Evidence map›Paper›PMID 34215528›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2022

The Impact of Preoperative Distress: A Qualitative analysis of the Perioperative Pain Self-Management Intervention.

Kenda Stewart Steffensmeier, Jennifer Van Tiem, Ashlie Obrecht, Mandy Conrad, Mark W Vander Weg, Katherine Hadlandsmyth

Open access · greenAbstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kenda Stewart SteffensmeierFrom the Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa; Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa. Electronic address: kenda.steffensmeier@va.gov.
Jennifer Van TiemFrom the Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa; University of Iowa, College of Education, Department of Psychological and Quantitative Foundations, Iowa City, Iowa.
Ashlie ObrechtFrom the Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa; University of Iowa, College of Education, Department of Psychological and Quantitative Foundations, Iowa City, Iowa.
Mandy ConradFrom the Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa; University of Iowa, College of Education, Department of Psychological and Quantitative Foundations, Iowa City, Iowa; Stanford University School of Medicine, Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Pain Medicine, Palo Alto, California.
Mark W Vander WegFrom the Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa; University of Iowa, College of Education, Department of Psychological and Quantitative Foundations, Iowa City, Iowa; University of Iowa, College of Public Health, Department of Community and Behavioral Health, Iowa City, Iowa.
Katherine HadlandsmythFrom the Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa; University of Iowa, College of Education, Department of Psychological and Quantitative Foundations, Iowa City, Iowa; University of Iowa, Carver College of Medicine, Department of Anesthesia, Iowa City, Iowa.
University of Iowa · USIowa City VA Health Care System · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
NCATS NIH HHS UL1 TR002537
6 · The paper itself

Abstract

purposePreoperatively distressed patients are at elevated risk for chronic postsurgical pain. Active psychological interventions show promise for mitigating chronic postsurgical pain. This study describes experiences of preoperatively distressed (elevated depressive symptom, anxious symptoms, or pain catastrophizing) and non-distressed participants who participated in the psychologically based Perioperative Pain Self-management (PePS) intervention.

designThis is a qualitative study designed to capture participants' perspectives and feedback about their experiences during the PePS intervention.

methodsInterviews were semi-structured, conducted by telephone, audio-recorded, transcribed, and audited for accuracy. Coded interviews were analyzed using a quote matrix to discern possible qualitative differences in what preoperatively distressed and non-distressed participants found most and least helpful about the intervention.

resultsTwenty-one participants completed interviews, 7 of whom were classified as distressed. Distressed participants identified learning how to reframe their pain as the most helpful part of the intervention. Non-distressed participants focused on the benefit of relaxation skill-building to manage post-surgical pain. Distressed and non-distressed participants both emphasized the importance of the social support aspects of PePS and- identified goal-setting as challenging.

conclusionsDistressed and non-distressed participants emphasized different preferences for pain management strategies offered by PePS. Most participants emphasized the importance of social support that PePS provided. CLINICAL IMPLICATIONS: Our results indicate that post-operative patients may benefit from interpersonal interaction with a trained interventionist. Our findings also suggest that distressed and non-distressed patients may benefit from varied intervention approaches. How to build flexibility into a manualized intervention or whether these subsets of patients would benefit more from different interventions is a direction for future research.

Indexed as

Self-ManagementAnxietyHumansPain ManagementPostoperative PainQualitative ResearchSocial Support

Identifiers

PMID34215528
PMCPMC8896311
OpenAlexW3176786106

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.