title: Pain Management Programmes for Non-English-Speaking Black and Minority Ethnic Groups With Long-Term or Chronic Pain.
abstract: Increasing ethnic diversity in the UK means that there is a growing need for National Health Service care to be delivered to non-English-speaking patients. The aims of the present systematic review were to: (1) better understand the outcomes of chronic pain management programmes (PMPs) for ethnic minority and non-English-speaking patients and (2) explore the perspectives on and experiences of chronic pain for these groups. A systematic review identified 26 papers meeting the inclusion criteria; no papers reported on the outcomes of PMPs delivered in the UK. Of the papers obtained, four reported on PMPs conducted outside the UK; eight reported on ethnic differences in patients seeking support from pain management services in America; and the remaining papers included literature reviews, an experimental pain study, a collaborative enquiry, and a survey of patient and clinician ratings of pain. The findings indicate a lack of research into UK-based pain management for ethnic minorities and non-English-speaking patients. The literature suggests that effective PMPs must be tailored to meet cultural experiences of pain and beliefs about pain management. There is a need for further research to explore these cultural beliefs in non-English-speaking groups in the UK. Culturally sensitive evaluations of interpreted PMPs with long-term follow-up are needed to assess the effectiveness of current provision. Copyright © 2015 John Wiley & Sons, Ltd.
authors.affiliation: School of Psychology, Sport and Exercise, Staffordshire University, Stoke on Trent, UK.
authors.forename: A E
authors.initials: AE
authors.lastname: Burton
authors.affiliation: School of Life and Health Sciences, Aston University, Birmingham, UK.
authors.forename: R L
authors.initials: RL
authors.lastname: Shaw
mesh_terms: D059350:Chronic Pain / Q000208:ethnology / Q000628:therapy*; D006801:Humans; D008913:Minority Groups; D059408:Pain Management / Q000379:methods* / Q000523:psychology
keywords: Chronic pain; culture; ethnicity; pain management