Veterans' pain management goals: Changes during the course of a peer-led pain self-management program.

Bauer SM, McGuire AB, Kukla M, McGuire S, Bair MJ, Matthias MS. Veterans' pain management goals: Changes during the course of a peer-led pain self-management program. Patient education and counseling. 2016 Dec 1; 99(12):2080-2086.

Related HSR&D Project(s)

• RRP 12-438 – Improving Pain using Peer RE-inforced Self-management Skills (IMPPRESS)
• CDA 10-034 – Identifying Strategies to Improve Communication in Chronic Pain Care

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Abstract:

OBJECTIVE: Goal setting is a common element of self-management support programs; however, little is known about the nature of patients' goals or how goals change during pain self-management. The purpose of the current study is to explore how patients' goals and views of goal setting change over the course of a peer-led pain self-management program. METHODS: Veterans (n = 16) completing a 4-month peer-led pain self-management program completed semi-structured interviews at baseline and follow-up regarding their goals for their pain. Interviews were analyzed using immersion/crystallization. RESULTS: Analyses revealed six themes: motivation to do something for their pain, more goal-oriented, actually setting goals, clarity of goal importance, more specific/measurable goal criteria, and more specific/measurable strategies. CONCLUSION: The current analyses illustrate how participants' goals can evolve over the course of a peer-led pain self-management program. Specifically, increased motivation, more openness to using goals, greater clarity of goal importance, more specific and measurable goals and strategies, and the influence of the peer coach relationship were described by participants. PRACTICE IMPLICATIONS: Pain self-management interventions should emphasize goal setting, and development of specific, measurable goals and plans. Trainings for providers should address the potential for the provider-patient relationship, particularly peer providers, to facilitate motivation and goal setting.