Experience-based design: Empowering individuals while they wait for interprofessional chronic pain care. (April 2023)

• Record Type: Journal Article
• Authors: Bosma, Rachael; Bisson, Etienne J.; Cooper, Lynn K.; Salomons, Tim V.; Galica, Jacqueline; Wilson, Rosemary
• Is Part Of: Patient education and counseling. Volume 109(2023)
• Publication Date: 2023-04
• Subjects: Patient-oriented -- Chronic pain -- Self-management -- Motivational interviewing; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2023.107623
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract: Objectives: Chronic pain is highly prevalent and a leading cause of disability. Long wait times for interprofessional care provide an opportunity to introduce web-based interventions that improve psychosocial function and patients' readiness and ability to manage their condition. Here we describe the process of partnering with people with lived experience (PWLE) to develop an online self-management program enhanced by motivational interviewing. We also report the multiphase usability testing of the program. Methods: PWLE were included in all aspects of this project from program inception to content creation, module development, usability testing, and knowledge dissemination. Phase 1 included the development of the interactive, web-based modules. This process involved weekly meetings and asynchronous content creation with a core team of interprofessional pain experts, researchers, and PWLE. Phase 2 included usability testing by our PWLE and clinical expert advisory. Phase 3 included survey-based usability testing with a sample of 10 PWLE. Results: We created a chronic pain & motivational empowerment program includes a series of eight interactive educational web-based modules. Topics included: setting expectations, chronic pain explained, biopsychosocial factors, empowered management, self-awareness & compassion & acceptance, values, goal setting, and communication. The program is accompanied by a reflection journal and can be enhanced by one-on-one coaching sessions using a motivational interviewing approach. Phase two usability testing resulted in numerous content changes and the addition of accessibility features. Phase 3 usability testing with PWLE found the program highly accessible and easy to use. Conclusions: The engagement of our PWLE team member and advisors made the online program more relevant, sensitive and helpful to the needs of people with pain. Practical value: This PWLE-centric project sets the foundation for future work to examine the feasibility and effectiveness of the program for supporting individuals with chronic pain self-manage. Highlights: Long wait times for interprofessional chronic pain care leads to poor outcomes. Partnered with patients; created a self-management program to support during wait. Web-based, interactive, motivational interviewing enhanced program for chronic pain. Content is aligned with real-world experiences; grounded in the practical needs.