scholarly journals Assessing the fidelity of a peer-led chronic pain management program (PAP)

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Mimi M. Y. Tse ◽  
Shuk Kwan Tang ◽  
Shamay Ng ◽  
Yajie Li ◽  
Daphne Sze Ki Cheung ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Continuous Process ◽  
Structured Interview ◽  
Management Program ◽  
Intervention Fidelity ◽  
Chronic Pain Management ◽  
Link Type ◽  
Pain Management Program ◽  
Fidelity Assessment

Abstract Background Intervention fidelity is the core component of a well-designed clinical trial and processes that are used to ensure that the study intervention is delivered as planned. It affects the design and implementation of a study as well as the analysis of the results and interpretation of the findings. The objectives of this study are (a) to describe the methods of assessing the intervention fidelity used in the peer-led chronic pain management program (PAP) and (b) to report the findings on the PAP’s intervention fidelity. Methods To optimize fidelity to the intervention, we used various strategies and measured them in a continuous process using several different approaches: (a) peer volunteer (PV) training workshop, (b) biweekly meetings with the research team, (c) a detailed teaching manual, (d) a fidelity checklist, (e) on-site visits and direct observations, and (f) semi-structured interview. Results The PVs’ attendance was high, and most of them achieved a high level of implementation in following the fidelity checklist. As part of a large clustered RCT, the fidelity assessment was carried out to help determine the effectiveness of the intervention. Conclusions Overall, the PVs successfully delivered the intervention, and the results of the study indicate the effectiveness of the PAP. Trial registration ClinicalTrials.govNCT03823495. Registered on 30 January 2019.

Evaluation of a Brief Chronic Pain Management Program

1989 ◽  
Vol 5 (4) ◽  
pp. 317-322 ◽  
Author(s):  
Linda Stans ◽  
Lut Goossens ◽  
Boudewijn Van Houdenhove ◽  
Hugo Adriaense ◽  
Daniëlle Verstraeten ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Management Program ◽  
Chronic Pain Management ◽  
Pain Management Program

scholarly journals Risk and Resilience Factors Impacting Treatment Compliance and Functional Impairment among Adolescents Participating in an Outpatient Interdisciplinary Pediatric Chronic Pain Management Program

Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 247
Author(s):  
Richa Aggarwal Dutta ◽  
Katherine S. Salamon
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Functional Impairment ◽  
Treatment Compliance ◽  
Management Program ◽  
Risk And Resilience ◽  
Chronic Pain Management ◽  
Pain Management Program ◽  
Pediatric Chronic Pain ◽  
Resilience Factors

Recurrent pain is a common experience in childhood and adolescence and can result in significant disability in youth, including poor quality of life, school absences, and reduced social activities. Evidence has linked adolescent risk and resilience factors with treatment outcomes. However, less research has focused on examining risk and resilience factors that may influence or predict adolescents’ compliance to treatment within an interdisciplinary pediatric chronic pain management program. Participants included 64 adolescents (M = 15.00 ± 1.69 years); 85.9% female, 84.4% Caucasian who presented to an initial evaluation in an interdisciplinary pediatric pain management program with their caregiver. Youth completed a series of questionnaires at the initial evaluation targeting pain acceptance, self-efficacy, pain catastrophizing, parental responses, pain intensity, and functional disability. Treatment compliance was measured at 3 and 6 months post-intake. Findings indicated that higher levels of adolescent-reported self-efficacy predict decreased treatment session attendance, whereas lower levels of acceptance and parental encouragement/monitoring of symptoms predict increased treatment compliance overall. Several adolescent-reported risk factors were associated with increased functional impairment among this sample. Results highlight the unique importance of risk and resilience factors within the developmental context of adolescence, while also emphasizing the need for further investigation of other relevant influences towards treatment compliance and functional impairment.

Reducing Medication Use in a Chronic Pain Management Program

1983 ◽  
Vol 40 (12) ◽  
pp. 2156-2158 ◽  
Author(s):  
Joy E. Kientz ◽  
Dana S. Fitzsimmons ◽  
Philip J. Schneider
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Medication Use ◽  
Management Program ◽  
Chronic Pain Management ◽  
Pain Management Program

Access to Pain Management Programs: A Multifactorial Analysis of the Pathways of Care for Chronic Pain Patients in the University Clinic Erlangen

2019 ◽  
Vol 82 (08/09) ◽  
pp. e94-e107
Author(s):  
Lisa Dorscht ◽  
Christoph Schön ◽  
Christa Geiss ◽  
Elmar Gräßel ◽  
Carolin Donath
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Research Question ◽  
Treatment Options ◽  
Management Program ◽  
Interdisciplinary Treatment ◽  
Chronic Pain Management ◽  
Pain Management Program ◽  
The University ◽  
Pathways Of Care

Abstract Background Different treatment options are offered for patients suffering from chronic pain, which differ in intensity and costs: 1) monodisciplinary treatment, mostly in outpatient care and 2) interdisciplinary treatment with the option of participating in pain management programs as outpatients or inpatients. The present work investigates how patients at the University Clinic Erlangen receiving monodisciplinary treatment differ from those receiving interdisciplinary treatment (research question I) as well as how patients participating in a pain management program differ from those who do not (research question II). The aim is to generate insights into whether the differences between the patient groups under various treatment modalities reflect the officially defined criteria for the indication of chronic pain management programs. Methods Routine data of 1,833 patients treated from January 2008 to March 2013 at the University Clinic Erlangen were analyzed. After univariate preanalyses and checks for multicollinearity, the remaining variables were used for the final multivariate model (multiple binary logistic regression) for research question I and II. Results Research question I: Patients getting interdisciplinary treatment were more often employed, had higher affective experience of pain, more often regarded their pain as treatable, had more often participated in at least one pain-associated rehabilitation treatment in the past, were younger and rarely had application for retirement in consideration. Research question II: Patients who participated in a pain management program were more often female, more often employed, described their pain as mainly located at the upper part of the body, had more concomitant symptoms, were more often diagnosed with musculoskeletal pain and rarely had a retirement request pending. Conclusions It could be shown that patients in the analyzed pathways of care mainly differed in demographic variables, and regarding pain management programs, also in the type of pain. Differences between patients in different treatment paths reflecting the officially defined indication criteria for chronic pain management programs were detectable only to a minor extent. Clearer and operational practical guidance should help support the clinical decision to assign patients to different treatment options and close the gap between theory and practice.

scholarly journals Patient Satisfaction With Chronic Pain Management: Patient Perspectives of Improvement

2021 ◽  
Vol 8 ◽  
pp. 237437352110078
Author(s):  
Yuelin (Cindy) Li ◽  
Eleni G Hapidou
Keyword(s):  
Chronic Pain ◽  
Patient Satisfaction ◽  
Pain Management ◽  
Stages Of Change ◽  
Management Program ◽  
Management Approach ◽  
Chronic Pain Management ◽  
General Satisfaction ◽  
Pain Management Program ◽  
Treatment Measures

Integrating satisfaction measures with pain-related variables can highlight global change and improvement from the patients’ perspective. This study examined patient satisfaction in an interdisciplinary chronic pain management program. Nine hundred and twenty-seven (n = 927) participants completed pre- and post-treatment measures of pain, depression, catastrophizing, anxiety, stages of change, and pain acceptance. Multiple regression was used to examine these variables at admission and discharge as predictors of patient satisfaction. Pain-related variables explained 50.6% of the variance (R2 = .506, F 22,639 = 29.79, P < .001) for general satisfaction, and 38.9% of the variance (R2 = 0.389, F 22,639 = 18.49, P < .001) for goal accomplishment. Significant predictors of general satisfaction included depression (β = −0.188, P < .001) and the maintenance stage of change (β = 0.272, P < .001). The latter was also a significant predictor of goal accomplishment (β = 0.300, P < .001). Discharge pain-related measures are more influential than admission measures for predicting patient satisfaction. Patient satisfaction is significantly related to establishing a self-management approach to pain.

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