Abstract
BACKGROUND: Chronic musculoskeletal pain (CMP) significantly impacts physical, mental, and social well-being, necessitating an integrated biopsychosocial (BPS) approach to enhance outcomes. Despite its potential, implementation challenges persist in physiotherapy practices. This study evaluated the efficacy and implementation outcomes of a BPS-based comprehensive pain management (CPM) protocol. MATERIALS AND METHODS: A prospective interventional study included 38 patients with CMP who underwent 16 structured sessions over eight weeks. Outcome measures included the Global Rate of Change (GROC) and the Short Assessment of Patient Satisfaction (SAPS). Implementation feedback was collected using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) after the intervention. Data were analyzed using IBM SPSS v25, Armonk, Newyork, USA with significance at P < 0.05. RESULTS: Participants reported improved well-being (GROC: 3.84 ± 0.97) and high satisfaction (SAPS: 21.6 ± 2.39). Patients rated acceptance, appropriateness, and feasibility positively (AIM: 15.55 ± 2.27; IAM: 16.03 ± 2.16; FIM: 15.26 ± 2.26). Therapists concurred, with strong agreement across measures (mode = 4/5). No adverse effects were reported. CONCLUSION: The BPS-based CPM protocol effectively addresses CMP, achieving high patient satisfaction and acceptance. Its structured framework offers a promising strategy for broader clinical application. The findings align with existing evidence advocating for psychologically informed physical therapy and self-management strategies.