Conceptual framework for goal-directed communication behaviors in chronic pain rehabilitation. Eight behaviorally distinct themes derived from a qualitative meta-synthesis of the literature characterize preferred communication behaviors that can be used alone or in combination to facilitate interactional goals in chronic pain rehabilitation. Preferred communication (white) combines behaviors that facilitate biomedical treatment goals (red circle), supplemented by communication behaviors that provide emotional support (blue circle) and promote honesty and transparency (yellow circle) in the delivery of pain rehabilitation. Overlapping regions (green, orange, purple) illustrate how behaviorally distinct communication behaviors may be combined in different ways to promote multiple interactional goals.