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Stålnacke, Britt-MarieORCID iD iconorcid.org/0000-0002-2916-0628
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Publikasjoner (10 av 139) Visa alla publikasjoner
Holmqvist, A., Berginström, N., Löfgren, M., Stålnacke, B.-M. & Möller, M. C. (2024). Fatigue and cognitive fatigability in patients with chronic pain. Scandinavian Journal of Pain, 24(1), Article ID 20230085.
Åpne denne publikasjonen i ny fane eller vindu >>Fatigue and cognitive fatigability in patients with chronic pain
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2024 (engelsk)Inngår i: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 24, nr 1, artikkel-id 20230085Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: Fatigue is common in patients with chronic pain. Still, there is a lack of studies examining objectively measurable cognitive aspects of fatigue: cognitive fatigability (CF). We aimed to investigate the presence of CF in patients with chronic pain and its relation to self-rated fatigue, attention, pain characteristics, sleep disturbance, depression, and anxiety.

Methods: Two hundred patients with chronic pain and a reference group of 36 healthy subjects underwent a comprehensive neuropsychological test battery, including measurement of CF with the Wechsler Adult Intelligence Scale-III Coding subtest, and self-assessment of trait and state fatigue.

Results: The patients with chronic pain did not show more CF as compared to the reference group. There was an association between CF and processing speed on a test of sustained and selective attention in the chronic pain group, while self-rated fatigue measures and pain characteristics were not associated with CF. Self-rated fatigue measures were highly correlated with self-rated pain intensity, spreading of pain, depression, anxiety, and sleep disturbance.

Conclusions: The findings highlight the distinction between objective and subjective aspects of fatigue in chronic pain, and that the underlying causes of these different aspects of fatigue need to be studied further.

sted, utgiver, år, opplag, sider
Walter de Gruyter, 2024
Emneord
attention, chronic pain, cognitive fatigability, fatigue
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-222433 (URN)10.1515/sjpain-2023-0085 (DOI)38447011 (PubMedID)2-s2.0-85187201075 (Scopus ID)
Forskningsfinansiär
Promobilia foundation, A22056Karolinska InstituteUmeå UniversityRegion Västerbotten
Tilgjengelig fra: 2024-03-19 Laget: 2024-03-19 Sist oppdatert: 2024-03-19bibliografisk kontrollert
Uhlin, K., Persson, E., Bäärnhielm, S., Borg, K., Löfgren, M. & Stålnacke, B.-M. (2024). Interdisciplinary pain rehabilitation for immigrants with chronic pain who need language interpretation. Journal of Rehabilitation Medicine, 56, Article ID jrm13466.
Åpne denne publikasjonen i ny fane eller vindu >>Interdisciplinary pain rehabilitation for immigrants with chronic pain who need language interpretation
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2024 (engelsk)Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 56, artikkel-id jrm13466Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: To investigate outcomes in patients with chronic pain after participation in an interdisciplinary pain rehabilitation programme with language interpreters, and to investigate the outcomes in women and men separately.

Design: Prospective multi-centre cohort study. Patients: Ninety-five patients in Sweden with chronic pain who have insufficient knowledge of the Swedish language.

Methods: Duration and intensity of pain, anxiety and depression, health-related quality of life and fear of movement were evaluated before and after the pro-gramme. Patients were compared with a reference group comprising Swedish-speaking patients participating in an ordinary interdisciplinary pain rehabilitation programme.

Results: Before the interdisciplinary pain rehabilitation programme with language interpreters, all variables except pain duration differed significantly to the detriment of the studied group. The studied group showed significant improvements after the interdisciplinary pain rehabilitation programme with language interpreters, with regards to pain inten-sity, depression and fear of movement. The reference group improved significantly for all variables. The women in the studied group showed significant improvements for the same variables as the whole group, while the men in the studied group did not improve in any of the variables.

Conclusion: This study indicates that patients with chronic pain, and especially women, who have insufficient knowledge of Swedish seem to benefit from participating in an interdisciplinary pain rehabilitation programme with language interpreters. The result may be of value for the further development of rehabilitation programmes with language interpreters.

sted, utgiver, år, opplag, sider
Medical Journals Sweden, 2024
Emneord
chronic pain, immigrants, interdisciplinary pain rehabilitation, language interpreter
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-221839 (URN)10.2340/jrm.v56.13466 (DOI)2-s2.0-85186199228 (Scopus ID)
Forskningsfinansiär
Region Stockholm
Tilgjengelig fra: 2024-03-12 Laget: 2024-03-12 Sist oppdatert: 2024-03-12bibliografisk kontrollert
Molander, P., Novo, M., Ringqvist, Å., Hållstam, A., Hesser, H., Löfgren, M., . . . Gerdle, B. (2024). Interdisciplinary pain rehabilitation for patients with Ehlers-Danlos syndrome and hypermobility spectrum disorders. Journal of Rehabilitation Medicine, 56, Article ID jrm12431.
Åpne denne publikasjonen i ny fane eller vindu >>Interdisciplinary pain rehabilitation for patients with Ehlers-Danlos syndrome and hypermobility spectrum disorders
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2024 (engelsk)Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 56, artikkel-id jrm12431Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: Chronic pain is a common manifestation of Ehlers-Danlos syndrome and hypermobility spectrum disorders; thus it is often suggested that patients undergo generic interdisciplinary pain rehabilitation, despite there being little evidence to support this decision. The aim of this study is to examine the effectiveness of standard rehabilitation programmes for chronic pain on patients with Ehlers-Danlos syndrome and hypermobility spectrum disorders, compared with patients with other chronic pain disorders.

Subjects: Data, collected between 2008 and 2016, were extracted from a Swedish national registry. The patient data comprised of 406 cases with Ehlers-Danlos syndrome or hypermobility spectrum disorders, 784 cases with a whiplash-related diagnosis, 3713 cases with diagnoses relating to spinal pain, and 2880 cases of fibromyalgia.

Methods: The differences between groups on key outcome measures from pre-to 1-year follow-up after interdisciplinary pain rehabilitation were analysed using linear mixed effects models. Sensitivity analysis in the form of pattern-mixture modelling was conducted to discern the impact of missing data.

Results: No significant differences were found in improvements from pre-to 1-year follow-up for patients with Ehlers-Danlos syndrome or hypermobility spectrum disorder compared with other diagnostic groups regarding measures of health-related quality of life, mental health, or fatigue. At follow-up, differences in pain interference (d = –0.34 (95% confidence interval [95% CI] –0.5 to –0.18)), aver-age pain (d = 0.22 (95% CI 0.11–0.62)) and physical functioning (d = 2.19 (95% CI 1.61–2.77)) were detected for the group with spinal-related diagnoses in relation to those with EDS/HSD, largely due to pre-treatment group differences. Sensitivity analysis found little evidence for missing data influencing the results.

Conclusion: This study suggests that patients with Ehlers-Danlos syndrome/hypermobility spectrum disorders may benefit from inclusion in an interdisciplinary pain rehabilitation programme.

sted, utgiver, år, opplag, sider
Medical Journals Sweden, 2024
Emneord
chronic pain, Ehlers-Danlos syndrome, rehabilitation
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-222337 (URN)10.2340/jrm.v56.12431 (DOI)001166964300001 ()38323531 (PubMedID)2-s2.0-85186941238 (Scopus ID)
Tilgjengelig fra: 2024-03-18 Laget: 2024-03-18 Sist oppdatert: 2024-03-18bibliografisk kontrollert
Magnusson, B. M., Ahrenby, E. & Stålnacke, B.-M. (2024). Symptoms and disability after mild traumatic brain injury: a five-year follow-up. Journal of Integrative Neuroscience, 23(2), Article ID 45.
Åpne denne publikasjonen i ny fane eller vindu >>Symptoms and disability after mild traumatic brain injury: a five-year follow-up
2024 (engelsk)Inngår i: Journal of Integrative Neuroscience, ISSN 0219-6352, E-ISSN 1757-448X, Vol. 23, nr 2, artikkel-id 45Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Every year, many people suffer from traumatic brain injuries (TBI) with dramatic consequences for both the victim and their close relatives in the form of remaining lifelong symptoms and functional disabilities as a result.

METHODS: This study evaluates the outcomes of 49 patients after mild TBI (mTBI) at follow-up after 5 years by using the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) to assess post-TBI symptoms and the Glasgow Outcome Scale Extended (GOSE) to assess disability. The specific aim was to evaluate post-TBI characteristics concerning age, gender, pre-injury systemic disease, computed tomography (CT) result and additional TBIs.

RESULTS: Almost eighty percent reported RPQ symptoms, the most common for both genders being fatigue (51%) and poor concentration (51%). Seventy-six percent had a good recovery, 18% moderate disability, while 6% reported severe disability. The number of symptoms was significantly correlated to the level of disability. All participants with severe disability had repeated mTBI. Only twenty-one percent reported that they received some form of rehabilitation intervention after their mTBI.

CONCLUSIONS: Five years after suffering mTBI, patients reported high rates of symptoms and disabilities. Our findings suggest that tailored rehabilitation interventions should be designed to identify mTBI patients in need of early rehabilitation. This would result in minimized suffering for the individual and improved cost-effectiveness for society.

sted, utgiver, år, opplag, sider
IMR Press, 2024
Emneord
disability, GOSE, post-concussion symptoms, rehabilitation, RPQ, traumatic brain injury
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-222367 (URN)10.31083/j.jin2302045 (DOI)38419456 (PubMedID)2-s2.0-85186740974 (Scopus ID)
Tilgjengelig fra: 2024-03-15 Laget: 2024-03-15 Sist oppdatert: 2024-03-15bibliografisk kontrollert
Böthun, A., Lövgren, A., Stålnacke, B.-M., Lampa, E., Österlund, C., Häggman-Henrikson, B. & Hellström, F. (2024). Whiplash trauma did not predict jaw pain after 2 years: an explorative study. Clinical Oral Investigations, 28, Article ID 165.
Åpne denne publikasjonen i ny fane eller vindu >>Whiplash trauma did not predict jaw pain after 2 years: an explorative study
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2024 (engelsk)Inngår i: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 28, artikkel-id 165Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: To explore predictive factors for the development and maintenance of jaw pain over a 2-year period.

Methods: One hundred nineteen cases (73 women) and 104 controls (59 women), mean age 34.9 years (SD 13.9), attended baseline and 2-year follow-up examinations. The whiplash cases visited the emergency department at Umeå University Hospital, Sweden, with neck pain within 72 h following a car accident, and baseline questionnaires were answered within a month after trauma. Controls were recruited via advertising. Inclusion criteria were age 18–70 years, living in Umeå municipality and Swedish speaking. The exclusion criterion was neck fracture for cases and a previous neck trauma for controls. Validated questionnaires recommended in the standardized Research Diagnostic Criteria for temporomandibular disorders were used. Jaw pain was assessed by two validated screening questions answered with “yes” or “no.” A logistic regression analysis was used to predict the outcome variable jaw pain (yes/no) after 2 years.

Results: Whiplash trauma did not increase the odds of development of jaw pain over a 2-year period (OR 1.97, 95% CI 0.53–7.38). However, non-specific physical symptoms (OR 8.56, 95% CI 1.08–67.67) and female gender (OR 4.89, 95% CI 1.09–22.02) did increase the odds for jaw pain after 2 years.

Conclusion: The development and maintenance of jaw pain after whiplash trauma are primarily not related to the trauma itself, but more associated with physical symptoms.

Clinical relevance: The development of jaw pain in connection with a whiplash trauma needs to be seen in a biopsychosocial perspective, and early assessment is recommended.

sted, utgiver, år, opplag, sider
Springer Nature, 2024
Emneord
Temporomandibular disorders, Whiplash injuries, Facial pain, Jaw pain, Neck pain
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-221419 (URN)10.1007/s00784-024-05555-z (DOI)38383824 (PubMedID)2-s2.0-85185695499 (Scopus ID)
Forskningsfinansiär
Region Västerbotten, RV-909851Region Västerbotten, VLL-324631
Tilgjengelig fra: 2024-02-22 Laget: 2024-02-22 Sist oppdatert: 2024-03-06bibliografisk kontrollert
Böthun, A., Häggman-Henrikson, B., Stålnacke, B.-M., Wänman, A., Nordh, E., Lampa, E. & Hellström, F. (2023). Clinical signs in the jaw and neck region following whiplash trauma: A 2-year follow-up. European Journal of Pain, 27(6), 699-709
Åpne denne publikasjonen i ny fane eller vindu >>Clinical signs in the jaw and neck region following whiplash trauma: A 2-year follow-up
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2023 (engelsk)Inngår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 27, nr 6, s. 699-709Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Pain in the orofacial region is often reported after whiplash trauma. However, prospective studies evaluating clinical signs related to orofacial pain and disability in whiplash populations are rare. The aim of the present study was to evaluate clinical signs related to pain and dysfunction in orofacial and neck regions after whiplash trauma, in a short- and long-term perspective.

Methods: In total, 84 cases (48 women) diagnosed with neck distortion after a car accident and 116 controls (68 women) were examined within 1 month, and 49 cases (27 women) and 71 controls (41 women) were re-examined 2 years later. Outcome measures were pain on palpation of jaw and neck muscles and maximal jaw opening. Analysis was performed using mixed-models.

Results: Cases and women were at higher risk for pain on palpation of jaw muscles (OR:7.7; p < 0.001 and OR:3.2; p = 0.010 respectively) and neck muscles (OR:12.7; p < 0.001 and OR:2.9; p = 0.020 respectively) but with no significant effect of time. Cases and women also had lower maximal jaw opening (−3.1; p = 0.001 and −3.3; p = 0.001 respectively). There was no significant time effect, but a significant interaction between cases and time (2.2; p = 0.004).

Conclusion: Individuals with a whiplash trauma present a higher risk for pain on palpation in jaw and neck muscles both in a short- and long-term perspective, but show normal jaw movements. No time effect suggests that cases do not spontaneously improve nor get worse. Investigating pain on palpation in the jaw and neck muscles after whiplash trauma can identify individuals at risk for developing long-term orofacial pain and dysfunction.

Significance: Orofacial pain is often reported after whiplash trauma but most previous studies concerning orofacial pain in whiplash populations have been questionnaire studies. Cases with a previous whiplash trauma and women, in general, had higher risk for pain on palpation in the jaw and neck region. Investigating pain on palpation after a whiplash trauma can help to identify individuals at risk of developing long-lasting pain in the orofacial region.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2023
HSV kategori
Forskningsprogram
odontologi
Identifikatorer
urn:nbn:se:umu:diva-205666 (URN)10.1002/ejp.2099 (DOI)000945366500001 ()36806817 (PubMedID)2-s2.0-85150413156 (Scopus ID)
Forskningsfinansiär
Region Västerbotten, RV-909851Region Västerbotten, VLL-324631
Tilgjengelig fra: 2023-03-13 Laget: 2023-03-13 Sist oppdatert: 2023-06-20bibliografisk kontrollert
Möller, M. C., Berginström, N., Ghafouri, B., Holmqvist, A., Löfgren, M., Nordin, L. & Stålnacke, B.-M. (2023). Cognitive and mental fatigue in chronic pain: cognitive functions, emotional aspects, biomarkers and neuronal correlates - protocol for a descriptive cross-sectional study. BMJ Open, 13(3), Article ID e068011.
Åpne denne publikasjonen i ny fane eller vindu >>Cognitive and mental fatigue in chronic pain: cognitive functions, emotional aspects, biomarkers and neuronal correlates - protocol for a descriptive cross-sectional study
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2023 (engelsk)Inngår i: BMJ Open, E-ISSN 2044-6055, Vol. 13, nr 3, artikkel-id e068011Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

INTRODUCTION: Chronic pain (CP) is one of the most frequently presenting conditions in health care and many patients with CP report mental fatigue and a decline in cognitive functioning. However, the underlying mechanisms are still unknown.

METHODS AND ANALYSIS: This study protocol describes a cross-sectional study aimed at investigating the presence of self-rated mental fatigue, objectively measured cognitive fatigability and executive functions and their relation to other cognitive functions, inflammatory biomarkers and brain connectivity in patients with CP. We will control for pain-related factors such as pain intensity and secondary factors such as sleep disturbances and psychological well-being. Two hundred patients 18-50 years with CP will be recruited for a neuropsychological investigation at two outpatient study centres in Sweden. The patients are compared with 36 healthy controls. Of these, 36 patients and 36 controls will undergo blood sampling for inflammatory markers, and of these, 24 female patients and 22 female controls, between 18 and 45 years, will undergo an functional MRI investigation. Primary outcomes are cognitive fatigability, executive inhibition, imaging and inflammatory markers. Secondary outcomes include self-rated fatigue, verbal fluency and working memory. The study provides an approach to study fatigue and cognitive functions in CP with objective measurements and may demonstrate new models of fatigue and cognition in CP.

ETHICS AND DISSEMINATION: The study has been approved by the Swedish Ethics Review Board (Dnr 2018/424-31; 2018/1235-32; 2018/2395-32; 2019-66148; 2022-02838-02). All patients gave written informed consent to participate in the study. The study findings will be disseminated through publications in journals within the fields of pain, neuropsychology and rehabilitation. Results will be spread at relevant national and international conferences, meetings and expert forums. The results will be shared with user organisations and their members as well as relevant policymakers.

TRIAL REGISTRATION NUMBER: NCT05452915.

Emneord
Neurology, Pain management, radiology and imaging
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-206529 (URN)10.1136/bmjopen-2022-068011 (DOI)000991985100037 ()36990481 (PubMedID)2-s2.0-85151183871 (Scopus ID)
Tilgjengelig fra: 2023-04-11 Laget: 2023-04-11 Sist oppdatert: 2023-09-05bibliografisk kontrollert
Holmström, A.-K., Vallin, S., Wänman, A., Lövgren, A. & Stålnacke, B.-M. (2023). Effect on orofacial pain in patients with chronic pain participating in a multimodal rehabilitation programme: a pilot study. Scandinavian Journal of Pain, 23(4), 656-661
Åpne denne publikasjonen i ny fane eller vindu >>Effect on orofacial pain in patients with chronic pain participating in a multimodal rehabilitation programme: a pilot study
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2023 (engelsk)Inngår i: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 23, nr 4, s. 656-661Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVES: Orofacial pain in patients taking part in a multimodal rehabilitation programme (MMRP) due to chronic bodily pain is common but it is not known whether such a rehabilitation programme can also have an effect on the presence of orofacial pain. The first aim of this study was to evaluate the effect of an MMRP on orofacial pain frequency. The second aim was to evaluate differences in the effect on quality of life and on psychosocial factors related to chronic pain.

METHODS: MMRP was evaluated through validated questionnaires from the Swedish Quality Registry for Pain Rehabilitation (SQRP). Fifty-nine patients participating in MMRP filled out the two screening questions for orofacial pain in addition to the SQRP questionnaires before and after participation in MMRP during the period August 2016 to March 2018.

RESULTS: Pain intensity decreased significantly after the MMRP (p=0.005). Fifty patients (69.4 %) reported orofacial pain before MMRP and no significant decrease after the programme (p=0.228). Among individuals with orofacial pain, the self-reported level of depression decreased after participation in the programme (p=0.004).

CONCLUSIONS: Even though orofacial pain is common among patients with chronic bodily pain, participation in a multimodal pain programme was not enough to reduce frequent orofacial pain. This finding implies that specific orofacial pain management including information about jaw physiology could be a justified component of patient assessment prior to a multimodal rehabilitation programme for chronic bodily pain.

sted, utgiver, år, opplag, sider
Walter de Gruyter, 2023
Emneord
chronic pain, comorbidity, multimodal rehabilitation, rehabilitation medicine, specialist care, temporomandibular disorders
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-210424 (URN)10.1515/sjpain-2023-0004 (DOI)001012223400001 ()37327054 (PubMedID)2-s2.0-85163961595 (Scopus ID)
Tilgjengelig fra: 2023-06-21 Laget: 2023-06-21 Sist oppdatert: 2023-12-20bibliografisk kontrollert
Wågberg, S., Stålnacke, B.-M. & Magnusson, B. M. (2023). Gender and age differences in outcomes after mild traumatic brain injury. Journal of Clinical Medicine, 12(15), Article ID 4883.
Åpne denne publikasjonen i ny fane eller vindu >>Gender and age differences in outcomes after mild traumatic brain injury
2023 (engelsk)Inngår i: Journal of Clinical Medicine, E-ISSN 2077-0383, Vol. 12, nr 15, artikkel-id 4883Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Many people who suffer traumatic brain injury (TBI) have long-term residual symptoms. This study evaluates post-TBI symptoms and disabilities seven to eight years after mild TBI (mTBI), with specific aims to evaluate gender and age differences, and whether repeated TBI leads to the deterioration of symptoms and function. Telephone interviews with 595 patients were conducted using the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) to assess post-TBI symptoms, and the Glasgow Outcome Scale Extended (GOSE) was used to assess disability. Thirty-four percent reported post-concussion symptoms (40% of females and 29% of males). The symptom burden was higher in women than in men, and higher in patients with repeated TBI. The distribution of symptoms was similar for women and men. Women reported a significantly higher level of disability on GOSE; 31% had not returned fully to daily life, compared with 17% of men (p < 0.001), the biggest difference being in the age group of 25–49 years. Patients with repeated mTBI reported significantly lower scores on GOSE; 31% had not returned fully to daily life, compared with 21% of the single-TBI patients (p < 0.05). After mild TBI, one of three patients reported at least one post-TBI symptom. Women and individuals with repeated TBI presented a worse GOSE outcome. These findings have implications for clinical practice and research and should be taken into consideration when planning the rehabilitation and follow-up of mTBI patients. This also emphasises the importance of informing patients about post-concussion symptoms and when to seek healthcare.

sted, utgiver, år, opplag, sider
MDPI, 2023
Emneord
disability, GOSE, post-concussion syndrome, RPQ, traumatic brain injury
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-213063 (URN)10.3390/jcm12154883 (DOI)001045674500001 ()37568285 (PubMedID)2-s2.0-85167676648 (Scopus ID)
Tilgjengelig fra: 2023-08-24 Laget: 2023-08-24 Sist oppdatert: 2023-08-24bibliografisk kontrollert
Uhlin, K., Persson, E., Stålnacke, B.-M. & Löfgren, M. (2023). Healthcare professionals' experiences and perspectives of team-based interdisciplinary pain rehabilitation with immigrants requiring an interpreter: A qualitative study. Disability and Rehabilitation, 45(15), 2434-2445
Åpne denne publikasjonen i ny fane eller vindu >>Healthcare professionals' experiences and perspectives of team-based interdisciplinary pain rehabilitation with immigrants requiring an interpreter: A qualitative study
2023 (engelsk)Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 45, nr 15, s. 2434-2445Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: There is a lack of knowledge about interprofessional rehabilitation for culturally diverse patients with chronic pain. This study explores experiences of healthcare professionals developing and working with rehabilitation with patients in need of an interpreter and their experience of working with interpreters.

Methods: Twelve healthcare professionals at two Swedish specialist rehabilitation centres were interviewed. Grounded theory principles were used for the data collection and analysis.

Results: The main category "Demanding and Meaningful Work" represents three concurrently interacting categories: “Frustration” includes the informants’ doubts regarding the benefits of the rehabilitation, lack of care for patients and cultural dissonance between professionals and patients. "Challenges" describes problems in the rehabilitation work due to the need for interpreted mediated communication, the complexity in health status and social aspects among the patients. "Solutions" represents practical working methods and personal approaches developed by the informants for managing frustrations and challenges.

Conclusions: The informants’ frustration and challenges when working with a new group of patients, vulnerable and different in their preconceptions, led to new solutions in working methods and approaches. When starting a pain rehabilitation programme for culturally diverse patients, it is important to consider the rehabilitation team’s need for additional time and support.

IMPLICATIONS FOR REHABILITATION Healthcare professionals who encounter immigrants with chronic pain need resources to develop their own skills in order to handle complex ethical questions as the patients represent a vulnerable patient group with many low status identities In order to adapt rehabilitation programmes to patient groups with different languages and pre-understandings of chronic pain, there is a need for a team with specific qualities, i.e., close cooperation, an innovative atmosphere, time and also support from experts For appropriate language interpretation it is important to have a professional interpreter and a healthcare professional who are aware of and adopt the rules, possibilities and restrictions of interpretation The rehabilitation of patients in need of language interpretation needs more time and organisation compared to the rehabilitation of patients who speak the national language.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2023
Emneord
chronic pain, healthcare professionals, immigrants, Interdisciplinary pain rehabilitation, qualitative research
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-199113 (URN)10.1080/09638288.2022.2111608 (DOI)000843570700001 ()35996890 (PubMedID)2-s2.0-85136527769 (Scopus ID)
Forskningsfinansiär
Stockholm County CouncilKarolinska Institute
Tilgjengelig fra: 2022-09-07 Laget: 2022-09-07 Sist oppdatert: 2023-10-16bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-2916-0628