{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:32:50Z","timestamp":1753878770778,"version":"3.41.2"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The Hypermobile Online Pain managemEnt (HOPE) programme is a stakeholder informed intervention adopting the biopsychosocial pain approach, specifically for people with hypermobile Ehlers\u2013Danlos Syndrome (hEDS) and hypermobility spectrum disorder (HSD) experiencing pain. The programme topics included were based on a modified Delphi of a large sample of stakeholders: people with hEDS\/HSD and healthcare practitioners who are experienced with managing these conditions. Programme feasibility, acceptability and appropriateness were previously evaluated quantitatively in a pilot randomised controlled trial, but the in\u2010depth experiences and perceptions of participants who engaged with the programme is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Qualitative study. 1:1, semi\u2010structured online interviews of participants who took part in the HOPE programme. Data was analysed using an inductive thematic analysis approach as described by Braun and Clark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve participants were interviewed; 91% were female, mean age 38.1 (SD 9.1). Four themes emerged: (1) The biopsychosocial approach to understanding pain used in the HOPE programme was acceptable and appropriate, (2) benefits of the programme were stronger for those who were newer on their hEDS\/HSD journey, (3) self\u2010guided reflections included in the programme required headspace and personal meaning and (4) participants desired more adaptable content and programme functionality. Additionally, participants gave suggestions on how to improve the content, adherence and engagement to the programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The HOPE programme was considered feasible, acceptable and appropriate for people with hEDS\/HSD. The four themes and suggestions from our study findings will be used to refine subsequent versions and large\u2010scale trials of the HOPE programme, as well as provide translatable insights for other online interventions for hEDS\/HSD or similar complex, chronic multisystemic conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>A large community of hEDS\/HSD patients' and healthcare providers' input were obtained from a two\u2010staged online Delphi from a prior study. This approach was preferred to capture the greatest amount of feedback from a diverse international voice. Via the Delphi study, they provided suggestions for content topics and consensus on what they felt were important to include in a hEDS\/HSD specific online pain management programme, as well as programme parameters (e.g., duration and frequency of programme; healthcare provider telehealth component; types of learning activities).<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70186","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T05:15:12Z","timestamp":1739855712000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating HOPE (Hypermobile Online Pain managemEnt): Perspectives and Experiences From People With Hypermobile Ehlers\u2013Danlos Syndrome or Hypermobility Spectrum Disorder on a Condition\u2010Specific Online Pain Management Programme"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-1064","authenticated-orcid":false,"given":"Min Tze","family":"Chew","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Medicine, Health and Human Sciences Macquarie University Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4075-0733","authenticated-orcid":false,"given":"Emre","family":"Ilhan","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Medicine, Health and Human Sciences Macquarie University Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2685-9246","authenticated-orcid":false,"given":"Sarah","family":"Dennis","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, The Susan Wakil Health Building 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Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3259-1242","authenticated-orcid":false,"given":"Cliffton","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Medicine, Health and Human Sciences Macquarie University Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedcp.2024.200098"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-019-04293-w"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-023-05378-3"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2019.1608595"},{"issue":"5","key":"e_1_2_12_6_1","first-page":"116","article-title":"Hypermobility, the Ehlers\u2010Danlos Syndromes and Chronic 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