewers extracted data and performed the quality appraisal. Study quality was rated as low, moderate, or high using a 10-item modified STROBE checklist. Effect sizes were reported as small (0.20–0.49), medium (0.50–0.79), or large (≥0.80). Results We retrieved 1,365 articles, read 42 potential full texts, and included 10 (four moderate-quality, six low-quality) studies. A total of 6,797 adults with chronic pain (33% with chronic low back pain) were included from 16 countries. Meta-analysis was not performed because of heterogeneity in the studies. A total of 103 effect sizes were computed for individual studies, some of which indicated between-country differences in pain beliefs, coping, and catastrophizing. Of these, the majority of effect sizes for pain beliefs/appraisal (60%; eight large, eight medium, and eight small), for coping (60%; seven large, 11 medium, and 16 small), and for catastrophizing (50%; two medium, one small) evidenced statistically significant between-country differences, although study quality was low to moderate. Conclusions In 50% or more of the studies, mean scores in the measures of pain beliefs and appraisals, coping responses, and catastrophizing were significantly different between people from different countries.

Motivational Interviewing and Pain Management

2018 ◽  
Author(s):  
Mark P. Jensen
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Motivational Interviewing ◽  
Patient Participation ◽  
Patient Centered ◽  
Beneficial Effects ◽  
Rehabilitation Programs ◽  
Clinical Vignettes ◽  
Self Consistent ◽  
Adaptive Responding

To maximize their effectiveness, rehabilitation programs for chronic pain require patient motivation and involvement. Motivational Interviewing (MI) is a patient-centered approach that incorporates four key processes designed to reduce patient ambivalence and enhance motivation to engage in self-consistent adaptive behaviors. In this chapter, the essential processes of engaging, focusing, evoking, and planning, along with their associated techniques, are described, and examples (short clinical vignettes) are provided of how MI operates in practice. The chapter concludes with a review of the empirical data in support of the beneficial effects of MI in chronic pain populations. Although additional research is warranted, the available evidence demonstrates the efficacy of MI for facilitating adaptive responding such as increased patient participation and engagement in physical exercise.

Impacts on patient-centered outcomes of a chronic pain self-management program in a rural community: A feasibility study

2021 ◽  
Vol 42 (5) ◽  
pp. 1198-1203
Author(s):  
Zenong Yin ◽  
Shiyu Li ◽  
Catherine Ortega ◽  
Raudel Bobadilla ◽  
Paula L. Winkler ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Feasibility Study ◽  
Rural Community ◽  
Management Program ◽  
Self Management ◽  
Patient Centered

Brief Motivational Interviewing Training for Outreach in School Health Programming

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Kathryn J. DeShaw ◽  
Laura D. Ellingson ◽  
Laura Liechty ◽  
Gabriella M. McLoughlin ◽  
Gregory J. Welk
Keyword(s):  
Motivational Interviewing ◽  
Training Program ◽  
School Health ◽  
Effect Sizes ◽  
Extension Field ◽  
School Wellness ◽  
Phone Calls ◽  
Quasi Experimental ◽  
Health Programming ◽  
Training Protocol

This study assessed a brief 6-week motivational interviewing (MI) training program for extension field specialists (EFS) involved in supporting a statewide school wellness initiative called SWITCH. A total of 16EFS were instructed in MI principles to support the programming and half (n = 8) volunteered to participate in the hybrid (online and in-person) MI training program. Phone calls between EFS and school staff involved in SWITCH were recorded and coded using the Motivational Interviewing Treatment Integrity (MITI) system to capture data on utilization of MI principles. Differences in MI utilization between the trained (n=8) and untrained (n=8) EFS were evaluated using Cohen’s d effect sizes. Results revealed large differences for technical global scores (d=1.5) and moderate effect sizes for relational global components (d=0.76) between the two groups. This naturalistic, quasi-experimental study indicates a brief MI training protocol is effective for teaching the spirit and relational components of MI to EFS.

scholarly journals Personality assessment in chronic pain patients

2016 ◽  
Vol 33 (4) ◽  
pp. 645-653
Author(s):  
Lucas de Francisco CARVALHO ◽  
Ricardo PRIMI ◽  
Cláudio Garcia CAPITÃO
Keyword(s):  
Chronic Pain ◽  
Personality Assessment ◽  
Predictive Power ◽  
Minnesota Multiphasic Personality Inventory ◽  
Personality Characteristics ◽  
Effect Sizes ◽  
Clinical Context ◽  
Brazilian Version ◽  
Chronic Pain Patients ◽  
Pain Patients

Abstract In Brazil, studies investigating the personality characteristics of chronic pain patients are scarce. The present study aimed to evaluate the personality characteristics of patients with chronic pain and to compare them with those of patients without this condition. To this end, the Personality Disorders Dimensional Inventory and the Hypochondriasis scale of the Brazilian version of the Minnesota Multiphasic Personality Inventory were administered. Two different statistical analyses were carried out: the t - test to determine the differences between the scores for the two groups and the logistic regression analysis to examine the predictive power of the scales for the diagnosis of chronic pain. The results revealed significant differences (p < 0.05) among the Histrionic, Hypochondriasis, and Sadistic scales as predictors for the groups studied, with larger effect sizes on the Histrionic and Hypochondriasis scales. The authors suggest that the use of these scales in a clinical context may provide important information for health professionals.

Emotional Management, Psychological Issues, and Motivational Interviewing

2019 ◽  
pp. 115-122
Author(s):  
Pierre N. Azzam
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Motivational Interviewing ◽  
Psychiatric Symptoms ◽  
People Living With Hiv ◽  
Patient Centered ◽  
Future Directions ◽  
Psychological Issues ◽  
Emotional Management ◽  
Living With Hiv

People living with HIV (PLWH) experience significant psychological distress and are at risk of developing psychiatric symptoms and disorders similar to those seen in the general population. This chapter summarizes and reviews the psychological issues and challenges experienced by PLWH and discusses the integration of motivational interviewing (MI) into the patient-centered multifaceted medical and psychological care of PLWH. In the closing section, the author looks at future directions for using MI to care for PLWH and suffering from depression, anxiety, and/or trauma-based disorders and argues that further studies are needed to elucidate the efficacy, advantages, and potential limitations of MI for mitigating emotional distress specifically in PLWH.

Comorbid Medical Problems and Motivational Interviewing

2019 ◽  
pp. 97-104
Author(s):  
Sharon Connor ◽  
Hanna K. Welch
Keyword(s):  
Motivational Interviewing ◽  
Chronic Diseases ◽  
Congestive Heart Failure Patient ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Medical Problems ◽  
Patient Centered ◽  
Age Related ◽  
Social And Cultural Factors ◽  
Living With Hiv

As HIV treatments become more effective and accessible, people living with HIV (PLWH) are achieving longer lifespans; however, this aging population also faces a greater risk of age-related co-morbidities. Many chronic diseases affect people living with HIV disproportionately, including diabetes, ischemic heart disease, and congestive heart failure. Patient-centered healthcare should aim to optimize quality and length of life while also considering the person’s value system. Motivational interviewing (MI) has been effective in helping PLWH to better manage chronic diseases requiring behavioral modification in both high- and low-resource settings. MI is a useful approach in the complex care of PLWH and medical co-morbidities. MI can promote self-management integrating HIV care as well as other co-morbidities in the context of social and cultural factors. This chapter discusses the application of MI to achieve better control of co-morbid medical conditions in PLWH.

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