title: How Do Patients with Chronic Pain Benefit from a Peer-Supported Pain Self-Management Intervention? A Qualitative Investigation.
abstract: Peer support is a novel and under-studied approach to the management of chronic pain. This study's purpose was to uncover the elements of a peer-supported self-management intervention that are perceived by participants as essential to achieving positive changes.
  
  
  
  Qualitative, semi-structured interviews.
  
  
  
  Veterans and veteran peer coaches who participated in a pilot study of peer support Improving Pain using Peer-Reinforced Self-Management Strategies (IMPPRESS, NCT01748227) took part in qualitative semi-structured interviews after completing the 4-month intervention. Questions were designed to facilitate understanding of how participants experienced the intervention. An immersion/crystallization approach was used to analyze data.
  
  
  
  All 26 peer coaches and patients who completed the intervention were interviewed. Qualitative analysis revealed three elements of IMPPRESS that peer coaches and patients believed conferred benefit: 1) making interpersonal connections; 2) providing/receiving encouragement and support; and 3) facilitating the use of pain self-management strategies.
  
  
  
  Peer support represents a promising approach to chronic pain management that merits further study. The current study helps to identify intervention elements perceived by participants to be important in achieving positive results. Understanding how peer support may benefit patients is essential to optimize the effectiveness of peer support interventions and increase the implementation potential of peer-supported pain self-management into clinical practice.
authors.affiliation: *VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, Indiana mmatthia@iupui.edu.|Regenstrief Institute, Indianapolis, Indiana; Departments of.|Communication Studies.|Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors.forename: Marianne S
authors.initials: MS
authors.lastname: Matthias
authors.affiliation: *VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, Indiana.|Psychology, Indiana University-Purdue University, Indianapolis, Indiana.
authors.forename: Marina
authors.initials: M
authors.lastname: Kukla
authors.affiliation: *VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, Indiana.|Psychology, Indiana University-Purdue University, Indianapolis, Indiana.
authors.forename: Alan B
authors.initials: AB
authors.lastname: McGuire
authors.affiliation: *VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, Indiana.|Regenstrief Institute, Indianapolis, Indiana; Departments of.|Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Bair
mesh_terms: D000328:Adult; D000368:Aged; D059350:Chronic Pain; D003376:Counseling / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010379:Peer Group; D010865:Pilot Projects; D012648:Self Care / Q000379:methods*; D012944:Social Support
keywords: Chronic Pain; Pain Self-Management; Peer Support; Qualitative Research; Veterans