TRANSFER OF PAIN NEUROSCIENCE EDUCATION INTERVENTIONS BY CULTURAL ADAPTATION RESEARCH
P. van Wilgen1, C. Najem2, N.B. Mukhtar3, A. Wijma1
All authors, affiliations and abstracts have been published as submitted.
1Transcare & VU Brussel, Pain Management Center, Groningen, Netherlands, 2Antonine University, Lebanon, Department of Physical Therapy Faculty of Public Health, Beirut, Lebanon, 3Bayero University, Department of Physiotherapy, Kano, Nigeria
Learning objective 1: Identify what is cultural adaptation.
Learning objective 2: Determine how to develop a culturally sensitive pain neuroscience education intervention.
Learning objective 3: Role of pain neuroscience education in chronic pain in different cultural settings.
Description: Chronic pain (CP) is a significant problem worldwide as well as a challenge for physiotherapists. The existence of chronic pain is a complex interaction between biological, psychological, and social factors. Pain neuroscience education (PNE) is an evidence-based physiotherapy treatment in monodisciplinary settings. In this intervention, pain is explained by neurophysiological changes instead of tissue damage as the cause of pain and related to different biopsychosocial factors. Most effect studies for PNE are conducted in Western countries (Europe, the US, and Australia). For a proper knowledge transfer to other countries, or ethnic groups cultural adaptations of PNE are needed. In this process of cultural adaptation, four adaptation stages can be used:
(a) information gathering (physiotherapist, patients),
(b) preliminary adaptation design (language, persons, metaphors, content, concepts, goals, method, concepts),
(c) preliminary adaptation tests
(d) adaptation refinement. In this session, the scientific process of developing a culturally sensitive PNE intervention is presented in three different settings namely in Lebanon, Nigeria (Hausa population), and a multidisciplinary setting in the Netherlands.
Besides the methodology, quantitative effects and qualitative studies will be presented as well as the PNE interventions after adaptation.
(a) information gathering (physiotherapist, patients),
(b) preliminary adaptation design (language, persons, metaphors, content, concepts, goals, method, concepts),
(c) preliminary adaptation tests
(d) adaptation refinement. In this session, the scientific process of developing a culturally sensitive PNE intervention is presented in three different settings namely in Lebanon, Nigeria (Hausa population), and a multidisciplinary setting in the Netherlands.
Besides the methodology, quantitative effects and qualitative studies will be presented as well as the PNE interventions after adaptation.
References: Mukhtar NB, Meeus M, Gursen C, et al. Development of culturally sensitive pain neuroscience education materials for Hausa-speaking patients with chronic spinal pain: a modified Delphi study.PLOS ONE 2021.
Mukhtar NB, Meeus M, Gursen C, et al. Pilot study on the effects of culturally sensitive pain neuroscience education for Hausa-speaking patients with chronic neck pain.Disability and Rehabilitation 2021
Ibrahim AA, Akindele MO, Kaka B, Mukhtar NB. Development of the Hausa version of the Pain Catastrophizing Scale: translation, cross-cultural adaptation and psychometric evaluation in mixed urban and rural patients with chronic low back pain. Health and quality of life outcomes 2021.
Najem C, Mukhtar NB, Ayoubi F, et al. Religious Beliefs and Attitudes in Relation to Pain, Pain-Related Beliefs, Function, and Coping in Chronic Musculoskeletal Pain: A Systematic Review.Pain Physician. 2021 Dec;24(8):E1163-E1176.
Wijma AJ, Bletterman AN, Clark JR, et al. Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies.Physiother Theory Pract.2017;33(11):825-840.
Wijma AJ, Bults R, Nijs J, Paul van Wilgen C. The moderating effects of pain catastrophizing on the relationship between illness perceptions and self-reported signs of central sensitization in patients with persistent pain.Int J Rehabil Res.2020;43(4):347-354.
Wijma AJ, Speksnijder CM, Crom-Ottens AF, et al. What is important in transdisciplinary pain neuroscience education? A qualitative study.Disabil Rehabil.2018;40(18):2181-2191.
Wijma AJ, van Wilgen CP, Meeus M, Nijs J. Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education.Physiother Theory Pract.2016;32(5):368-384.
Mukhtar NB, Meeus M, Gursen C, et al. Pilot study on the effects of culturally sensitive pain neuroscience education for Hausa-speaking patients with chronic neck pain.Disability and Rehabilitation 2021
Ibrahim AA, Akindele MO, Kaka B, Mukhtar NB. Development of the Hausa version of the Pain Catastrophizing Scale: translation, cross-cultural adaptation and psychometric evaluation in mixed urban and rural patients with chronic low back pain. Health and quality of life outcomes 2021.
Najem C, Mukhtar NB, Ayoubi F, et al. Religious Beliefs and Attitudes in Relation to Pain, Pain-Related Beliefs, Function, and Coping in Chronic Musculoskeletal Pain: A Systematic Review.Pain Physician. 2021 Dec;24(8):E1163-E1176.
Wijma AJ, Bletterman AN, Clark JR, et al. Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies.Physiother Theory Pract.2017;33(11):825-840.
Wijma AJ, Bults R, Nijs J, Paul van Wilgen C. The moderating effects of pain catastrophizing on the relationship between illness perceptions and self-reported signs of central sensitization in patients with persistent pain.Int J Rehabil Res.2020;43(4):347-354.
Wijma AJ, Speksnijder CM, Crom-Ottens AF, et al. What is important in transdisciplinary pain neuroscience education? A qualitative study.Disabil Rehabil.2018;40(18):2181-2191.
Wijma AJ, van Wilgen CP, Meeus M, Nijs J. Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education.Physiother Theory Pract.2016;32(5):368-384.
Funding acknowledgements: n.a.
All authors, affiliations and abstracts have been published as submitted.
