scholarly journals Patient-Reported Outcomes of an Integrative Pain Management Program Implemented in a Primary Care Safety Net Clinic: a Quasi-experimental Study

2019 ◽  
Vol 34 (7) ◽  
pp. 1105-1107 ◽  
Author(s):  
Maria Teresa Chao ◽  
Emily Hurstak ◽  
Kristina Leonoudakis-Watts ◽  
Frank Sidders ◽  
Joseph Pace ◽  
...  
Keyword(s):  
Primary Care ◽  
Experimental Study ◽  
Pain Management ◽  
Patient Reported Outcomes ◽  
Safety Net ◽  
Management Program ◽  
Pain Management Program ◽  
Patient Reported ◽  
Quasi Experimental ◽  
Safety Net Clinic

scholarly journals Design, Implementation, and Evaluation of an Integrative Pain Management Program in a Primary Care Safety-Net Clinic

2019 ◽  
Vol 25 (S1) ◽  
pp. S78-S85 ◽  
Author(s):  
Emily Hurstak ◽  
Maria T. Chao ◽  
Kristina Leonoudakis-Watts ◽  
Joseph Pace ◽  
Blue Walcer ◽  
...  
Keyword(s):  
Primary Care ◽  
Pain Management ◽  
Safety Net ◽  
Management Program ◽  
Pain Management Program ◽  
Safety Net Clinic

scholarly journals Turning Pain into Gain: Evaluation of a Multidisciplinary Chronic Pain Management Program in Primary Care

Pain Medicine ◽  
2018 ◽  
Vol 20 (5) ◽  
pp. 925-933 ◽  
Author(s):  
Shirdhya Joypaul ◽  
Fiona S Kelly ◽  
Michelle A King
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Management Program ◽  
Chronic Pain Management ◽  
Pain Management Program

Barriers to Engagement in Collaborative Care Treatment of Uncontrolled Diabetes in a Safety-Net Clinic

2017 ◽  
Vol 43 (6) ◽  
pp. 621-630
Author(s):  
Brittaney Belyeu ◽  
Lydia Chwastiak ◽  
Joan Russo ◽  
Meghan Kiefer ◽  
Kathy Mertens ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Collaborative Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Management Program ◽  
Care Team ◽  
Care Clinic ◽  
Uncontrolled Diabetes ◽  
Safety Net Clinic

Purpose The purpose of the study was to evaluate patient factors associated with nonengagement in a Diabetes Collaborative Care Team (DCCT) program in a safety-net clinic. Methods The first 18 months of a multidisciplinary care, team-based diabetes care management program in a safety-net primary care clinic were studied. Nonengagement was defined as fewer than 2 visits with a team member during the 18 months of the program. Patients who did not engage in the program were compared with those who did engage on demographics, comorbid medical and psychiatric diagnoses, and cardiovascular risk factors, using univariate and multivariable analyses. Results Of the 151 patients referred to the DCCT, 68 (45%) were nonengaged. In unadjusted analyses, patients who did not engage were more likely to be female and have higher baseline A1C values; they were less likely to have major depressive disorder, anxiety disorder, any depression diagnosis, and hyperlipidemia. Female gender and chronic pain were independently associated with nonengagement after multivariable adjustment. Conclusions The findings suggest that among patients with uncontrolled diabetes in an urban safety-net primary care clinic, there is a need to address barriers to engagement for female patients and to integrate chronic pain management strategies within multicondition collaborative care models.

scholarly journals The Importance of Perceived Relevance: A Qualitative Evaluation of Patient’s Perceptions of Value and Impact Following a Low-Intensity Group-Based Pain Management Program

Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 46
Author(s):  
Joshua W. Pate ◽  
Elizabeth Tran ◽  
Seema Radhakrishnan ◽  
Andrew M. Leaver
Keyword(s):  
Pain Management ◽  
Qualitative Evaluation ◽  
Management Program ◽  
Structured Interviews ◽  
Patient Beliefs ◽  
Pain Management Program ◽  
Westmead Hospital ◽  
Group A ◽  
Perceived Relevance ◽  
Beliefs And Attitudes

Background and objectives: Limited evidence exists exploring perceptions of which aspects of a pain management program are perceived as valuable and impactful. The aim of this study was to explore patient beliefs about which aspects of a pain management program were valued and/or had perceived impact. Materials and Methods: One-on-one structured interviews were conducted with 11 adults three months after their completion of the Spark Pain Program at Westmead Hospital, Sydney, Australia. Concepts in the transcripts were inductively identified and explored, utilizing thematic analysis to better understand their relevance to the study aim. Results: Four themes emerged: (1) “The program overall was positive, but…”; (2) “I valued my improved knowledge and understanding of pain, but…”; (3) “I valued the stretching/relaxation/pacing/activity monitoring”; and (4) “I valued being part of a supportive and understanding group”. Participants reported that they liked being treated as an individual within the group. A lack of perceived personal relevance of key messages was identified in some participants; it appears that patients in pain programs must determine that changes in knowledge, beliefs, and attitudes are personally relevant in order for the changes to have a significant impact on them. Conclusions: This study provides new insights into aspects of a pain management program that were perceived as valuable and impactful, areas that “missed the mark”, and hypotheses to guide the implementation of service delivery and program redesign.

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