Recently a motivational model of pain self-management
was presented that sought to describe the role of
patient motivation on pain outcomes (Fig 1).20 This
model emphasizes motivation (or readiness to engage in
pain management behaviors) as a final common pathway
to adaptive coping. Motivation is in turn hypothesized
to be influenced by 2 primary variables, based on
expectancy-value models of motivation: (1) Beliefs aboutthe importance of engaging versus not engaging in pain
self-management (ie, “perceived importance”) and (2)
beliefs about one’s own ability to engage in these behaviors
(ie, “self-efficacy”). The outcomes in this model are
those coping behaviors or strategies that have been
shown to be associated with positive outcomes in pain
treatment (ie, “self-management behaviors”).