The use of Arts-Based Research in Chronic Pain: A Scoping Review

被引:0
|
作者
Harasymchuk, Sophie J. [1 ]
Howard, A. Fuchsia [2 ,3 ]
Noga, Heather [3 ]
Kelly, Mary T. [2 ]
Yong, Paul J. [1 ,3 ,4 ]
机构
[1] Univ British Columbia, Dept Obstet & Gynecol, Vancouver, BC, Canada
[2] Univ British Columbia, Sch Nursing, T201-2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
[3] British Columbia Womens Hosp & Hlth Ctr, Womens Hlth Res Inst, Vancouver, BC, Canada
[4] British Columbia Womens Hosp & Hlth Ctr, British Columbia Womens Ctr Pelv Pain & Endometrio, Vancouver, BC, Canada
关键词
Arts-based research; arts-informed research; chronic pain; persistent pain; long-term pain; INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS; ETHICAL-ISSUES; PREVALENCE; REPRESENTATIONS; EXPERIENCE; PEOPLE; EUROPE;
D O I
10.1080/24740527.2024.2352876
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BackgroundAs an emerging approach, arts-based research holds potential to advance understanding of the complex and multidimensional experiences of chronic pain and means of communicating this experiential evidence. This scoping review aimed to map and explore the extent of arts-based research in chronic non-cancer pain, understand the rationale behind using arts-based research methods, and identify directions for future research.MethodsDatabases PsycINFO, MEDLINE, EMBASE, and CINAHL were searched for eligible English-language articles from inception to November 2022. Out of 1321 article titles and abstracts screened for eligibility, 18 articles underwent full-text screening, with 14 ultimately meeting all inclusion criteria. We conducted a narrative synthesis of data extracted from the 14 reviewed articles.ResultsThe review articles focused on a wide range of chronic non-cancer pain conditions, with 12/14 employing qualitative methods (86%), one repeated measures experimental design, and another a multiphase, multimethod design. Seven articles described the use of drawing, painting, or mixed-media artwork; four used photography; two used body mapping; and one used e-book creation. The rationale for arts-based research included exploring and better understanding patients' experiences with chronic non-cancer pain, constructing an intervention, and investigating or validating a clinical tool. Nine articles reported that their arts-based research methods produced unintended therapeutic benefits for participants. Recommendations for future research included using arts-based research to better understand and communicate with patients and providers, exploring convergence with art therapy, and designing creative and flexible multiphased studies involving collaboration across disciplines.ConclusionsDespite the wide variation in sample and art modalities across reviewed articles, arts-based methods were considered suitable and highly effective for investigating chronic non-cancer pain. Contexte: La neuromodulation par radiofr & eacute;quence puls & eacute;e (NRFP) du nerf grand occipital (NGO) est envisag & eacute;e chez les patients souffrant de c & eacute;phal & eacute;es qui ne parviennent pas & agrave; obtenir un b & eacute;n & eacute;fice analg & eacute;sique durable & agrave; partir des blocages nerveux & agrave; l'aide d'un anesth & eacute;sique local et de st & eacute;ro & iuml;des. Cependant, les donn & eacute;es probantes & agrave; l'appui de cette pratique ne sont pas claires.Objectifs: Cette revue syst & eacute;matique narrative vise & agrave; explorer l'efficacit & eacute; et la s & eacute;curit & eacute; de la NRFP du NGO sur les maux de t & ecirc;te.M & eacute;thodes: Des bases de donn & eacute;es ont & eacute;t & eacute; consult & eacute;es pour trouver des & eacute;tudes, publi & eacute;es jusqu'au 1er f & eacute;vrier 2024, portant sur la NRFP du NGO chez des adultes souffrant de c & eacute;phal & eacute;es. Les r & eacute;sum & eacute;s et les affiches ont & eacute;t & eacute; exclus. Le crit & egrave;re principal & eacute;tait le changement dans l'intensit & eacute; des maux de t & ecirc;te. Les crit & egrave;res secondaires comprenaient l'effet sur la fr & eacute;quence mensuelle des c & eacute;phal & eacute;es, la sant & eacute; mentale et physique, l'humeur, le sommeil, la consommation d'analg & eacute;siques et les effets secondaires. Deux examinateurs ont & eacute;valu & eacute; et extrait les donn & eacute;es.R & eacute;sultats: Vingt-deux articles (2 essais contr & ocirc;l & eacute;s randomis & eacute;s, 11 cohortes et 9 rapports de cas/s & eacute;ries) portant sur 608 patients ont & eacute;t & eacute; recens & eacute;s. Une h & eacute;t & eacute;rog & eacute;n & eacute;it & eacute; consid & eacute;rable a & eacute;t & eacute; observ & eacute;e en termes de devis de l'& eacute;tude, de diagnostic des c & eacute;phal & eacute;es, de la cible et des param & egrave;tres de la FRP et de l'orientation de l'image. Les r & eacute;glages de la NRFP variaient (38-42 degrees C, 40-60 V, et 150-400 Ohms). Les & eacute;tudes ont d & eacute;montr & eacute; que la NRFP procurait une analg & eacute;sie significative et r & eacute;duisait la fr & eacute;quence des c & eacute;phal & eacute;es dans la migraine chronique de trois & agrave; six mois, et un soulagement significatif de la douleur pour la n & eacute;vralgie occipitale pendant six & agrave; dix mois. Des effets ind & eacute;sirables l & eacute;gers ont & eacute;t & eacute; signal & eacute;s dans 3,1 % des participants de la cohorte. Une minorit & eacute; d'& eacute;tudes ont fait & eacute;tat de r & eacute;sultats secondaires. La qualit & eacute; des donn & eacute;es probantes & eacute;tait faible.Conclusion: Les donn & eacute;es probantes de faible qualit & eacute; indiquent un b & eacute;n & eacute;fice analg & eacute;sique de la NRFP du NGO pour la n & eacute;vralgie occipitale et la migraine chronique, mais son r & ocirc;le pour d'autres types de c & eacute;phal & eacute;es doit & ecirc;tre davantage & eacute;tudi & eacute;. La cible et les param & egrave;tres optimaux de la NRFP restent floues. Des essais contr & ocirc;l & eacute;s randomis & eacute;s de haute qualit & eacute; sont n & eacute;cessaires pour explorer davantage le r & ocirc;le de cette intervention.
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