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Abstract：
Background and objectives: Limited evidence exists exploring perceptions of which aspects of a pain management program are perceived as valuable and impactful. The aim of this study was to explore patient beliefs about which aspects of a pain management program were valued and/or had perceived impact. Materials and Methods: One-on-one structured interviews were conducted with 11 adults three months after their completion of the Spark Pain Program at Westmead Hospital, Sydney, Australia. Concepts in the transcripts were inductively identified and explored, utilizing thematic analysis to better understand their relevance to the study aim. Results: Four themes emerged: (1) \"The program overall was positive, but…\"; (2) \"I valued my improved knowledge and understanding of pain, but…\"; (3) \"I valued the stretching/relaxation/pacing/activity monitoring\"; and (4) \"I valued being part of a supportive and understanding group\". Participants reported that they liked being treated as an individual within the group. A lack of perceived personal relevance of key messages was identified in some participants; it appears that patients in pain programs must determine that changes in knowledge, beliefs, and attitudes are personally relevant in order for the changes to have a significant impact on them. Conclusions: This study provides new insights into aspects of a pain management program that were perceived as valuable and impactful, areas that \"missed the mark\", and hypotheses to guide the implementation of service delivery and program redesign.
摘要：
背景和目标：关于疼痛管理计划的哪些方面被认为是有价值和有影响力的，存在有限的证据。这项研究的目的是探索患者对疼痛管理计划的哪些方面受到重视和/或具有感知影响的信念。材料和方法：在Westmead医院完成火花疼痛计划三个月后，对11名成年人进行了一对一的结构化访谈，悉尼,澳大利亚。对转录本中的概念进行了归纳识别和探索，利用主题分析更好地了解它们与研究目标的相关性。结果：出现了四个主题：（1）“节目总体上是积极的，但是...“；（2）”我重视我对疼痛的认识和理解，但是……”；（3）“我重视伸展/放松/起搏/活动监测”；（4）“我重视成为支持和理解小组的一部分”。参与者报告说，他们喜欢在小组中被视为个人。在一些参与者中发现缺乏对关键信息的感知个人相关性；看来疼痛计划中的患者必须确定知识的变化，信仰,和态度是个人相关的，以便变化对他们产生重大影响。结论：这项研究为疼痛管理计划的各个方面提供了新的见解，这些方面被认为是有价值和有影响力的，“错过标记”的区域，和假设，以指导服务交付和程序重新设计的实施。
