A patient-informed qualitative evaluation of an online chronic pain treatment for military, police, and Veterans

Abstract: Introduction: Chronic pain is a significant problem among military, police, and Veteran populations. An online acceptance-based behavioural treatment for chronic pain was developed and tailored to this specific population. A randomized controlled trial demonstrated the efficacy of the intervention; however, dropout rates were a concern. To address this issue, the authors sought the perspectives of previous participants of the intervention. The goal of the present study was to identify areas to refine online chronic pain treatment to enhance its acceptability and thereby improve completion rates. Methods: Participatory action research methodology was used to conduct a series of focus groups with participants who previously completed the treatment. Through group discussions, participants offered feedback and suggestions for improvements to the program. Data were analyzed using interpretive thematic analysis. Results: Three main themes emerged in this qualitative evaluation of the strengths and weaknesses of the online chronic pain program that highlighted the elements of the target population that participants felt needed to be considered: 1) their unique characteristics, 2) their interconnection, and 3) their individual diff erences. Discussion: Although participants generally found the program acceptable, they identified areas for improvement. This patient feedback will guide a future revision of the program, intended to better meet the particular cultural sensitivities of military, police, and Veterans, thereby enhancing their treatment experience and reducing dropout rates. The results of this study may be a useful guide for clinicians adapting interventions for military and police populations. 

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