{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:09:05Z","timestamp":1792004945196,"version":"4.4.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T00:00:00Z","timestamp":1754179200000},"content-version":"vor","delay-in-days":214,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    A supportive healthcare experience that implements a biopsychosocial model of care can empower a person with chronic pain to make informed decisions and engage in self\u2010management behaviours. Despite the positive influence of supportive healthcare, little is known about the presence of healthcare support in under\u2010resourced chronic pain services. This idiographic study explores the lived experience of service users and providers participating in chronic pain services with a specific focus on autonomy support and self\u2010management skills.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Semistructured interviews were conducted on service users (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20097) self\u2010reporting a diagnosis of chronic pain (pain &gt; 3\u2009months) and service providers (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20095), defined as healthcare professionals with &gt; 3\u2009years of experience in clinical healthcare settings managing pain conditions. All interviews took place online (mean 47\u2009\u00b1\u200911\u2009min). Interview transcripts were analysed using interpretative phenomenological analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Analyses generated four themes: \u2018biomedical model leads care\u2019; \u2018lost in a system\u2019; \u2018I need support\u2019 and \u2018the essentials of self\u2010management\u2019. Both service users and providers described regular experiences of invalidation and biomedical approaches to pain management. Long waitlists, a lack of multidisciplinary services, short appointment times and a lack of educational resources all impacted the development of self\u2010management skills in service users.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Despite clinical guidelines recommending a biopsychosocial model of care, the biomedical model remains the dominant approach in chronic pain management, reflecting a persistent gap between evidence and practice. Service users and providers desire access to multidisciplinary services that support a biopsychosocial model of care. Healthcare professionals cannot deliver what service users expect due to macro\u2010, meso\u2010 and microlevel factors. Future research is needed to explore practical solutions to deliver pain services that optimise the development of self\u2010management skills where existing infrastructure and resources negatively impact service delivery. Suggested approaches include enhancing autonomy\u2010supportive communication by healthcare providers and ensuring early access to high\u2010quality educational materials.\n                  <\/jats:p>","DOI":"10.1155\/prm\/4608906","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T06:21:27Z","timestamp":1754288487000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Lived Experience of Pain Services: A Comparison of Service Users\u2019 and Service Providers\u2019 Experience of Irish Health Services"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9245-1416","authenticated-orcid":false,"given":"Kate","family":"Sheridan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8110-6784","authenticated-orcid":false,"given":"Aine","family":"MacNamara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9458-9498","authenticated-orcid":false,"given":"Enda","family":"Whyte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2001-0746","authenticated-orcid":false,"given":"Siobhan","family":"O\u2019Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,3]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.61.3.290"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.01.019"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S105892"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-1229"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-016-3481-8"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.17925\/USN.2016.12.02.98"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_145_17"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/sres.2725"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2021.100382"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2017.02.005"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7284.444"},{"key":"e_1_2_10_12_2","unstructured":"The British Pain Society The British Pain Society Guidelines for Pain Management Programmes for Adults 2013 https:\/\/www.britishpainsociety.org\/static\/uploads\/resources\/files\/pmp2013_main_FINAL_v6.pdf."},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-021-02673-5"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0091854"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1006\/ceps.1999.1020"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12292"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2020.1718529"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1744987113490417"},{"key":"e_1_2_10_19_2","unstructured":"International Association for the Study of Pain The Gap Between Knowledge and Practice-International Association for the Study of Pain (IASP) the Gap Between Knowledge and Practice IASP Fact Sheets IASP Global Year 2018 Pain Education 2023 https:\/\/www.iasp-pain.org\/resources\/fact-sheets\/the-gap-between-knowledge-and-practice\/."},{"key":"e_1_2_10_20_2","first-page":"147","volume-title":"Qualitative Research in Psychology: Expanding Perspectives in Methodology and Design","author":"Smith J. 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