Article

The aim of this study was to explore which factors are associated with a
successful treatment outcome in chronic pain patients and professionals
participating in a multidisciplinary rehabilitation program, with a specific
focus on the patient-professional interaction.
METHODS: Patients (n = 16) and
professionals (n = 10) were interviewed and/or observed. The transcribed
interviews and observations were analyzed and themes were described. RESULTS:
Patients with a positive treatment outcome came to a shared understanding of
their pain with their professional, demonstrated new learned behavior and were
able to continue their learning process at home. Patients with a negative
treatment outcome did not reach a shared understanding of their pain with their
professional, were not able to change their behavior and wanted more help to
achieve this. Both patient groups experienced organizational barriers within the
treatment process. Factors associated with a high quality of patient-professional
interaction included the patient experience of being taken seriously, the
involvement of the professional with the patient, a clear explanation of the
pain, and an open interaction between patient and professional. CONCLUSION: This
study provides insight into factors which were related to a positively or
negatively experienced outcome of pain rehabilitation. A good match within the
patient-professional interaction seems essential. IMPLICATIONS OF REHABILITATION:
Within chronic pain rehabilitation good didactic skills and a client-centered
attitude of the professional may be helpful in order to make the patient feel
being taken seriously. An assessment of the patient's learning style might lead
to a better fit of the patient education and training according to an
individual's learning style. Relapse might be prevented by paying special
attention to the integration of new behavior within important life areas as work
and sports.

Langue : ANGLAIS