Turning Pain into Gain: Evaluation of a Multidisciplinary Chronic Pain Management Program in Primary Care.
Chronic Pain
Health Services
Medication Therapy Management
Pain Clinics
Primary Health Care
Self Care
Journal
Pain medicine (Malden, Mass.)
ISSN: 1526-4637
Titre abrégé: Pain Med
Pays: England
ID NLM: 100894201
Informations de publication
Date de publication:
01 05 2019
01 05 2019
Historique:
pubmed:
13
12
2018
medline:
7
3
2020
entrez:
13
12
2018
Statut:
ppublish
Résumé
To measure the impact of the multidisciplinary Turning Pain Into Gain program in people experiencing chronic pain of any etiology. A mixed-methods observational study of 252 participants was used to explore the impact of Turning Pain Into Gain on medication use; quality of life and functioning, as measured by the Pain Self-Efficacy Questionnaire; and self-reported hospitalizations between 2015 and 2016. Responses from 178 participants showed an increased alignment with Australian pain medication guidelines (e.g., a 7.3% reduction in paracetamol duplication was reported with a concurrent 5.1% rise in the administration of sustained-release paracetamol formulations); improved Pain Self-Efficacy Questionnaire scores from 23.1 (out of a possible score of 60) preprogram to 35.3 postprogram; and a reduction in self-reported hospitalizations from 50 cases in the 12 months preprogram to 11 cases in the 12 months postprogram. Positive medication, Pain Self-Efficacy Questionnaire, and hospitalization changes provide evidence for the broader implementation of similar patient-centered programs to promote more holistic management of diverse types of chronic pain in primary care. Reduced hospitalization reflects potential for this intervention to be cost-effective, which could be investigated further.
Identifiants
pubmed: 30541054
pii: 5240598
doi: 10.1093/pm/pny241
pmc: PMC6497132
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
925-933Informations de copyright
© 2018 American Academy of Pain Medicine.
Références
Br J Clin Pharmacol. 2002 Jun;53(6):629-36
pubmed: 12047487
J Pain. 2008 Oct;9(10):883-91
pubmed: 18602869
Rheumatology (Oxford). 2008 May;47(5):670-8
pubmed: 18375406
Syst Rev. 2015 Oct 01;4:132
pubmed: 26428467
Psychol Rev. 1977 Mar;84(2):191-215
pubmed: 847061
Arthritis Res Ther. 2008;10(4):R81
pubmed: 18627602
Eur J Pain. 2003;7(1):1-7
pubmed: 12527312
Psychol Serv. 2017 Feb;14(1):34-49
pubmed: 28134555
Intern Med J. 2004 Jul;34(7):403-9
pubmed: 15271174
J Pain. 2008 Feb;9(2):99-104
pubmed: 17936075
Eur J Pain. 2007 Feb;11(2):153-63
pubmed: 16446108
Pain Med. 2011 Jan;12(1):59-71
pubmed: 21087401
Med J Aust. 2003 Jul 21;179(2):84-7
pubmed: 12864718
Mayo Clin Proc. 2015 Jan;90(1):139-47
pubmed: 25572198
Aust N Z J Psychiatry. 2015 Sep;49(9):803-11
pubmed: 25698809
Pain. 2008 Jan;134(1-2):158-73
pubmed: 17532138
Anesth Analg. 2007 Mar;104(3):703-18
pubmed: 17312232
Pain Med. 2018 Sep 1;19(suppl_1):S30-S37
pubmed: 30203015
Arch Intern Med. 2004 Aug 9-23;164(15):1641-9
pubmed: 15302634
Pain Med. 2018 Sep 1;19(9):1748-1763
pubmed: 29040715
Lancet. 2011 Jun 25;377(9784):2226-35
pubmed: 21704872
Eur J Pain. 2016 Nov;20(10):1551-1562
pubmed: 27161217
Int J Orthop Trauma Nurs. 2017 Feb;24:59-67
pubmed: 27527536
Clin J Pain. 2005 Mar-Apr;21(2):166-74
pubmed: 15722810
Pain. 2001 Jan;89(2-3):127-34
pubmed: 11166468
Pain. 2001 Oct;94(1):85-100
pubmed: 11576748
Arthritis Care Res. 1996 Aug;9(4):292-301
pubmed: 8997918
Clin J Pain. 2010 Sep;26(7):583-92
pubmed: 20639736
J Public Health (Oxf). 2007 Dec;29(4):350-7
pubmed: 17986490
Br J Anaesth. 2013 Jul;111(1):13-8
pubmed: 23794640
Rev Pain. 2009 Jun;3(1):2-5
pubmed: 26526940
Clin J Pain. 2011 Jun;27(5):461-70
pubmed: 21317778
J Pain. 2012 Aug;13(8):715-24
pubmed: 22607834
Pain. 1992 Mar;48(3):339-47
pubmed: 1534400
J Adv Nurs. 2012 May;68(5):1061-72
pubmed: 22050304
Med J Aust. 2012 Apr 2;196(6):386-90
pubmed: 22471539
Pain. 1996 Jul;66(1):13-22
pubmed: 8857627