FYSIOTERAPEUTEN 5/24 99 of chronic primary pain. National Institute for Health and Care Excellence (NICE) (internett). London: Published: 7 April 2021 [hentet 28.8.2024]. Tilgjengelig fra: Overview | Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain | Guidance | NICE 8. Cohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, best practices, and new advances. Lancet. 2021;397(10289):2082-97. DOI: 10.1016/ S0140-6736(21)00393-7 9. Helsedirektoratet. Langvarige og sammensatte smertetilstander - helhetlig pasientforløp Høring under behandling. (internett). Oslo. [hentet 28.8.2024]. Tilgjengelig fra: Langvarige og sammensatte smertetilstander - helhetlig pasientforløp - Helsedirektoratet 10. Rise, M. B., Skagseth, M., Klevanger, N. E., Aasdahl, L., Borchgrevink, P., Jensen, C., Tenggren, H., Halsteinli, V., Jacobsen, T. N., Løland, S. B., Johnsen, R., & Fimland, M. S. (2018). Design of a study evaluating the effects, health economics, and stakeholder perspectives of a multi-component occupational rehabilitation program with an added workplace intervention - a study protocol. BMC Public Health, 18(1), 219. https://doi.org/10.1186/s12889-018-5130-5 11. Kvale S, Brinkmann S. Det kvalitative forskningsintervju. 3 ed. Anderssen TM, Rygge J, editors. Oslo: Gyldendal akademisk 2015. 12. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-82. DOI: 10.1097/j. pain.0000000000001939 13. Harris R. ACT : enkelt og greit : en innføring i aksept- og forpliktelsesterapi. Oslo: Gyldendal akademisk; 2013. 14. Rise MB, Gismervik S, Johnsen R, Fimland MS. Sick-listed persons’ experiences with taking part in an in-patient occupational rehabilitation program based on Acceptance and Commitment Therapy: a qualitative focus group interview study. BMC Health Serv Res. 2015;15:526. DOI: 10.1186/s12913-015-1190-8 15. Hooker SA, Masters KS, Vagnini KM, Rush CL. Engaging in personally meaningful activities is associated with meaning salience and psychological well-being. The Journal of Positive Psychology. 2020;15(6):821-31. DOI:10.1080/17439760.2 019.1651895 16. Linton SJ, Shaw WS. Impact of Psychological Factors in the Experience of Pain. Physical Therapy. 2011;91(5):700-11. DOI: 10.2522/ptj.20100330 17. Reed DE, 2nd, Cobos B, Nagpal AS, Eckmann M, McGeary DD. The role of identity in chronic pain cognitions and pain-related disability within a clinical chronic pain population. Int J Psychiatry Med. 2022;57(1):35-52. DOI: 10.1177/0091217421989141 18. Edwards RR, Dworkin RH, Sullivan MD, Turk DC, Wasan AD. The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain. J Pain. 2016;17(9 Suppl):T70-92. 19. de Rooij A, de Boer MR, van der Leeden M, Roorda LD, Steultjens MP, Dekker J. Cognitive mechanisms of change in multidisciplinary treatment of patients with chronic widespread pain: a prospective cohort study. J Rehabil Med. 2014;46(2):173-80. DOI: 10.1016/j.jpain.2016.01.001 20. Gismervik S, Fimland MS, Fors EA, Johnsen R, Rise MB. The acceptance and commitment therapy model in occupational rehabilitation of musculoskeletal and common mental disorders: a qualitative focus group study. Disabil Rehabil. 2019;41(26):3181-91. DOI: 10.1080/09638288.2018.1490824 21. Fors EA. Hva er smerte. Oslo: Universitetsforlaget; 2012. 22. Frølich S. Kroniske smerter : kan man lære at leve med det? 3. udg. ed. København: Nyt Nordisk Forlag Arnold Busck; 2011. 23. Devan H, Hale L, Hempel D, Saipe B, Perry MA. What Works and Does Not Work in a Self-Management Intervention for People With Chronic Pain? Qualitative Systematic Review and Meta-Synthesis. Phys Ther. 2018;98(5):381-97. DOI: 10.1093/ ptj/pzy029 24. Aas A. Smerteboken : fra vondt til bedre. Oslo: Dreyers forl.; 2018. 25. Booth J, Moseley GL, Schiltenwolf M, Cashin A, Davies M, Hübscher M. Exercise for chronic musculoskeletal pain: A biopsychosocial approach. Musculoskeletal Care. 2017;15(4):413-21. DOI: 10.1002/msc.1191 26. LaRowe LR, Williams DM. Activity-induced pain as a predictor of physical activity behavior among individuals with chronic pain: the role of physical activity enjoyment. J Behav Med. 2022;45(4):632-42. DOI: 10.1007/s10865-022-00318-1 27. Helsedirektoratet. Veileder om rehabilitering, habilitering, individuell plan og koordinator (internett). Oslo: 2015 [hentet 28.8.2024]. Tilgjengelig fra https:// www.helsedirektoratet.no/veiledere/rehabilitering-habilitering-individuellplan-og-koordinator 28. Meld. St. 19 (2018–2019). Folkehelsemeldinga - Gode liv i et trygt samfunn. In: Helse- og omsorgsdetpartementet, editor. 29. Helse- og omsorgsdetpartementet. Rundskriv. Om helse- og omsorgstjenestelovgivningens anvendelse ved lavterskeltilbud – særlig om krav til dokumentasjon og diagnostisering 2017. 30. Malterud K. Kvalitative forskningsmetoder for medisin og helsefag. 4. utg. ed. Oslo: Universitetsforl.; 2017. 31. Rovner GS, Sunnerhagen KS, Björkdahl A, Gerdle B, Börsbo B, Johansson F, et al. Chronic pain and sex-differences; women accept and move, while men feel blue. PLoS One. 2017;12(4):e0175737. Abstract Title: Coping in a life with chronic pain: An interview study Research question: What coping strategies have people with long-term pain brought with them after an eightweek low threshold pain management course, consisting of ACT and supervised physical activity, to manage their pain? Design: The study utilized a qualitative approach with semi-structured interviews. Method: Individual interviews were conducted with five women aged 47-59 who had participated in a pain management course in a Norwegian municipality in spring 2021. The data were analysed using phenomenology. Findings: The participants learned coping strategies that could be used during exacerbations of pain. The pain course did not change the participants’ pain levels. The key coping strategies the participants took away were related to valuing work, relaxation, and physical activity. Although the participants felt they learned useful strategies from the coping course, the findings of this study show that it was challenging to implement the strategies in daily life after the course. Conclusion: The findings of this study indicate that working to identify one’s values, exploring various forms of physical activity, and relaxation techniques can be effective coping strategies for managing pain. However, the findings also suggest that implementing these strategies in everyday life outside the course’s framework may be challenging. Keywords: Long- term pain, coping strategies, pain management, values, acceptance- and commitment therapy. Kontakt Fagpressens kundesenter man-fre 08:00-16:00. Tlf. 21 04 77 46. E-post: kundesenter@fagpressen.no Ikke mottatt Fysioterapeuten?
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