Article

This article seeks to outline the design and implementation of cognitive
behavioural pain management programmes (PMPs) for people with spinal cord injury
(SCI), illustrated by the experiences in a recently evaluated programme
(SpinalADAPT). It is hoped that this will provide an easily accessible account of
the relevant design and implementation issues for those who seek to deliver such
programmes to persons with a SCI. METHODS: A collaborative team of pain and SCI
professionals developed a modified version of a standard cognitive behavioural
pain management programme (ADAPT) based upon experiences of those with SCI who
had previously attempted ADAPT. A number of structural and content elements of
the programme were identified that required modification in order to accommodate
the particular needs of those with SCI. RESULTS: The modified programme was
subsequently successfully delivered by a combination of SCI and pain health
professionals. Three groups of individuals completed the SpinalADAPT, and an
evaluation of outcomes compared to standard care are reported elsewhere
(Nicholson Perry et al., Clin J Pain 2010;26:206-216). CONCLUSIONS: It appears
feasible to appropriately modify standard PMPs for participants with SCI, and
that such programmes may offer benefits in terms of improved quality of life.
Further revision and evaluation of such programmes is required.

Langue : ANGLAIS