Edorium Journal of

Disability and Rehabilitation

 
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Original Article
 
Complex regional pain syndrome: Facilitating the use of self-management strategies
Xuan Chi Julia Dao1, Rosalie Blais-Hébert1, Léonie Duranleau2, Marie-Pier Durivage2, June Litowski3, Julie Turbide4, André E Bussières5
1M.Sc.A. (Occupational Therapy), Professional Master’s, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
2M.Sc.A. (Physical Therapy), Professional Master’s, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
3B.Sc. A (Occupational Therapist), Clinical Coordinator, Neuro-musculo-skeletal Program and Evaluation and Orientation to Work Program, Constance Lethbridge Rehabilitation Centre, Montreal, Quebec, Canada
4MA (Candidate), Psycholinguistics and Cognition Lab Concordia University, Montreal, Quebec, Canada
5DC, PhD, Assistant Professor, School of Physical and Occupational Therapy, McGill University; Professor, Département Chiropratique, Université du Québec à Trois-Rivières; Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain (CRIR), Montreal, Quebec, Canada

Article ID: 100030D05XD2017
doi:10.5348/D05-2017-30-OA-6

Address correspondence to:
André E. Bussières
School of Physical and Occupational Therapy,
Faculty of Medicine McGill University
3630 Promenade Sir-William-Osler, Montreal
Quebec, Canada

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How to cite this article:
Dao XCJ, Blais-Hébert R, Duranleau L, Marie-Pier D, Litowski J, Turbide J, Bussières AE. Complex regional pain syndrome: Facilitating the use of self-management strategies. Edorium J Disabil Rehabil 2017;3:46–55.


ABSTRACT
Aims: While several interventions are used to treat complex regional pain syndrome (CRPS), patient adherence to recommended care including self-management is challenging. To understand the barriers and facilitators to using self-management strategies among CRPS patients; to explore educational tools used to enable self-management; and to develop knowledge translation interventions to address potential barriers using intervention mapping.
Methods: Semi-structured interviews of patients were conducted to identify the determinants of self-management. Findings informed the development of a tailored theory-based intervention to increase adherence. Result: Theoretical domains identified were: Social influence, Beliefs about capabilities, Beliefs about consequences, Environmental context and resources. Various educational tools were provided by treating clinicians. Interventions should consider increasing knowledge about treatment outcomes, identifying health antecedents and promoting self-monitoring.
Conclusion: Online educational interventions focusing on patient advice, self-monitoring, and techniques to increase the quality of the clinician-patient relationship may successfully address patient barriers to using self-management strategies..

Keywords: Complex regional pain syndromes, Interviews, Self-management strategies, Theoretical domain framework

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Acknowledgements

We wish to thank Heather Owens for reviewing the final draft of the manuscript.



Author Contributions:
Xuan Chi Julia Dao – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rosalie Blais-Hébert – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Léonie Duranleau – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marie-Pier Durivage – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
June Litowski – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Julie Turbide – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
André E. Bussières – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Conflict of interest:
This study has been partially funded through the Faculty of Medicine, McGill University. At the time of this study, André Bussières was supported by a Canadian Chiropractic Research Foundation (CCRF) professorship in Epidemiology Rehabilitation at McGill University.
Copyright:
© 2017 Xuan Chi Julia Dao et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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