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The needs, barriers, and opportunities perceived by health professionals for an online competency-based interprofessional course to enhance the care of older adults with chronic musculoskeletal pain
Indexado
WoS WOS:000926307700001
Scopus SCOPUS_ID:85147392653
DOI 10.1080/10872981.2023.2172755
Año 2023
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: It is recommended that continued education in pain should be supported using information and communication technologies (ICTs), but there are gaps about the previous competencies of health professionals, especially in low- and middle-income countries. This study characterized the competencies of professionals in the Colombian Caribbean, the circumstances that favor and hinder the development of appropriate care, as well as the preferences, expectations and attitudes toward an educational intervention supported by ICTs. Methods: We used a qualitative, phenomenological approach, combining documentary review and data obtained through observation, an online survey and two focus groups involving 55 healthcare professionals (physicians, nurses and psychologists) of varying experience. For the analysis and integration of results, the Capacity, Opportunity, Motivation and Behavior model and the Theoretical Domains Framework were used as references. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist guided the reporting of this study. Results: Competency deficits were found regardless of the profession and experience, which are related to inadequacies in undergraduate and post-graduate training. Structural problems in Colombian society and healthcare service organization were also discovered, which were considered unmodifiable barriers and have been aggravated by the social, economic and health effects of the pandemic. The main modifiable barriers found were as follows: pain underestimation and under-treatment of older adults, as well as stereotypes regarding old age and pain, lack of knowledge of the psychosocial determinants of pain and of techniques for its assessment and treatment, overestimation of pharmacological treatment and failure to update pharmacological and non-pharmacological techniques. Conclusions: Recommendations for the design of the educational intervention were established as follows: favoring non-synchronous resources, facilitating synchronous activities of short duration, facilitating permanent access to information and resources and generating incentives for continuing education, such as certification, institutional recognition and encouraging popular recognition.

Revista



Revista ISSN
Medical Education Online 1087-2981

Métricas Externas



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Disciplinas de Investigación



WOS
Education & Educational Research
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Martín-Carbonell, Marta Mujer Universidad Cooperativa de Colombia - Colombia
Univ Cooperat Colombia - Colombia
2 Suarez Colorado, Yuly Hombre Universidad Cooperativa de Colombia - Colombia
Univ Cooperat Colombia - Colombia
3 Camacho-Rodriguez, Doriam E. - Universidad Cooperativa de Colombia - Colombia
Univ Cooperat Colombia - Colombia
4 Expósito-Concepción, Maria Yaquelin Mujer Universidad del Norte - Colombia
Univ Norte - Colombia
5 Touchie-Meza, Salín - Universidad Cooperativa de Colombia - Colombia
Univ Cooperat Colombia - Colombia
6 Sequeira Daza, Doris Mujer Universidad Central de Chile - Chile
7 González Julio, Luz Karinne Mujer Universidad Cooperativa de Colombia - Colombia
Univ Cooperat Colombia - Colombia

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Financiamiento



Fuente
Universidad Cooperativa de Colombia
International Fibrodysplasia Ossificans Progressiva Association
International Association for the Study of Pain [2020 Initiative to Improve Pain Education Grant]

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
The work was supported by the International Association for the Study of Pain [2020 Initiative to Improve Pain Education Grant]; Universidad Cooperativa de Colombia [INV2932]
The work was supported by the~International Association for the Study of Pain [2020 Initiative to Improve Pain Education Grant]; Universidad Cooperativa de Colombia [INV2932]

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