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conferenceseries
.com
Volume 7
Journal of Pain & Relief
ISSN: 2167-0846
Pain Management 2018
October 11-12, 2018
October 11-12, 2018 | Zurich, Switzerland
7
th
International Conference and Exhibition on
Pain Research and Management
The integrative model of adjustment to chronic conditions: Towards clinical testing and impact in
chronic pain
Lis D Hammond
Teesside University, UK
Statement of the Problem
: A range of psychosocial factors impact on chronic pain, function and poor adjustment has negative
consequences for e.g. mental health, activities of daily living and quality of life. Around a third of people attending specialist
clinics need clinical intervention for adjustment difficulties. Hammond & Hirst-Winthrop proposed an integrative model
of adjustment to chronic conditions (IMACC) based on a grounded theory study into type 2 diabetes. The model is directly
clinically applicable as an assessment and intervention tool for people struggling to adjust. This paper reports on preparations
for clinical testing in chronic pain.
Methodology &Theoretical Orientation
: In order to evidence applicability to chronic pain, a theoretical review aimed to link
key theories and standard interventions to the IMACC. This was followed by identification of a testing design and development
of assessment, treatment and test study protocols.
Findings
: All components of the IMACC could be linked to one or more key theories in chronic pain. Furthermore, the
IMACC showed compatibility with a range of multidisciplinary interventions in standard practice. A multiple baseline single
case experimental study design was identified as an appropriate first level testing of the IMACC and behavioural outcome
measures were identified.
Conclusion & Significance
: The theoretical evidence points towards application of the IMACC to chronic pain, which
warrants clinical testing of the model. The chosen study design aims to demonstrate clinical effectiveness of the IMACC before
progressing to comparative studies.
Figure:
The integrative model of adjustment to chronic conditions (IMACC)
Recent Publications:
1. Hammond L D and Hirst-Winthrop S (2016) Proposal of an integrative model of adjustment to chronic conditions: An
understanding of the process of psychosocial adjustment to living with type 2 diabetes. Journal of Health Psychology
doi: 10.1177/ 1359105316664131.
2. Dekker J and de Groot V (2018) Psychological adjustment to chronic disease and rehabilitation – an exploration.
Disability and Rehabilitation 40:116-120.
Lis D Hammond, J Pain Relief 2018, Volume 7
DOI: 10.4172/2167-0846-C1-020