Preferred Communication Strategies Used by Physical Therapists in Chronic Pain Rehabilitation: A Qualitative Systematic Review and Meta-Synthesis.
Preferred Communication Strategies Used by Physical Therapists in Chronic Pain Rehabilitation: A Qualitative Systematic Review and Meta-Synthesis.
复制标题
DOI：
10.1093/ptj/pzac081
复制
发表时间：
2022-09-04
期刊：
影响因子：
3.2
通讯作者：
Maluf, Katrina S.
中科院分区：
文献类型：
--
作者：
Chapman, Chelsea R.;Woo, Nathan T.;Maluf, Katrina S.
关键词：
缺乏关于慢性疼痛管理中有效沟通行为的明确性是实施心理上知情的物理治疗方法的障碍，这些方法依赖于物理治疗师提供者的主管沟通。本研究旨在进行系统回顾和综合集成，为疼痛康复中首选沟通行为的概念框架的发展提供信息。在健康和通信科学的10个数据库进行了系统的搜索，物理治疗师和慢性疼痛成人之间的人际沟通的定性和混合方法的研究。两名独立的研究者根据《定性研究报告标准》和《加强流行病学观察性研究报告指南》，提取了隐含和明确提及沟通和研究特征的引文。个别研究的方法学质量进行了评估与关键的评价技能计划，并与GRADE-CERQual证据质量进行了评价。一个归纳性的主题合成进行编码每个报价，开发描述性的主题，然后生成行为上不同的分析主题。纳入了11项研究，涉及346名受试者。100.将通信术语付诸实施的具体情况差别很大。综合集成确定了8个沟通主题：（1）确保便利，（2）建立融洽关系，（3）移情，（4）协作，（5）专业责任，（6）信息，（7）网络设置，（8）元沟通。根据现有证据的质量，4个主题的置信度为中等，4个主题的置信度为低。本研究揭示了物理治疗师在慢性疼痛康复中首选的沟通行为的有限操作化。一个概念框架的基础上，从文献中确定的8个传播主题，提出了一个初步的范式，以指导未来的研究。疼痛康复中首选沟通行为的循证概念框架为临床医生提供了一个反思自己沟通实践的框架，并将使研究人员能够确定特定沟通行为是否以及如何影响临床结果。
Lack of clarity regarding effective communication behaviors in chronic pain management is a barrier for implementing psychologically informed physical therapy approaches that rely on competent communication by physical therapist providers. This study aimed to conduct a systematic review and meta-synthesis to inform the development of a conceptual framework for preferred communication behaviors in pain rehabilitation. Ten databases in the health and communication sciences were systematically searched for qualitative and mixed-method studies of interpersonal communication between physical therapists and adults with chronic pain. Two independent investigators extracted quotations with implicit and explicit references to communication and study characteristics following Standards for Reporting Qualitative Research and Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Methodological quality for individual studies was assessed with Critical Appraisal Skills Programme, and quality of evidence was evaluated with GRADE-CERQual. An inductive thematic synthesis was conducted by coding each quotation, developing descriptive themes, and then generating behaviorally distinct analytical themes. Eleven studies involving 346 participants were included. The specificity of operationalizing communication terms varied widely. Meta-synthesis identified 8 communication themes: (1) disclosure-facilitating, (2) rapport-building, (3) empathic, (4) collaborative, (5) professional accountability, (6) informative, (7) agenda-setting, and (8) meta-communication. Based on the quality of available evidence, confidence was moderate for 4 themes and low for 4 themes. This study revealed limited operationalization of communication behaviors preferred by physical therapists in chronic pain rehabilitation. A conceptual framework based on 8 communication themes identified from the literature is proposed as a preliminary paradigm to guide future research. This proposed evidence-based conceptual framework for preferred communication behaviors in pain rehabilitation provides a framework for clinicians to reflect on their own communication practices and will allow researchers to identify if and how specific communication behaviors impact clinical outcomes.
登录
查看更多内容
影响因子：
3.3
作者：
Cooper, Kay;Smith, Blair H.;Hancock, Elizabeth
通讯作者：
Hancock, Elizabeth
影响因子：
2.3
作者：
Cowell, Ian;O'Sullivan, Peter;Murtagh, Ged
通讯作者：
Murtagh, Ged
影响因子：
7.4
作者：
Brown, Richard F.;Bylund, Carma L.
通讯作者：
Bylund, Carma L.
影响因子：
2.7
作者：
Ballengee LA;Zullig LL;George SZ
通讯作者：
George SZ
影响因子：
3.2
作者：
Ferreira, Paulo H.;Ferreira, Manuela L.;Adams, Roger D.
通讯作者：
Adams, Roger D.