Enhancing Motivation for Change in the Management of Chronic Painful Conditions: a Review of Recent Literature.

作者: Brett Ankawi , Robert D. Kerns , Sara N. Edmond

DOI: 10.1007/S11916-019-0813-X

关键词: Motivational interviewingChronic painPsychosocialEmpirical researchPain medicineOpioidIntervention (counseling)MedicinePhysical therapyPsychological intervention

摘要: The purpose of this review is to evaluate and summarize recent empirical research investigating motivational factors for management chronic pain headache disorders. Research on motivation non-pharmacological treatment disorders has identified that influence initiation adherence treatment. To address common inhibit (i.e., cost, time commitment), several electronic treatments have been developed. Self-efficacy the most commonly studied psychosocial adherence, with evidence it positively correlated adherence. Other studies sought improve using interviewing interventions. There currently limited how enhance initial Instead enhancing motivation, researchers looked reduce barriers health treatments; however, many these focused intervention feasibility, rather than efficacy or effectiveness. Numerous a relationship between self-efficacy Although interventions shown treatment, there little they outcomes. Recommendations further investigation include improving accessibility goal outcomes, as well identifying ways in patients who are engaged long-term opioid therapy.

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