A REVIEW OF THE LITERATURE ON IMPLEMENTATION SCIENCE AND CULTURAL ADAPTATION MODELS IN PAIN MANAGEMENT PROGRAMS FOR CHRONIC PAIN PATIENTS

The effectiveness of various multidisciplinary pain management programs for chronic pain patients was proven by several evidence-based researches. However there was the challenge of ensuring that an intervention program was not just effective but more importantly, implemented within the context of the population that it serves. There is now a challenge to go beyond the realms of evidence-based practice and venture into other models. The addition of cultural adaptation models and frameworks used in implementation science would be beneficial to ensure that the program that has been developed in another country will be adapted properly to the population in the country where it is expected to be implemented. Although these three concepts in research were quite popular, it is rare that they ARE all combined to target a specific treatment program. There were perceived barriers that limits the implementation of each approach and more so when it was combined together. The purpose of review was to identify issues and make recommendations based on evidence-based practice, cultural adaptation frameworks and implementation science as it is applies to a specific multidisciplinary pain management program that was originally developed in Sydney, Australia to be implemented in Manila, Philippines.The secondary aim of the study was to analyze the cultural issues that clinicians encountered with the implementation of pain management programs.