ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Barriers to self-management of chronic pain in primary care: a qualitative focus group study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Behavioural modification interventions for medically unexplained symptoms in primary care: systematic reviews and economic evaluation.Health technology assessment (Winchester, England) · 2020Pooled it
- Risk-based stratified primary care for common musculoskeletal pain presentations: qualitative findings from the STarT MSK cluster randomised controlled trial.BMC primary care · 2022Trial
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- Co-designing interventions for chronic pain: A participatory action research study with south Asian women.British journal of health psychology · 2026Article
- Occupational therapy contribution to the management of chronic pain in primary care: a qualitative descriptive study.BMC primary care · 2025Article
- Exploring knowledge, confidence and barriers to evidence-based practice implementation of self-management strategy for low back pain during chiropractic training in France: a mixed method study.BMC complementary medicine and therapies · 2025Article
- Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation.BMC health services research · 2025Article
- Factors Influencing Pain Management Practices in People With Parkinson's Disease: A Qualitative Descriptive Study.Parkinson's disease · 2025Article
- Self-management support from health care providers in Shared Medical Appointments: Didactic techniques, peer learning, group dynamics and motivation.PEC innovation · 2024Article
- Mobile Health App and Web Platform (eDOL) for Medical Follow-Up of Patients With Chronic Pain: Cohort Study Involving the French eDOL National Cohort After 1 Year.JMIR mHealth and uHealth · 2024Article
- Healthcare resource utilization for chronic low back pain among high-utilizers.The spine journal : official journal of the North American Spine Society · 2024Article
- Confidence of practitioners to support self-management of pain: A multidisciplinary survey.British journal of pain · 2024Article
- Perceived benefits and limitations of a psychoeducation program for patients with fibromyalgia: an interpretative phenomenological analysis.Frontiers in psychology · 2024Article
- Development of a pain self-management intervention framework for people with spinal cord injury.African journal of primary health care & family medicine · 2023Article
- 'Making every contact count' with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists.BMC health services research · 2023Article
- Delivering equitable pain care: Lessons from the Scottish Service Model for Chronic Pain.British journal of pain · 2023Article
- Health care providers' understanding of self-management support for people with chronic low back pain in Ethiopia: an interpretive description.BMC health services research · 2022Article
- What do people need?Best practice & research. Clinical rheumatology · 2020Review
- Pharmacists detecting atrial fibrillation in general practice: a qualitative focus group study.BJGP open · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSupported self-management is a recommended intervention for chronic pain. Effective self-management should enable an individual to reduce the impact of pain on their everyday life. Clinical guidelines suggest primary care services have a role to play in supporting self-management of chronic pain.
aimTo examine the opinions of primary care healthcare professionals (HCPs) and people with chronic pain and their carers, in order to identify possible barriers to the facilitation and adoption of self-management. DESIGN AND
settingA qualitative study using focus groups in locations throughout Scotland.
methodEighteen focus groups were held with patients and HCPs. Fifty-four patients, nine carers, and 38 HCPs attended the groups.
resultsFour categories of barriers were found. 1) Patient-HCP consultation: some patients felt a discussion about self-management came too late or not at all. Communication and building positive relations were sometimes challenging. 2) Patient experience: the emotional impact of pain was difficult and patients often felt unsupported by HCPs. 3) Limited treatment options: some participants felt there was a tendency for overmedicalisation. 4) Organisational constraints: short appointment times, long waiting lists, and a compartmentalised NHS created challenges.
conclusionThis study illustrates some of the barriers faced by HCPs and patients in the facilitation and adoption of self-management of chronic pain. If self-management is to be an important approach to chronic pain, primary care services need to be designed to address the barriers identified.
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Registered trials
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