Interdisciplinary Pain Management Programs in the Treatment of Pain Conditions

2020 ◽  
pp. 461-489 ◽  
Author(s):  
Danielle M. Brecht ◽  
Jessica Stephens ◽  
Robert J. Gatchel
Keyword(s):  
Pain Management ◽  
Interdisciplinary Pain Management

scholarly journals Analgesic reduction during an interdisciplinary pain management programme: treatment effects and processes of change

2017 ◽  
Vol 12 (2) ◽  
pp. 72-86 ◽  
Author(s):  
Beth J Guildford ◽  
Aisling Daly-Eichenhardt ◽  
Bethany Hill ◽  
Karen Sanderson ◽  
Lance M McCracken
Keyword(s):  
Pain Management ◽  
Management Programme ◽  
Future Research ◽  
Psychological Processes ◽  
Opioid Use ◽  
Psychological Inflexibility ◽  
Opioid Medication ◽  
Interdisciplinary Pain Management ◽  
Number Of Classes ◽  
Analgesic Use

Long-term use of opioid medication is associated with a host of negative effects on health and quality of life. Guidelines state that people with chronic pain taking high doses of opioids without benefit should be supported to discontinue them. Little research has investigated psychological processes associated with analgesic use and tapering. This study investigated (1) analgesic use pre- and post-participation in an interdisciplinary pain management programme and its relationship to functioning and (2) psychological processes associated with analgesic use. Opioid use was associated with poorer functioning at baseline. Participating in an interdisciplinary pain management programme was associated with reductions in opioid dose and number of classes of analgesics used. Reductions in analgesic use were associated with improvements in functioning. Psychological inflexibility was associated with using higher doses of opioid medication and with using a greater number of classes of analgesics. Psychological flexibility appears relevant in explaining analgesic use. Future research could focus on targeting this process to improve tapering outcomes.

Moving Toward Interdisciplinary Pain Management

2005 ◽  
Vol 41 (5) ◽  
pp. 343-345
Author(s):  
Robin Downing
Keyword(s):  
Pain Management ◽  
Multidisciplinary Approach ◽  
Emotional Experience ◽  
Interdisciplinary Approach ◽  
Current Method ◽  
Single Patient ◽  
Best Interest ◽  
Animal Pain ◽  
Interdisciplinary Pain Management ◽  
Multiple Issues

Pain is an unpleasant and emotional experience associated with actual or potential tissue damage. The current method of caring for a person with multiple issues and problems is a "multidisciplinary" approach; however, the disadvantages of a multidisciplinary approach are many. A more desirable alternative is an "interdisciplinary" approach. Interdisciplinary care is predicated on professionals communicating with one another about a single patient and designing care that is in the overall best interest of the patient. This paper describes the formation of the International Veterinary Academy of Pain Management, whose objective is to promote the interdisciplinary approach to animal pain management.

scholarly journals Integrating Interdisciplinary Pain Management into Primary Care: Development and Implementation of a Novel Clinical Program

Pain Medicine ◽  
2014 ◽  
Vol 15 (12) ◽  
pp. 2046-2054 ◽  
Author(s):  
Lindsey M. Dorflinger ◽  
Christopher Ruser ◽  
John Sellinger ◽  
Ellen L. Edens ◽  
Robert D. Kerns ◽  
...  
Keyword(s):  
Primary Care ◽  
Pain Management ◽  
Interdisciplinary Pain Management ◽  
Clinical Program ◽  
Care Development

Pattern of Cumulative Treatment Hours on Pain Impact and PROMIS Outcomes

2021 ◽  
Author(s):  
Hongjin Li ◽  
Diane M Flynn ◽  
Krista B Highland ◽  
Larisa A Burke ◽  
Honor M Mcquinn ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Pain Management ◽  
Pain Treatment ◽  
Additive Models ◽  
Self Report ◽  
Interdisciplinary Treatment ◽  
Additional Patient ◽  
Impact Fatigue ◽  
Interdisciplinary Pain Treatment ◽  
Interdisciplinary Pain Management

ABSTRACT Introduction Participation in interdisciplinary treatments is associated with improvement in pain intensity, physical function, and additional pain-related outcome domains. However, the effect of cumulative treatment hours on outcomes remains unknown among military patients. The present analysis examined the relationship between cumulative interdisciplinary treatment hours and pain management outcomes at a single interdisciplinary pain management center (IPMC). Materials and Methods This is a retrospective observational study of data previously collected as standard of care at the Madigan Army Medical Center, approved by the Institutional Review Board. We included patients who received treatment at the IPMC and completed at least two self-report assessment batteries: one at baseline and at least one between 90 and 180 days after baseline (n = 882). The primary outcome was pain impact. Secondary outcomes included fatigue, depression, anxiety, and sleep-related impairment. Results Generalized additive models indicated that cumulative treatment hours were significantly associated with improvement in pain impact, fatigue, and depression. Patients who had higher baseline pain impact, who had mild or no depressive symptoms, and who were >40 years of age had greater improvements in pain impact following treatment, relative to those with lower pain impact, moderate-to-severe depressive symptoms, and were 40 years of age or younger, respectively. Additional research is needed to elucidate the effect of different therapies and additional patient factors in understanding the “therapeutic dose” of interdisciplinary pain management. Conclusions A higher number of cumulative treatment hours was associated with improvement of pain impact, fatigue, and depression among military personnel receiving interdisciplinary pain treatment. At least 30 hours of sustained interdisciplinary treatment appears to be the threshold for improvement in pain impact and related outcomes.

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