Article

This study explored experiences of receiving treatment for
musculoskeletal pain (MSKP), particularly choices of complementary and
alternative medicine (CAM) and/or conventional treatment, using the illness
perception dimension of Leventhal's Self-Regulatory Model as the underpinning
model within the broader biopsychosocial framework of the International
Classification of Functioning, Disability and Health. METHOD: A mixed-method
study was conducted involving 17 people with MSKP. Data were collected in
semi-structured interviews, using a phased approach that included the Brief
Illness Perception Questionnaire and open-ended questions about experiences of
managing and seeking treatment for MSKP. Questionnaire data were analysed
descriptively; interview data were transcribed verbatim and analysed using the
principles of Interpretative Phenomenological Analysis. RESULTS: Analysis points
to health professionals and participants as gatekeepers to treatment, with
gatekeeping based on matters of power, searching for solutions, and managing day
to day. The themes Role of the Gatekeeper, Swing of the Interminable Pendulum,
and Solution of Soldiering On are discussed in relation to literature about
health beliefs and choices of CAM or conventional treatments. CONCLUSIONS: Future
research could include mixed-method designs to further explore issues of
knowledge, beliefs, and control that feed into the role of gatekeepers to
treatment, as well as comparing CAM choices between public and privately-funded
healthcare.

Langue : ANGLAIS