Purpose of Review

The purpose of this review is to evaluate and summarize recent empirical research investigating motivational factors for management of chronic pain and headache disorders.

Recent Findings

Research on motivation for non-pharmacological treatment of chronic pain and headache disorders has identified factors that influence initiation of and adherence to treatment. To address common factors that inhibit initiation of treatment (i.e., cost, time commitment), several electronic treatments have been developed. Self-efficacy is the most commonly studied psychosocial influence on treatment adherence, with evidence that it is positively correlated with adherence. Other studies have sought to improve adherence to treatment using motivational interviewing interventions.

Summary

There is currently limited research on how to enhance motivation for initial adherence to non-pharmacological treatment for chronic pain and headache disorders. Instead of enhancing motivation, researchers have looked to reduce barriers to treatment with electronic health treatments; however, many of these studies have focused on intervention feasibility, rather than efficacy or effectiveness. Numerous studies have identified a relationship between self-efficacy and treatment adherence. Although motivational interviewing interventions have been shown to improve adherence to treatment, there is little evidence that they improve treatment outcomes. Recommendations for further investigation include improving interventions to enhance accessibility and adherence to treatment with the goal of improving outcomes, as well as identifying ways to improve treatment initiation and adherence in patients who are currently engaged in long-term opioid therapy.

中文翻译：

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改善慢性疼痛状况管理的变化动机：近期文献综述。

审查目的

这篇综述的目的是评估和总结研究动机因素治疗慢性疼痛和头痛疾病的最新实证研究。

最近的发现

对慢性疼痛和头痛疾病的非药物治疗动机的研究已经确定了影响治疗开始和坚持治疗的因素。为了解决抑制治疗开始的常见因素（即成本，时间投入），已经开发了几种电子治疗方法。自我效能感是治疗依从性方面最常研究的心理社会影响，有证据表明自我效能感与依从性呈正相关。其他研究试图通过动机性访谈干预来改善对治疗的依从性。

概要

当前关于如何增强对慢性疼痛和头痛疾病的非药物治疗的最初依从性的动机的研究有限。研究人员没有增加动力，而是寻求减少使用电子保健疗法进行治疗的障碍。然而，许多研究集中在干预的可行性上，而不是效力或有效性上。许多研究已经确定了自我效能与治疗依从性之间的关系。尽管动机访谈干预措施已显示出可以改善对治疗的依从性，但几乎没有证据表明它们可以改善治疗效果。进一步调查的建议包括改善干预措施，以提高可达性和对治疗的依从性，以期改善治疗效果，