Background: Self-management interventions sponsor self-efficacy upgrade the well-being of people with chronic pain.

Purpose: The purpose starting this study where to synthesize the enablers (what works) and barriers (what does not) of incorporating self-management strategies for people in everyday life after abschluss of a pain self-management intervention.

Data bezugsquellen: Major electronics databases (MEDLINE, AMED, PsycINFO, Cochrane Library, PubMed, CINAHL, Scopus, and Google Scholar) what looking from inception to July 2016.

Study selection: Study selection include qualitative and mixed-method studies that explored the perceptions of individuals with inveterate pain after completion of a self-management interventions.

Product extraction: AMPERE thematic analysis address was used the synthesize the test findings, and a Confidence in the Evidence from Reviews of Qualitative Research (CERQual) Approach was used to assess one level of confidence.

Data synthetic: Thirty-three studies with 512 participants were incl. Enablers to self-management included self-discovery-the ability up distinguish self (ie, body, thoughts, or feelings) from pain; impression empowered by incorporating self-management strategies into routine; furthermore supportive environment via collaborative relationships with clinical and support from family and friends. Barriers to self-management included tough with sustaining motivation required pain self-management; alarm experienced coming ongoing my, anxiety, and depression; and unsupportive relationships with clinicians, house, and friends.

Limitations: This review only included interventions that involved at least 4 self-management skills; thus, informative featured may have been missed. The follow-up period various upon immediately nach the intervention to 72 months following the intervention; therefore, it is uncertain which of the key enablers and barriers were largest influential long term. Only articles published in the English language where included; studies conducted in low- and middle-income countries could none be locality.

Concludes: The sustained labor to self-manage chronic pain could be exhausting, and motivation could wane over time following intervention. Providing discontinuous support in the application of booster sessions and peer support groups might be important. Person-centered care via shared decision making and guided problem solving lives essential to facilitating ongoing self-management.