Abstract：
OBJECTIVE: To identify how peer support interventions, for self-management of chronic pain, support basic psychological needs from a self-determination theory (SDT) perspective, using a systematic review.
METHODS: Ten databases were searched for studies reporting qualitative research about peer interactions in pain management interventions. \'Best fit\' framework synthesis methodology was applied to identify strategies that support the satisfaction of competence, autonomy and motivation. These were matched to definitions of strategies provided by standardised taxonomies.
RESULTS: 18 studies were selected for inclusion. The synthesis resulted in a conceptual model, identifying 12 peer strategies that support psychological needs for self-management of chronic pain; 10 overlapped with existing taxonomies.
CONCLUSIONS: This was the first known attempt to synthesise evidence about peer support strategies for people living with pain, using SDT as an a priori framework. The model demonstrates commonality between the motivation-promoting processes of peer support and those of other behaviour change interventions and identifies additional unique strategies provided by peers. This systematic classification of peer support strategies provides a means for future study of the efficacy and comprehensiveness of peer interventions.
CONCLUSIONS: The model could assist healthcare professionals and support groups to optimise the potential of peer processes.
METHODS: Ten databases were searched for studies reporting qualitative research about peer interactions in pain management interventions. \'Best fit\' framework synthesis methodology was applied to identify strategies that support the satisfaction of competence, autonomy and motivation. These were matched to definitions of strategies provided by standardised taxonomies.
RESULTS: 18 studies were selected for inclusion. The synthesis resulted in a conceptual model, identifying 12 peer strategies that support psychological needs for self-management of chronic pain; 10 overlapped with existing taxonomies.
CONCLUSIONS: This was the first known attempt to synthesise evidence about peer support strategies for people living with pain, using SDT as an a priori framework. The model demonstrates commonality between the motivation-promoting processes of peer support and those of other behaviour change interventions and identifies additional unique strategies provided by peers. This systematic classification of peer support strategies provides a means for future study of the efficacy and comprehensiveness of peer interventions.
CONCLUSIONS: The model could assist healthcare professionals and support groups to optimise the potential of peer processes.
摘要：
目标：确定同伴支持干预措施，慢性疼痛的自我管理，从自决理论(SDT)的角度支持基本的心理需求，使用系统的审查。
方法：在10个数据库中搜索了报告关于疼痛管理干预中同伴互动的定性研究的研究。“最佳拟合”框架综合方法被应用于确定支持能力满意度的策略，自主性和积极性。这些与标准化分类法提供的策略定义相匹配。
结果：选择了18项研究纳入。综合产生了一个概念模型，确定12种支持慢性疼痛自我管理心理需求的同伴策略；10种与现有分类重叠。
结论：这是首次尝试综合有关疼痛患者的同伴支持策略的证据，使用SDT作为先验框架。该模型证明了同伴支持的动机促进过程与其他行为改变干预措施的动机促进过程之间的共同性，并确定了同伴提供的其他独特策略。这种对同伴支持策略的系统分类为将来研究同伴干预的有效性和全面性提供了一种手段。
结论：该模型可以帮助医疗保健专业人员和支持团体优化同伴流程的潜力。
方法：在10个数据库中搜索了报告关于疼痛管理干预中同伴互动的定性研究的研究。“最佳拟合”框架综合方法被应用于确定支持能力满意度的策略，自主性和积极性。这些与标准化分类法提供的策略定义相匹配。
结果：选择了18项研究纳入。综合产生了一个概念模型，确定12种支持慢性疼痛自我管理心理需求的同伴策略；10种与现有分类重叠。
结论：这是首次尝试综合有关疼痛患者的同伴支持策略的证据，使用SDT作为先验框架。该模型证明了同伴支持的动机促进过程与其他行为改变干预措施的动机促进过程之间的共同性，并确定了同伴提供的其他独特策略。这种对同伴支持策略的系统分类为将来研究同伴干预的有效性和全面性提供了一种手段。
结论：该模型可以帮助医疗保健专业人员和支持团体优化同伴流程的潜力。
