Healthcare providers perspective of chronic pain management in personswith traumatic spinal cord injury accessing the public system in a region of South Africa

Simple item page
dc.contributor.authorWilliams, Tammy-Lee
dc.contributor.authorNilsson Wikmar, Lena
dc.contributor.authorPhillips, Joliana
dc.date.accessioned2025-10-29T09:32:37Z
dc.date.available2025-10-29T09:32:37Z
dc.date.issued2024
dc.description.abstractPurpose: Persons with traumatic spinal cord injury (PWTSCI) have expressed a lack of education from healthcare providers and poor shared-decision making between providers and clients. The aim was to explore the healthcare providers’ perspective on factors influencing the optimal management of chronic pain. Methods: Healthcare providers were recruited from two institutions at tertiary healthcare level. Interviews explored current chronic pain management practices, influencing factors and recommendations for improvement. Data saturation occurred after interviewing 11 participants. Thematic analysis was used through a socio-ecological model. Results: The challenges to optimal pain management include appropriate assessment and management of psychological health (intrapersonal level), substance abuse amongst patients (intrapersonal level), access to medication for providers and lack of knowledge by providers (interpersonal and organizational level). To improve chronic pain management, an interdisciplinary team approach should be operationalized at policy and organizational level, monitoring and adjustment of interventions should take place (interpersonal), and family members/caregivers should be involved in the planning and monitoring (interpersonal). Conclusion: Factors, at the interpersonal, intrapersonal, organizational and policy levels, influence optimal chronic pain management in the traumatic spinal cord injury (TSCI) population. To mitigate challenges, guidelines for chronic pain management should be developed, particularly for low-resourced developing countries.
dc.identifier.citationWilliams, T.L., Nilsson Wikmar, L., Phillips, J. and Joseph, C., 2024. Healthcare providers perspective of chronic pain management in persons with traumatic spinal cord injury accessing the public system in a region of South Africa. Disability and Rehabilitation, pp.1-9.
dc.identifier.urihttps://doi.org/10.1080/09638288.2024.2399228
dc.identifier.urihttps://hdl.handle.net/10566/21207
dc.language.isoen
dc.publisherTaylor and Francis Ltd.
dc.subjectChallenges
dc.subjectChronic Pain
dc.subjectHealthcare Providers
dc.subjectSouth Africa
dc.subjectTraumatic Spinal Cord Injury
dc.titleHealthcare providers perspective of chronic pain management in personswith traumatic spinal cord injury accessing the public system in a region of South Africa
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
williams_healthcare_providers_perspective_2024.pdf
Size:
1.26 MB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Research Articles (Physiotherapy)