Table 5.
Summary of qualitative findings table: Acceptability, values, and preferences for CPLBP interventions in older people
# | Summarised review finding | GRADE-CERQual Assessment of confidence | Explanation of GRADE-CERQual Assessment | References |
---|---|---|---|---|
6 | Patients had clear preferences and values for how they chose a specific treatment for CPLBP, which could be influenced by previous experiences. They valued and preferred treatments that they experienced as effective, beneficial and credible. In some cases, they also valued treatments that fit them as individuals (personally enjoyable, positive impact, meaningful, involved social engagement). | High confidence | No/Very minor concerns regarding methodological limitations, Minor concerns regarding coherence, No/Very minor concerns regarding adequacy, and No/Very minor concerns regarding relevance | Makris Una E et al. 2015; Stensland M 2021; Hay M E & Connelly D M 2020; Dima A et al. 2013; Rodriguez I et al. 2019; Kuss K et al. 2016; Igwesi-Chidobe C N et al. 2020; Lilje S C et al. 2017; Igwesi-Chidobe C N et al. 2019; Teh Carrie F et al. 2009; Lee T L et al. 2020; Kirby E R et al. 2014; Leonhardt Corinna et al. 2017; |
7 | Many participants experienced that medication was often the only intervention that made a difference to the severity of their pain. However, they were apprehensive of, or dissatisfied with, medication for a number of reasons, often viewing it as a quick fix, temporary relief, or that it just masked the pain. Many participants were apprehensive of taking too many medications, the side effects, risk of addiction or did not like how the medications made them feel. Some avoided taking medication all together, filling prescriptions or adjusted medication themselves because of perceived risks of adverse events. | Moderate confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, No/Very minor concerns regarding adequacy, and Moderate concerns regarding relevance | Lyons Kevin J et al. 2013; Makris Una E et al. 2015; Stensland M 2021; Cummings E C et al. 2017; Dima A et al. 2013; Teh Carrie F et al. 2009; |
8 | Many participants expressed a fear of addiction to medication, especially to opioid analgesics. This led them to not fill prescriptions, to adjust the dosage or stop taking the medication often without consulting their health care provider. In one case, the fear of addiction came from the health care provider who then refused to give the prescription requested. | Moderate confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Minor concerns regarding adequacy, and Moderate concerns regarding relevance | Lyons Kevin J et al. 2013; Makris Una E et al. 2015; Stensland M 2021; Dima A et al. 2013; Teh Carrie F et al. 2009; |
9 | Mindfulness and meditation encouraged participants to examine, assess, understand and accept their pain rather than avoid it. It allowed some participants to increase their body awareness in relation to, for example, breathing, posture, cognition and pain, resulting in a perceived decrease in the significance or power of their pain experience. Others were able to use mindfulness and meditation for pain management and coping to varying degrees. | Moderate confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, No/Very minor concerns regarding adequacy, and Moderate concerns regarding relevance | Luiggi-Hernandez J G et al. 2018; Morone N E et al. 2008; Lee T L et al. 2020; |