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545 results on '"Main, Chris J."'

1. On 'Fragility and Back Pain: Lessons From the Frontiers of Biopsychosocial Practice.' Nicholls DA. Phys Ther. 2023; 103:pzad040. https://doi.org/10.1093/ptj/pzad040

Author

Beneciuk, Jason M., George, Steven Z., Simon, Corey B., Ballengee, Lindsay A., Lentz, Trevor A., Greco, Carol M., Main, Chris J., and Keefe, Francis J.

Abstract

Psychologically Informed Practice: Let's Not Throw the Baby Out With the Bath Water Nicholls (1) offers an interesting lens on psychologically informed practice (PiP) and back pain using cardiac disease [...]

Published
2024
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2. The Psychologically Informed Practice Consultation Roadmap: A Clinical Implementation Strategy

Author

Main, Chris J., Psychol, C., Simon, Corey B., Beneciuk, Jason M., Greco, Carol M., George, Steven Z., and Ballengee, Lindsay A.

Subjects
Company business management, Patients -- Care and treatment, Medical consultation -- Management, Pain -- Care and treatment, Informed consent (Medical law) -- Psychological aspects -- Social aspects
Abstract

Psychologically informed practice (PiP) includes a special focus on psychosocial obstacles to recovery, but research trials have revealed significant difficulties in implementing PiP outside of research environments. Qualitative studies have identified problems of both competence and confidence in tackling the psychosocial aspects of care, with a tendency to prefer dealing with the more mechanical aspects of care. In PiP, the distinction between assessment and management is not clear-cut. Analysis of the problem is part of the intervention, and guided self-management begins with the initial detective work by the patient, who is encouraged to develop successful and relevant behavior change. This requires a different style and focus of communication that some clinicians find difficult to enact. In this Perspective, the PiP Consultation Roadmap is offered as a guide for clinical implementation to establish a therapeutic relationship, develop patient-centered communication, and guide effective pain self-management. These strategies are illustrated through the metaphor of the patient learning to drive, with the therapist as a driving instructor and the patient as a student driver. For convenience, the Roadmap is depicted in 7 stages. Each stage represents aspects of the clinical consultation in a recommended order, although the Roadmap should be viewed as a general guide with a degree of flexibility to accommodate individual differences and optimize PiP interventions. It is anticipated that the experienced PiP clinician will find it progressively easier to implement the Roadmap as the building blocks and style of consultation become more familiar. Keywords: Psychologically Informed Practice, Pain, Communication, Introduction A detailed description of psychologically informed practice (PiP) and its origins (1) is presented in the accompanying paper in this issue. (2) In brief, PiP's most distinctive features are [...]

Published
2023
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3. Psychologically Informed Practice: The Importance of Communication in Clinical Implementation

Author

Main, Chris J., Psychol, C., Ballengee, Lindsay A., George, Steven Z., Beneciuk, Jason M., Greco, Carol M., and Simon, Corey B.

Subjects
Patients -- Care and treatment, Chronic pain -- Risk factors -- Prevention -- Psychological aspects, Informed consent (Medical law) -- Psychological aspects -- Health aspects
Abstract

There has been increasing interest in the secondary prevention of chronic pain and pain-associated disability over the past 3 decades. In 2011, psychologically informed practice (PiP) was suggested as a framework for managing persistent and recurrent pain, and, since then, it has underpinned the development of stratified care linking risk identification (screening). Although PiP research trials have demonstrated clinical and economic advantage over usual care, pragmatic studies have been less successful, and qualitative studies have identified implementation difficulties in both system delivery and individual clinical management. Effort has been put into the development of screening tools, the development of training, and the assessment of outcomes; however, the nature of the consultation has remained relatively unexplored. In this Perspective, a review of the nature of clinical consultations and the clinician--patient relationship is followed by reflections on the nature of communication and the outcome of training courses. Consideration is given to the optimization of communication, including the use of standardized patient-reported measures and the role of the therapist in facilitating adaptive behavior change. Several challenges in implementing a PiP approach in day-to-day practice are then considered. Following brief consideration of the impact of recent developments in health care, the Perspective concludes with a brief introduction to the PiP Consultation Roadmap (the subject of a companion paper), the use of which is suggested as a way of structuring the consultation with the flexibility required for a patient-centered approach to guided self-management of chronic pain conditions. Keywords: Psychologically Informed Practice, Pain, Communication, Introduction This Perspective is centered on the nature of the clinical consultation in Psychologically Informed Practice (PiP) and focuses on how the use of communication skills can be used to [...]

Published
2023
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14. Implementation Science and Employer Disability Practices: Embedding Implementation Factors in Research Designs

Author

Main, Chris J., Nicholas, Michael K., Shaw, William S., Tetrick, Lois E., Ehrhart, Mark G., Pransky, Glenn, Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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15. Employer Policies and Practices to Manage and Prevent Disability: Conclusion to the Special Issue

Author

Main, Chris J., Shaw, William S., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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16. Employer Policies and Practices to Manage and Prevent Disability: Foreword to the Special Issue

Author

Shaw, William S., Main, Chris J., Pransky, Glenn, Nicholas, Michael K., Anema, Johannes R., Linton, Steven J., Young, Amanda E., Amick, III, Benjamin C., Boot, Cécile R. L., Chan, Chetwyn C. H., Main, Chris J., Gimeno, David, Viikari-Juntura, Eira, Besen, Elyssa, Munir, Fehmidah, Delclos, George L., Pransky, Glenn, Fassier, Jean-Baptiste, Anema, Johannes R., Williams-Whitt, Kelly, Ekberg, Kerstin, Tetrick, Lois E., Ehrhart, Mark G., Feuerstein, Michael, Sullivan, Michael J., Nicholas, Michael K., Blanck, Peter, Linton, Steven J., Tveito, Torill H., Bültmann, Ute, Kristman, Vicki L., Shaw, William S., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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24. Advancing Psychologically Informed Practice for Patients With Persistent Musculoskeletal Pain: Promise, Pitfalls, and Solutions

Author

Keefe, Francis J., Main, Chris J., and George, Steven Z.

Subjects
Back pain -- Prognosis -- Patient outcomes -- Development and progression, Health screening -- Usage, Musculoskeletal diseases -- Research, Pain management -- Psychological aspects -- Research, Health
Abstract

There has been growing interest in psychologically oriented pain management over the past 3 to 4 decades, including a 2011 description of psychologically informed practice (PIP) for low back pain. PIP requires a broader focus than traditional biomechanical and pathology-based approaches that have been traditionally used to manage musculoskeletal pain. A major focus of PIP is addressing the behavioral aspects of pain (ie, peoples' responses to pain) by identifying individual expectations, beliefs, and feelings as prognostic factors for clinical and occupational outcomes indicating progression to chronicity. Since 2011, the interest in PIP seems to be growing, as evidenced by its use in large trials, inclusion in scientific conferences, increasing evidence base, and expansion to other musculoskeletal pain conditions. Primary care physicians and physical therapists have delivered PIP as part of a stratified care approach involving screening and targeting of treatment for people at high risk for continued pain-associated disability. Furthermore, PIP is consistent with recent national priorities emphasizing nonpharmacological pain management options. In this perspective, PIP techniques that range in complexity are described, considerations for implementation in clinical practice are offered, and future directions that will advance the understanding of PIP are outlined., Substantial promise and important new opportunities come about when health care providers integrate biopsychosocial management into their clinical practice. One such approach has been termed psychologically informed practice (PIP), (1) [...]

Published
2018
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25. Sustaining Work Participation Across the Life Course

Author

Pransky, Glenn S., Fassier, Jean-Baptise, Besen, Elyssa, Blanck, Peter, Ekberg, Kerstin, Feuerstein, Michael, Munir, Fehmidah, Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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26. New Business Structures Creating Organizational Opportunities and Challenges for Work Disability Prevention

Author

Ekberg, Kerstin, Pransky, Glenn S., Besen, Elyssa, Fassier, Jean-Baptise, Feuerstein, Michael, Munir, Fehmidah, Blanck, Peter, Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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27. Workplace Interventions to Prevent Disability from Both the Scientific and Practice Perspectives: A Comparison of Scientific Literature, Grey Literature and Stakeholder Observations

Author

Williams-Whitt, Kelly, Bültmann, Ute, Amick, III, Benjamin, Munir, Fehmidah, Tveito, Torill H., Anema, Johannes R., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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28. Workplace Outcomes in Work-Disability Prevention Research: A Review with Recommendations for Future Research

Author

Young, Amanda E., Viikari-Juntura, Eira, Boot, Cécile R. L., Chan, Chetwyn, de Porras, David Gimeno Ruiz, Linton, Steven J., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and The Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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29. Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

Author

Kristman, Vicki L., Shaw, William S., Boot, Cécile R. L., Delclos, George L., Sullivan, Michael J., Ehrhart, Mark G., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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37. System-level efforts to address pain-related workplace challenges

Author

Main, Chris J., Shaw, William S., Nicholas, Michael K., Linton, Steven J., Main, Chris J., Shaw, William S., Nicholas, Michael K., and Linton, Steven J.

Abstract

Funding agencies:Center for the Promotion of Health in the New England Workplace 1 U19 OH012299United States Department of Health & Human ServicesCenters for Disease Control & Prevention - USANational Institute for Occupational Safety & Health (NIOSH)

Published
2022
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50. Rehabilitation For Chronic Low Back Pain

Author

Price, Cathy, de C. Williams, Amanda C., Main, Chris J., Guzmán, Jaime, Esmail, Rosmin, Karjalainen, Kaija, Malmivaara, Antti, and Bombardier, Claire

Published
2001

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