Insights into optimizing phantom pain management: A human‐centered approach to end‐user perspectives

Author:

Mareboina Manvita1,Bastian Daniel2ORCID,Juengst Shannon B.345,Annaswamy Thiru26ORCID

Affiliation:

1. College of Medicine at University Park The Pennsylvania State University College of Medicine University Park Pennsylvania USA

2. College of Medicine at Hershey The Pennsylvania State University College of Medicine Hershey Pennsylvania USA

3. Brain Injury Research Center TIRR Memorial Hermann Houston Texas USA

4. Department of Physical Medicine & Rehabilitation UT Health Sciences Center at Houston Houston Texas USA

5. Department of Physical Medicine & Rehabilitation UT Southwestern Medical Center Dallas Texas USA

6. Department of Physical Medicine and Rehabilitation The Pennsylvania State University College of Medicine, Penn State Health Milton S. Hershey Medical Center Hershey Pennsylvania USA

Abstract

AbstractBackgroundThis report explores and summarizes perspectives from end users on unmet needs in achieving optimal and effective phantom pain management through a human‐centered design approach.ObjectiveTo examine current strategies, pharmacological, nonpharmacological, surgical procedures, virtual reality, and mirror therapy, and the evidence supporting them, in the management of phantom limb pain.DesignThis study reviewed and analyzed transcripts acquired in nonresearch contexts from the Veterans Affairs Translational Education and Mentoring Center's commercialization training program and from a Veteran Engagement Panel. Key themes were extracted using quasi‐qualitative analysis of one‐on‐one interviews.ResultsClinicians and patients report that early patient intervention and education will yield improved management of phantom limb pain, which aligns with the growing recognition of the impact of patient‐centered care on overall treatment outcomes. Mirror therapy is viewed as an effective and low‐risk therapy, though compliance and buy‐in may be barriers to clinical practice. Patient engagement can contribute to better treatment adherence and outcomes.ConclusionThe study highlights implementation barriers, importance of end‐user input, and the role of the Veteran Engagement Panel in providing feedback to pain researchers. The findings help explain unaddressed challenges and areas requiring further research to direct phantom pain management.

Funder

Penn State College of Medicine

Publisher

Wiley

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