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Living with chronic low back pain: a metasynthesis of qualitative research

S Snelgrove, C Liossi, Sherrill Snelgrove

Chronic Illness

Swansea University Author: Sherrill Snelgrove

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DOI (Published version): 10.1177/1742395313476901

Abstract

ObjectivesThe purpose of this Qualitative Metasynthesis (QMS) is to articulate the knowledge gained from a review of qualitative studies of patients’ experiences of Chronic Low Back Pain (CLBP).MethodsMeta-ethnographic methodology guided the review of thirty-three articles representing twenty eight...

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Published in: Chronic Illness
ISSN: 1742-3953 1745-9206
Published: 2013
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URI: https://cronfa.swan.ac.uk/Record/cronfa14576
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first_indexed 2013-07-23T12:12:28Z
last_indexed 2018-02-09T04:46:02Z
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2015-05-18T11:28:45.0782325</datestamp><bib-version>v2</bib-version><id>14576</id><entry>2013-04-17</entry><title>Living with chronic low back pain: a metasynthesis of qualitative research</title><swanseaauthors><author><sid>4b56d8097e3227a51b5b779f9e554423</sid><firstname>Sherrill</firstname><surname>Snelgrove</surname><name>Sherrill Snelgrove</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2013-04-17</date><deptcode>FGMHL</deptcode><abstract>ObjectivesThe purpose of this Qualitative Metasynthesis (QMS) is to articulate the knowledge gained from a review of qualitative studies of patients&#x2019; experiences of Chronic Low Back Pain (CLBP).MethodsMeta-ethnographic methodology guided the review of thirty-three articles representing twenty eight studies published in English in peer-reviewed journals between 2000 &#x2013;2012. A systematic comparison of the main themes from each study was conducted and &#x201C;synthesised&#x201D; to create super-ordinate themes. ResultsThree overarching interrelated themes were identified: The impact of CLBP on self; Relationships with significant others that incorporated two streams: Health Professionals and the organisation of Care and relationships with family and friends; Coping with CLBP. Coping strategies were predominantly physical therapies, medication, and avoidance behaviours with very few successful strategies reported. Professional and family support, self-efficacy, motivation, work conditions and exercise opportunities influenced pain experiences. Recommendations included psychological therapies, education, the facilitation of self-management strategies and support groups.DiscussionThe review substantiates CLBP as complex, dynamic and multidimensional, underpinned by experiences of persistent distressing pain, loss, and lowered self-worth, depression, feelings of premature aging, fear of the future. Future research should address the paucity of longitudinal studies, CLBP within a paradigm of loss and issues of ethnicity, gender, ageing.</abstract><type>Journal Article</type><journal>Chronic Illness</journal><publisher/><issnPrint>1742-3953</issnPrint><issnElectronic>1745-9206</issnElectronic><keywords>Chronic low back pain, qualitative metasynthesis</keywords><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2013</publishedYear><publishedDate>2013-12-31</publishedDate><doi>10.1177/1742395313476901</doi><url/><notes></notes><college>COLLEGE NANME</college><department>Medicine, Health and Life Science - Faculty</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>FGMHL</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2015-05-18T11:28:45.0782325</lastEdited><Created>2013-04-17T11:33:19.0111995</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>S</firstname><surname>Snelgrove</surname><order>1</order></author><author><firstname>C</firstname><surname>Liossi</surname><order>2</order></author><author><firstname>Sherrill</firstname><surname>Snelgrove</surname><order>3</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2015-05-18T11:28:45.0782325 v2 14576 2013-04-17 Living with chronic low back pain: a metasynthesis of qualitative research 4b56d8097e3227a51b5b779f9e554423 Sherrill Snelgrove Sherrill Snelgrove true false 2013-04-17 FGMHL ObjectivesThe purpose of this Qualitative Metasynthesis (QMS) is to articulate the knowledge gained from a review of qualitative studies of patients’ experiences of Chronic Low Back Pain (CLBP).MethodsMeta-ethnographic methodology guided the review of thirty-three articles representing twenty eight studies published in English in peer-reviewed journals between 2000 –2012. A systematic comparison of the main themes from each study was conducted and “synthesised” to create super-ordinate themes. ResultsThree overarching interrelated themes were identified: The impact of CLBP on self; Relationships with significant others that incorporated two streams: Health Professionals and the organisation of Care and relationships with family and friends; Coping with CLBP. Coping strategies were predominantly physical therapies, medication, and avoidance behaviours with very few successful strategies reported. Professional and family support, self-efficacy, motivation, work conditions and exercise opportunities influenced pain experiences. Recommendations included psychological therapies, education, the facilitation of self-management strategies and support groups.DiscussionThe review substantiates CLBP as complex, dynamic and multidimensional, underpinned by experiences of persistent distressing pain, loss, and lowered self-worth, depression, feelings of premature aging, fear of the future. Future research should address the paucity of longitudinal studies, CLBP within a paradigm of loss and issues of ethnicity, gender, ageing. Journal Article Chronic Illness 1742-3953 1745-9206 Chronic low back pain, qualitative metasynthesis 31 12 2013 2013-12-31 10.1177/1742395313476901 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2015-05-18T11:28:45.0782325 2013-04-17T11:33:19.0111995 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health S Snelgrove 1 C Liossi 2 Sherrill Snelgrove 3
title Living with chronic low back pain: a metasynthesis of qualitative research
spellingShingle Living with chronic low back pain: a metasynthesis of qualitative research
Sherrill Snelgrove
title_short Living with chronic low back pain: a metasynthesis of qualitative research
title_full Living with chronic low back pain: a metasynthesis of qualitative research
title_fullStr Living with chronic low back pain: a metasynthesis of qualitative research
title_full_unstemmed Living with chronic low back pain: a metasynthesis of qualitative research
title_sort Living with chronic low back pain: a metasynthesis of qualitative research
author_id_str_mv 4b56d8097e3227a51b5b779f9e554423
author_id_fullname_str_mv 4b56d8097e3227a51b5b779f9e554423_***_Sherrill Snelgrove
author Sherrill Snelgrove
author2 S Snelgrove
C Liossi
Sherrill Snelgrove
format Journal article
container_title Chronic Illness
publishDate 2013
institution Swansea University
issn 1742-3953
1745-9206
doi_str_mv 10.1177/1742395313476901
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 0
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description ObjectivesThe purpose of this Qualitative Metasynthesis (QMS) is to articulate the knowledge gained from a review of qualitative studies of patients’ experiences of Chronic Low Back Pain (CLBP).MethodsMeta-ethnographic methodology guided the review of thirty-three articles representing twenty eight studies published in English in peer-reviewed journals between 2000 –2012. A systematic comparison of the main themes from each study was conducted and “synthesised” to create super-ordinate themes. ResultsThree overarching interrelated themes were identified: The impact of CLBP on self; Relationships with significant others that incorporated two streams: Health Professionals and the organisation of Care and relationships with family and friends; Coping with CLBP. Coping strategies were predominantly physical therapies, medication, and avoidance behaviours with very few successful strategies reported. Professional and family support, self-efficacy, motivation, work conditions and exercise opportunities influenced pain experiences. Recommendations included psychological therapies, education, the facilitation of self-management strategies and support groups.DiscussionThe review substantiates CLBP as complex, dynamic and multidimensional, underpinned by experiences of persistent distressing pain, loss, and lowered self-worth, depression, feelings of premature aging, fear of the future. Future research should address the paucity of longitudinal studies, CLBP within a paradigm of loss and issues of ethnicity, gender, ageing.
published_date 2013-12-31T03:16:41Z
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score 11.012857

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