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Evaluating chronic pain interventions in recent refugees and immigrant populations: A systematic review

Altun, A, Brown, Helen, Sturgiss, L and Russell, G 2022, Evaluating chronic pain interventions in recent refugees and immigrant populations: A systematic review, Patient Education and Counseling, vol. 105, no. 5, pp. 1152-1169, doi: 10.1016/j.pec.2021.08.021.

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Title Evaluating chronic pain interventions in recent refugees and immigrant populations: A systematic review
Author(s) Altun, A
Brown, HelenORCID iD for Brown, Helen orcid.org/0000-0002-5460-3654
Sturgiss, L
Russell, G
Journal name Patient Education and Counseling
Volume number 105
Issue number 5
Start page 1152
End page 1169
Total pages 18
Publisher Elsevier
Place of publication Dublin, Ireland
Publication date 2022
ISSN 0738-3991
1873-5134
Keyword(s) Chronic pain
Culturally competent care
Health equity
Migrant
Multidisciplinary interventions
Refugee
Summary Objectives: 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.
DOI 10.1016/j.pec.2021.08.021
Field of Research 11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30155324

Document type: Journal Article
Collection: Faculty of Health
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Created: Mon, 13 Sep 2021, 08:15:00 EST

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