Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

Sonia Sharma, Matthew Breckons, Ben Brönnimann Lambelet, Jin Woo Chung, Thomas List, Frank Lobbezoo, Donald R. Nixdorf, Juan Fernando Oyarzo, Christopher Peck, Yoshihiro Tsukiyama, Richard Ohrbach

Resultado de la investigación: Review article

Resumen

Distress, suffering and care-seeking behaviour are characteristics of pain-related disease and illness. Pain that transitions from an acute to a chronic phase carries with it the potential of further effects: these include a worsening of the disease or illness; high-impact chronic pain; and substantial personal, societal and economic burden. The biopsychosocial model directly addresses these multiple processes, yet clinical frameworks supporting this model are not universally implemented. This paper explores barriers to clinical implementation of a full biopsychosocial framework for temporomandibular disorders (TMD) and other oro-facial pain (OFP) conditions. In June 2016, INfORM invited OFP researchers to a workshop designed to optimise the DC/TMD Axis-II. Workshop groups identified five sources of implementation barriers: (1) cultures and societies, (2) levels-of-care settings, (3) health services, (4) cross-cultural validity of self-report instruments and (5) provider and patient health literacy. Three core problems emerged: (A) mental health aspects are seldom fully considered, thus impairing the recognition of illness, (B) training in use of validated multi-axial assessment protocols is under-rated and insufficiently used, and (C) clinical assessment often fails to recognise that sensory and emotional dimensions are fundamental aspects of pain. To improve patient care, these barriers and problems require action. Most importantly, TMD/OFP educators and researchers need to coordinate globally and (i) be educated in the biopsychosocial model, (ii) implement evidence-based biopsychosocial guidelines for assessment and management of OFP conditions at their institutions, (iii) incorporate this model in undergraduate and postgraduate dental curricula and (iv) be responsive to stakeholders, including regulatory authorities and practitioners.

Idioma originalEnglish
PublicaciónJournal of Oral Rehabilitation
DOI
EstadoPublished - 3 sep 2019

Huella dactilar

Facial Pain
Temporomandibular Joint Disorders
Pain
Research Personnel
Health Literacy
Education
Chronic Pain
Curriculum
Self Report
Health Services
Patient Care
Tooth
Mental Health
Economics
Guidelines

ASJC Scopus subject areas

  • Dentistry(all)

Citar esto

Sharma, Sonia ; Breckons, Matthew ; Brönnimann Lambelet, Ben ; Chung, Jin Woo ; List, Thomas ; Lobbezoo, Frank ; Nixdorf, Donald R. ; Oyarzo, Juan Fernando ; Peck, Christopher ; Tsukiyama, Yoshihiro ; Ohrbach, Richard. / Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain. En: Journal of Oral Rehabilitation. 2019.
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title = "Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain",
abstract = "Distress, suffering and care-seeking behaviour are characteristics of pain-related disease and illness. Pain that transitions from an acute to a chronic phase carries with it the potential of further effects: these include a worsening of the disease or illness; high-impact chronic pain; and substantial personal, societal and economic burden. The biopsychosocial model directly addresses these multiple processes, yet clinical frameworks supporting this model are not universally implemented. This paper explores barriers to clinical implementation of a full biopsychosocial framework for temporomandibular disorders (TMD) and other oro-facial pain (OFP) conditions. In June 2016, INfORM invited OFP researchers to a workshop designed to optimise the DC/TMD Axis-II. Workshop groups identified five sources of implementation barriers: (1) cultures and societies, (2) levels-of-care settings, (3) health services, (4) cross-cultural validity of self-report instruments and (5) provider and patient health literacy. Three core problems emerged: (A) mental health aspects are seldom fully considered, thus impairing the recognition of illness, (B) training in use of validated multi-axial assessment protocols is under-rated and insufficiently used, and (C) clinical assessment often fails to recognise that sensory and emotional dimensions are fundamental aspects of pain. To improve patient care, these barriers and problems require action. Most importantly, TMD/OFP educators and researchers need to coordinate globally and (i) be educated in the biopsychosocial model, (ii) implement evidence-based biopsychosocial guidelines for assessment and management of OFP conditions at their institutions, (iii) incorporate this model in undergraduate and postgraduate dental curricula and (iv) be responsive to stakeholders, including regulatory authorities and practitioners.",
keywords = "chronic pain, facial pain, surveys and questionnaires",
author = "Sonia Sharma and Matthew Breckons and {Br{\"o}nnimann Lambelet}, Ben and Chung, {Jin Woo} and Thomas List and Frank Lobbezoo and Nixdorf, {Donald R.} and Oyarzo, {Juan Fernando} and Christopher Peck and Yoshihiro Tsukiyama and Richard Ohrbach",
year = "2019",
month = "9",
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Sharma, S, Breckons, M, Brönnimann Lambelet, B, Chung, JW, List, T, Lobbezoo, F, Nixdorf, DR, Oyarzo, JF, Peck, C, Tsukiyama, Y & Ohrbach, R 2019, 'Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain', Journal of Oral Rehabilitation. https://doi.org/10.1111/joor.12871

Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain. / Sharma, Sonia; Breckons, Matthew; Brönnimann Lambelet, Ben; Chung, Jin Woo; List, Thomas; Lobbezoo, Frank; Nixdorf, Donald R.; Oyarzo, Juan Fernando; Peck, Christopher; Tsukiyama, Yoshihiro; Ohrbach, Richard.

En: Journal of Oral Rehabilitation, 03.09.2019.

Resultado de la investigación: Review article

TY - JOUR

T1 - Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

AU - Sharma, Sonia

AU - Breckons, Matthew

AU - Brönnimann Lambelet, Ben

AU - Chung, Jin Woo

AU - List, Thomas

AU - Lobbezoo, Frank

AU - Nixdorf, Donald R.

AU - Oyarzo, Juan Fernando

AU - Peck, Christopher

AU - Tsukiyama, Yoshihiro

AU - Ohrbach, Richard

PY - 2019/9/3

Y1 - 2019/9/3

N2 - Distress, suffering and care-seeking behaviour are characteristics of pain-related disease and illness. Pain that transitions from an acute to a chronic phase carries with it the potential of further effects: these include a worsening of the disease or illness; high-impact chronic pain; and substantial personal, societal and economic burden. The biopsychosocial model directly addresses these multiple processes, yet clinical frameworks supporting this model are not universally implemented. This paper explores barriers to clinical implementation of a full biopsychosocial framework for temporomandibular disorders (TMD) and other oro-facial pain (OFP) conditions. In June 2016, INfORM invited OFP researchers to a workshop designed to optimise the DC/TMD Axis-II. Workshop groups identified five sources of implementation barriers: (1) cultures and societies, (2) levels-of-care settings, (3) health services, (4) cross-cultural validity of self-report instruments and (5) provider and patient health literacy. Three core problems emerged: (A) mental health aspects are seldom fully considered, thus impairing the recognition of illness, (B) training in use of validated multi-axial assessment protocols is under-rated and insufficiently used, and (C) clinical assessment often fails to recognise that sensory and emotional dimensions are fundamental aspects of pain. To improve patient care, these barriers and problems require action. Most importantly, TMD/OFP educators and researchers need to coordinate globally and (i) be educated in the biopsychosocial model, (ii) implement evidence-based biopsychosocial guidelines for assessment and management of OFP conditions at their institutions, (iii) incorporate this model in undergraduate and postgraduate dental curricula and (iv) be responsive to stakeholders, including regulatory authorities and practitioners.

AB - Distress, suffering and care-seeking behaviour are characteristics of pain-related disease and illness. Pain that transitions from an acute to a chronic phase carries with it the potential of further effects: these include a worsening of the disease or illness; high-impact chronic pain; and substantial personal, societal and economic burden. The biopsychosocial model directly addresses these multiple processes, yet clinical frameworks supporting this model are not universally implemented. This paper explores barriers to clinical implementation of a full biopsychosocial framework for temporomandibular disorders (TMD) and other oro-facial pain (OFP) conditions. In June 2016, INfORM invited OFP researchers to a workshop designed to optimise the DC/TMD Axis-II. Workshop groups identified five sources of implementation barriers: (1) cultures and societies, (2) levels-of-care settings, (3) health services, (4) cross-cultural validity of self-report instruments and (5) provider and patient health literacy. Three core problems emerged: (A) mental health aspects are seldom fully considered, thus impairing the recognition of illness, (B) training in use of validated multi-axial assessment protocols is under-rated and insufficiently used, and (C) clinical assessment often fails to recognise that sensory and emotional dimensions are fundamental aspects of pain. To improve patient care, these barriers and problems require action. Most importantly, TMD/OFP educators and researchers need to coordinate globally and (i) be educated in the biopsychosocial model, (ii) implement evidence-based biopsychosocial guidelines for assessment and management of OFP conditions at their institutions, (iii) incorporate this model in undergraduate and postgraduate dental curricula and (iv) be responsive to stakeholders, including regulatory authorities and practitioners.

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KW - facial pain

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