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Accepted for/Published in: JMIR Mental Health

Date Submitted: Sep 13, 2018
Open Peer Review Period: Sep 14, 2018 - Nov 9, 2018
Date Accepted: Feb 14, 2019
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Identifying treatment modalities for a multidisciplinary and blended care intervention for patients with moderate medically unexplained physical symptoms: a qualitative study among professionals

van Westrienen PE, Pisters M, Gerrits M, Veenhof C, de Wit N

Identifying treatment modalities for a multidisciplinary and blended care intervention for patients with moderate medically unexplained physical symptoms: a qualitative study among professionals

JMIR Ment Health 2019;6(4):e12203

DOI: 10.2196/12203

PMID: 30977737

PMCID: 6484260

Identifying treatment modalities for a multidisciplinary and blended care intervention for patients with moderate medically unexplained physical symptoms: a qualitative study among professionals

  • Paula Elisabeth van Westrienen; 
  • Martijn Pisters; 
  • Marloes Gerrits; 
  • Cindy Veenhof; 
  • Niek de Wit

ABSTRACT

Background:

Medically unexplained physical symptoms (MUPS) are a substantial health problem in primary care, with a high burden for patients, general practitioners and the health care system. Most studies focus on chronic MUPS patients. Little research is conducted in patients with moderate MUPS and an effective primary care intervention for prevention of chronic MUPS is lacking.

Objective:

Our objective is to identify treatment modalities based on experts’ opinion for the development of a multidisciplinary and blended intervention for patients with moderate MUPS to prevent chronicity.

Methods:

Two focus groups with professionals experts (general practitioners, physical therapists, psychologists and mental health nurses) were carried out. The focus groups were structured using the Nominal Group Technique.

Results:

A total of 70 ideas were generated from two nominal group meetings, 37 of these got votes, were included in the rank order and were sorted into eight separate themes. According to the participants the most important treatment modalities for a multidisciplinary and blended intervention in patients with moderate MUPS were 1) Coaching to a healthier lifestyle, 2) Education regarding psychosocial factors, 3) Therapeutic neuroscience education, 4) Multidisciplinary intake, 5) Multidisciplinary cooperation and coordination, 6) Relaxation / body awareness exercises, 7) Clear communication of professionals to the patient, and 8) Graded activity. Five colleagues checked the ideas and linked them to a theme to confirm the content analysis and to check the validity of the themes.

Conclusions:

From professional experts perspective eight themes should be included in a multidisciplinary and blended intervention to prevent chronicity. These themes provide a first step in developing an intervention for patients with moderate MUPS. Future research should focus on further development steps, in which patients with moderate MUPS should be involved to determine if the intervention matches their needs.


 Citation

Please cite as:

van Westrienen PE, Pisters M, Gerrits M, Veenhof C, de Wit N

Identifying treatment modalities for a multidisciplinary and blended care intervention for patients with moderate medically unexplained physical symptoms: a qualitative study among professionals

JMIR Preprints. 13/09/2018:12203

DOI: 10.2196/preprints.12203

URL: https://preprints.jmir.org/preprint/12203

PMID: 30977737

PMCID: 6484260

Note: Per the author's request, the preprint files are not publicly accessible.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.