The Biopsychosocial Model of Pain: How a Provider's Approach can Impact the Perception of the Patient
Mentor 1
Hobart Davies
Mentor 2
Eva Igler
Location
Union Wisconsin Room
Start Date
5-4-2019 1:30 PM
End Date
5-4-2019 3:30 PM
Description
The biopsychosocial model of pain incorporates the physiological and psychosocial factors that contribute to pain. The present study aims to illustrate how a provider’s approach can impact the perception of the patient. Scenarios and questions were presented to two groups; parents and emerging adults. For parents, they either heard a dismissive or appropriate patient-provider scenario. Emerging adults either read a dismissive or appropriate explanation of chronic pain and stress. Each group was asked to rate various aspects of either the patient-provider scenario (parents) or the provider’s explanation of stress and chronic pain (emerging adults), and qualitatively answer questions about their feelings towards the interaction, if they would’ve said anything to the provider, and if they’ve had a similar experience. Delphi’s, or categories, were created individually while reviewing responses from each group. Collaboration between undergraduate and graduate students was used to create encompassing categories for all responses. To correctly code a response into a category, the majority of our team had to agree on the placement of the response, which meant 80% of the team. Regarding the parent survey, results found that parents were significantly more likely to provide a negative description of the provider (phi=.38, p<.001) and report that they would seek a second opinion (phi=.14, p<.05) when presented with the dismissive scenario. Regarding the emerging adults, qualitative responses suggest a variety of reactions to the explanations of chronic pain and stress including negative reactions to the provider in the scenario and negative emotional reactions to the language used. This study has provided research that dismissive language by a medical provider negatively effect patients. To better care for patients, medical providers must use language that better reflects the biopsychosocial model of pain. To further this research, a similar approach should ask medical providers about their perceptions of pain.
The Biopsychosocial Model of Pain: How a Provider's Approach can Impact the Perception of the Patient
Union Wisconsin Room
The biopsychosocial model of pain incorporates the physiological and psychosocial factors that contribute to pain. The present study aims to illustrate how a provider’s approach can impact the perception of the patient. Scenarios and questions were presented to two groups; parents and emerging adults. For parents, they either heard a dismissive or appropriate patient-provider scenario. Emerging adults either read a dismissive or appropriate explanation of chronic pain and stress. Each group was asked to rate various aspects of either the patient-provider scenario (parents) or the provider’s explanation of stress and chronic pain (emerging adults), and qualitatively answer questions about their feelings towards the interaction, if they would’ve said anything to the provider, and if they’ve had a similar experience. Delphi’s, or categories, were created individually while reviewing responses from each group. Collaboration between undergraduate and graduate students was used to create encompassing categories for all responses. To correctly code a response into a category, the majority of our team had to agree on the placement of the response, which meant 80% of the team. Regarding the parent survey, results found that parents were significantly more likely to provide a negative description of the provider (phi=.38, p<.001) and report that they would seek a second opinion (phi=.14, p<.05) when presented with the dismissive scenario. Regarding the emerging adults, qualitative responses suggest a variety of reactions to the explanations of chronic pain and stress including negative reactions to the provider in the scenario and negative emotional reactions to the language used. This study has provided research that dismissive language by a medical provider negatively effect patients. To better care for patients, medical providers must use language that better reflects the biopsychosocial model of pain. To further this research, a similar approach should ask medical providers about their perceptions of pain.
