Providers’ roles in enhancing patients’ adherence to pain self management
Open accessAbstract
Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patient-provider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided.
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High retention, attendance, and positive treatment experiences may have related in part to alliance with providers who emphasized patient- and family-centered communication, collaboration, goal setting, and pain education.
“High retention, attendance, and positive treatment experiences may have related in part to alliance with the providers, who emphasized patient- and family-centered communication, collaboration, goal setting, and pain education”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [37]
The Discussion (page unavailable) links a strong provider-patient alliance with adherence and satisfaction, and recommends shared decision-making, attention to patient goals, patient-centered communication, and pain education. The paper does not establish that the citing document’s high retention and attendance resulted from those providers’ approach, nor does it describe family-centered communication as part of that approach. (LLM, conf=0.85)
Experimental — accuracy not yet measuredA stronger patient-physician alliance may enhance adherence to treatment recommendations, thereby promoting better outcomes as observed in this study.
“which may enhance adherence to treatment recommendations [34], and thereby promote better outcomes as observed in our study.”
From The process and outcomes of chronic low back pain treatment provided by osteopathic and allopathic physicians: a retrospective cohort study (2023) · cites this paper as [34]
Physician empathy has been associated with a stronger patient-physician alliance.
“Physician empathy has been associated with a stronger patient-physician alliance, which may enhance adherence to treatment recommendations [34], and thereby promote better outcomes as observed in our study.”
From The process and outcomes of chronic low back pain treatment provided by osteopathic and allopathic physicians: a retrospective cohort study (2023) · cites this paper as [34]
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- Authors
- Dorflinger, L., Kerns, R. D., & Auerbach, S. M.
- Affiliations
- VA Connecticut Healthcare System (US)
- Yale University (US)
- Virginia Commonwealth University (US)
- Corresponding author
- Dorflinger, Lindsey
- ORCID
- Kerns, Robert D
- Venue
- Translational Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-08-10
- Volume
- 3
- Issue
- 1
- Pages
- 39-46
- ISSN
- 1613-9860 (ISSN-L)
- 1869-6716
- PMC
- PMC3717997
- OpenAlex
- W2071848554
- Cited by
- 97
- References
- 95
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 6 · 2023: 10 · 2022: 8 · 2021: 5 · 2020: 4 · 2019: 10 · 2018: 12 · 2017: 8 · 2016: 10 · 2015: 7 · 2014: 6
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Translational Behavioral Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- pain self-management, chronic pain, patient-provider interaction, patient engagement, patient education, empathy, patient-centered care, biopsychosocial model, motivation enhancement, patient disclosure, communication strategies
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