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Evaluating chronic pain interventions in recent refugees and immigrant populations: A systematic review
journal contribution
posted on 2022-01-01, 00:00 authored by A Altun, Helen BrownHelen Brown, L Sturgiss, G RussellObjectives: Many studies investigating the management of chronic pain often exclude participation of people from refugee and immigrant backgrounds. This review seeks to understand and evaluate the effectiveness of interventions for chronic pain management when applied in the context of refugee and immigrant populations. Methods: A systematic review was undertaken using six databases and the PICO search strategy. Included studies were published in English, comprised of patients over 18 years of age and excluded cancer-related chronic pain. Results: Twenty-one papers met the inclusion criteria: 13 cohort studies and eight randomised control trials. The majority of interventions involved multidisciplinary or psychological interventions, with the remaining studies based on education, exercise therapy or culturally adapted information. Studies integrating multidisciplinary care to manage chronic pain showed more consistent improvements in pain intensity and function than other unimodal interventions. Conclusions: Multidisciplinary interventions reduce pain intensity, improve functional impairment, and alleviate other psychosocial symptoms exhibited chronic pain patients from refugee or immigrant backgrounds. Additional well-designed, large-scale studies are needed to decisively estimate the effectiveness of culturally adapted, multidisciplinary intervention programs over time. Practice Implications: Clinical practice may benefit from adapting interventions to better support the management of chronic pain in refugee and immigrant populations.
History
Journal
Patient Education and CounselingVolume
105Issue
5Pagination
1152 - 1169Publisher
ElsevierLocation
Dublin, IrelandPublisher DOI
ISSN
0738-3991eISSN
1873-5134Publication classification
C1 Refereed article in a scholarly journalUsage metrics
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Science & TechnologySocial SciencesLife Sciences & BiomedicinePublic, Environmental & Occupational HealthSocial Sciences, InterdisciplinarySocial Sciences - Other TopicsChronic painCulturally competent careRefugeeMigrantMultidisciplinary interventionsHealth equityMINORITY POPULATIONMANAGEMENT PROGRAMYOUNG IMMIGRANTSHEALTH-STATUSPRIMARY-CAREBACK-PAINREHABILITATIONEXPERIENCESMODEL
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