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Musculoskelet Sci Pract. 2019 Feb;39:1-9. doi: 10.1016/j.msksp.2018.10.007. Epub 2018 Nov 8.

Development of culturally sensitive Pain Neuroscience Education for first-generation Turkish patients with chronic pain: A modified Delphi study.

Author information

1
Department of Physiotherapy and Rehabilitation, Hacettepe University, Turkey; Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium. Electronic address: cerengursen@yahoo.com.
2
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium. Electronic address: barbara.cagnie@ugent.be.
3
De Sleep Health Center, Ghent, Belgium. Electronic address: an.favoreel@wgcdesleep.be.
4
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium; Pain in Motion International Research Group, Belgium. Electronic address: eveline.vanlooveren@ugent.be.
5
Fysio Point Maastricht, Maastricht, Netherlands. Electronic address: akel.umit@gmail.com.
6
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium. Electronic address: nazirubashir.mukhtar@ugent.be.
7
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium. Electronic address: kayleigh.demeulemeester@ugent.be.
8
Pain in Motion International Research Group, Belgium; Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Belgium; Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium. Electronic address: roselien.pas@vub.be.
9
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium; Pain in Motion International Research Group, Belgium. Electronic address: dorine.lenoir@ugent.be.
10
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium; Pain in Motion International Research Group, Belgium; Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Belgium. Electronic address: mira.meeus@ugent.be.

Abstract

BACKGROUND:

Pain Neuroscience Education (PNE) has been recognized as an efficacious approach for chronic pain, but evidence for these findings have mainly been gathered in Caucasian patient populations. In recent years, it has been proposed that the treatment of pain and patient information materials should be culturally sensitive for different ethnic populations and cultures since cultural variations in pain beliefs and cognitions.

OBJECTIVES:

To culturally adapt PNE material for first-generation Turkish patients with chronic pain.

DESIGN:

A modified Delphi study with three consecutive rounds.

METHOD:

A total of 10 participants (8 experts and 2 first-generation Turkish patients with chronic pain) were recruited for this study. Three online questionnaire rounds were conducted to synthesize the perspectives and to reach agreement on the suggested PNE materials.

RESULTS:

Results on multiple-choice questions from the first round revealed that the compatibility of the visual information and the clarity of the message obtained lower scores. Examples, visual information (illustrations, pictures), and metaphors in the teaching materials and the home education leaflet were revised based on suggestions in Rounds 1 and 2. In Round 3, respondents reached an acceptable agreement level for the clinical usefulness of the PNE teaching materials and the home education material.

CONCLUSIONS:

Culturally sensitive PNE materials were produced for first-generation Turkish patients. Since the results of the present study only reveal perspectives of the experts, further validation of education materials may be required before they are recommended for Turkish patients in clinical practices.

KEYWORDS:

Chronic pain; Consensus; Education; Migrants

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