PNS19 DESIGN OF STUDY TO ASSESS IMPACT OF ELECTRONIC CHRONIC PAIN QUESTIONS ON PATIENT-REPORTED OUTCOMES AND HEALTHCARE UTILIZATION IN A UNITED STATES GENERAL PRACTICE SETTING

Abstract INTRODUCTION Novel technologies to support real-time patient education, engagement and scalable outcomes monitoring to make clinically meaningful decisions are needed. The ManageMySurgery (MMS) Spinal Cord Stimulation (SCS) module is a mobile clinical decision support application that provides: (1) a mobile, patient-centered engagement tool for delivering pre-, peri- and postoperative SCS information; (2) scalable patient-reported outcomes collection; (3) a HIPAA-compliant 2-way messaging platform with a Clinical Specialist Educator for real-time support and goal setting. METHODS Prospective data was collected using the MMS mobile smartphone application in patients undergoing Medtronic SCS trial and permanent implant procedures. E-consent was obtained through the HIPAA compliant, mobile software platform. All data was de-identified, aggregated and analyzed. RESULTS A total of 20 patients (15-trial SCS and 5 permanent SCS patients) agreed to participate and logged onto the mobile software platform. For trial SCS patients, 100% of those that participated experienced >50% pain relief as documented in their patient-reported outcomes. Furthermore, patients found various features of the software platform helpful for navigating different aspects of their SCS procedure, with 81% finding MMS helpful in preparing for their SCS procedure, 88% finding MMS helpful in recovering from their SCS procedure and 94% in communicating with their Clinical Specialist Educator. In addition, 95% of patients would recommend MMS to a friend or family member. CONCLUSION The MMS platform appears to have utility both during the SCS Trial and Permanent procedures. In patients with chronic pain, novel patient engagement and follow-up tools such as MMS may be a good option for keeping patients engaged with the therapy and ensuring patients stay on track during their procedural journey. Randomized, controlled trials with extended follow-up are in progress and needed to further evaluate the utility of MMS in patients with chronic pain undergoing SCS.

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Acquisition of basic clinical skills in the general practice setting

Medical Education ◽

10.1111/j.1365-2923.1997.tb02466.x ◽

1997 ◽

Vol 31 (2) ◽

pp. 99-104 ◽

Cited By ~ 14

Author(s):

J V Parle ◽

S M Greenfield ◽

J Skelton ◽

H Lester ◽

F D R Hobbs

Keyword(s):

General Practice ◽

Clinical Skills ◽

Practice Setting ◽

General Practice Setting

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Integration of patient-reported outcomes (PROs) for personalized symptom management in “real-world” oncology practices: a population-based cohort comparison study of impact on healthcare utilization

Supportive Care in Cancer ◽

10.1007/s00520-020-05313-3 ◽

2020 ◽

Vol 28 (10) ◽

pp. 4933-4942 ◽

Cited By ~ 4

Author(s):

Doris Howell ◽

Madeline Li ◽

Rinku Sutradhar ◽

Sumei Gu ◽

Javaid Iqbal ◽

...

Keyword(s):

Healthcare Utilization ◽

Real World ◽

Symptom Management ◽

Patient Reported Outcomes ◽

Population Based ◽

Comparison Study ◽

Cohort Comparison ◽

Patient Reported

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Long-Term Effect of Interactive Online Dietician Weight Loss Advice in General Practice (LIVA) Protocol for a Randomized Controlled Trial

International Journal of Family Medicine ◽

10.1155/2014/245347 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 7

Author(s):

Carl J. Brandt ◽

Vibeke Brandt ◽

Mathilde Pedersen ◽

Dorte Glintborg ◽

Søren Toubro ◽

...

Keyword(s):

Weight Loss ◽

General Practice ◽

Large Scale ◽

Controlled Trial ◽

Complex Interventions ◽

Control Group ◽

Average Weight ◽

Practice Setting ◽

Management Support ◽

General Practice Setting

Background. Internet-based complex interventions aiming to promote weight loss and optimize healthy behaviors have attracted much attention. However, evidence for effect is lacking. Obesity is a growing problem, resulting in an increasing demand for cost efficient weight loss programs suitable for use on a large scale, for example, as part of standard primary care. In a previous pilot project by Brandt et al. (2011) without a control group, we examined the effects of online dietician counseling and found an average weight loss of 7.0 kg (95% CI: 4.6 to 9.3 kg) after 20 months. Aims and Methods. To analyze the effects of a complex intervention using trained dieticians in a general practice setting combined with internet-based interactive and personalized weight management support compared with conventional advice with a noninteractive internet support as placebo treatment in 340 overweight patients during a 2-year period. Primary endpoints are weight loss and lowering of cholesterol (LDL). We will also explore patients’ sociodemographics and use of the intervention as well as the health professionals’ views and perceptions of the intervention (their role and the advice and support that they provide). Perspective. The project will generate knowledge on the cost-effectiveness of a complex internet-based intervention in a general practice setting and on barriers and acceptability among professionals and patients.

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