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"I could do it in my own time and when I really needed it": perceptions of online pain coping skills training for people with knee osteoarthritis.

Abstract

OBJECTIVE

To qualitatively explore the perceptions and experiences of people with knee osteoarthritis (OA) who used an online automated pain coping skills training program (PCST).

METHODS

A descriptive qualitative study (based on interpretivist methodology) embedded within a randomised controlled trial. Individual semi-structured interviews were conducted with 12 people with knee OA who had participated in an 8-week automated online PCST program while also receiving exercise advice and support from a physiotherapist via SkypeTM . Interviews in this study focused specifically on the online PCST program, rather than the physiotherapy component. Interviews were audio recorded, transcribed verbatim, and thematically analysed.

RESULTS

Five themes arose: 1) easy to understand and follow (clearly explained; presented well); 2) better able to cope with pain (controlling pain; helping relax; pacing self; incorporating skills into exercise program); 3) anonymity and flexibility (no judgement by clinician; work at own pace; accessibility); 4) not always relatable or engaging (some techniques not useful; Americanisation of the program; annoying character examples; time consuming and slow-paced); 5) support from clinician desirable (follow-up from a clinician would be beneficial; worked in tandem with physiotherapist-prescribed exercise; desire referral to the program by trusted source).

CONCLUSIONS

People with knee OA had generally positive experiences using an online PCST program, suggesting that online PCST is a broadly acceptable and accessible way to help people with OA to manage their pain. User engagement may be enhanced by redesigning some aspects of the program, and provision of support from a clinician.

Authors+Show Affiliations

Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia.Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia.Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia.Duke Pain Prevention and Treatment Research Program, Duke Medical Centre, Durham, North Carolina, USA.John Theurer Cancer Center, Department of Biomedical Research, Hackensack University Medical Center, Hackensack, NJ. Georgetown University School of Medicine, Washington, DC.Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31628723

Citation

Lawford, Belinda J., et al. ""I Could Do It in My Own Time and when I Really Needed It": Perceptions of Online Pain Coping Skills Training for People With Knee Osteoarthritis." Arthritis Care & Research, 2019.
Lawford BJ, Hinman RS, Nelligan RK, et al. "I could do it in my own time and when I really needed it": perceptions of online pain coping skills training for people with knee osteoarthritis. Arthritis Care Res (Hoboken). 2019.
Lawford, B. J., Hinman, R. S., Nelligan, R. K., Keefe, F., Rini, C., & Bennell, K. L. (2019). "I could do it in my own time and when I really needed it": perceptions of online pain coping skills training for people with knee osteoarthritis. Arthritis Care & Research, doi:10.1002/acr.24093.
Lawford BJ, et al. "I Could Do It in My Own Time and when I Really Needed It": Perceptions of Online Pain Coping Skills Training for People With Knee Osteoarthritis. Arthritis Care Res (Hoboken). 2019 Oct 18; PubMed PMID: 31628723.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - "I could do it in my own time and when I really needed it": perceptions of online pain coping skills training for people with knee osteoarthritis. AU - Lawford,Belinda J, AU - Hinman,Rana S, AU - Nelligan,Rachel K, AU - Keefe,Francis, AU - Rini,Christine, AU - Bennell,Kim L, Y1 - 2019/10/18/ PY - 2019/10/20/entrez KW - Osteoarthritis KW - internet KW - knee KW - online KW - pain coping skills training KW - qualitative JF - Arthritis care & research JO - Arthritis Care Res (Hoboken) N2 - OBJECTIVE: To qualitatively explore the perceptions and experiences of people with knee osteoarthritis (OA) who used an online automated pain coping skills training program (PCST). METHODS: A descriptive qualitative study (based on interpretivist methodology) embedded within a randomised controlled trial. Individual semi-structured interviews were conducted with 12 people with knee OA who had participated in an 8-week automated online PCST program while also receiving exercise advice and support from a physiotherapist via SkypeTM . Interviews in this study focused specifically on the online PCST program, rather than the physiotherapy component. Interviews were audio recorded, transcribed verbatim, and thematically analysed. RESULTS: Five themes arose: 1) easy to understand and follow (clearly explained; presented well); 2) better able to cope with pain (controlling pain; helping relax; pacing self; incorporating skills into exercise program); 3) anonymity and flexibility (no judgement by clinician; work at own pace; accessibility); 4) not always relatable or engaging (some techniques not useful; Americanisation of the program; annoying character examples; time consuming and slow-paced); 5) support from clinician desirable (follow-up from a clinician would be beneficial; worked in tandem with physiotherapist-prescribed exercise; desire referral to the program by trusted source). CONCLUSIONS: People with knee OA had generally positive experiences using an online PCST program, suggesting that online PCST is a broadly acceptable and accessible way to help people with OA to manage their pain. User engagement may be enhanced by redesigning some aspects of the program, and provision of support from a clinician. SN - 2151-4658 UR - https://www.unboundmedicine.com/medline/citation/31628723/"I_could_do_it_in_my_own_time_and_when_I_really_needed_it":_perceptions_of_online_pain_coping_skills_training_for_people_with_knee_osteoarthritis L2 - https://doi.org/10.1002/acr.24093 DB - PRIME DP - Unbound Medicine ER -