Enhancing Chronic Pain Management Motivational Interview Among Lower Back Pain Patients

OBJECTIVE: To investigate the emotional and neurobehavioural status of patients suffering from chronic pain.METHODS: Fifteen male patients with chronic lower back pain and 15 healthy control subjects were studied for approximately six months. Pain was measured using a visual analogue scale. The WHO Neurobehavioral Core Test Battery (NCTB) was used to assess neurobehavioural effects of environmental and occupational exposures.RESULTS: Visual analogue scale results demonstrated a modest range of reported pain (mean [± SD] 62.0±10.8) in chronic pain patients, whereas control subjects reported no measurable pain. With the NCTB, it was found that scores of negative mood state, including anger-hostility, depression-dejection, fatigue-inertia and tension-anxiety in pain patients were significantly higher than scores in the control subjects. By contrast, scores of positive mood state (vigour-activity) in chronic pain patients were lower than those in the control group. The NCTB scores of the Santa Ana Dexterity and Pursuit Aiming II tests in chronic lower back pain patients were lower than those of the control group. Scores for other NCTB sub-tests, including the Digit Span, Benton Visual Retention and Digit Symbol tests, were not significantly different compared with controls.CONCLUSIONS: Chronic lower back pain patients had more negative mood and less positive mood than controls. These patients also demonstrated neuromotor deficits in coordination and reaction time. Further studies are required to examine possible neurological mechanisms and research potential intervention strategies for patients suffering from chronic pain.

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Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management

Journal of Pain ◽

10.1016/j.jpain.2006.01.446 ◽

2006 ◽

Vol 7 (6) ◽

pp. 417-427 ◽

Cited By ~ 10

Author(s):

Stefanie Zenker ◽

Michael Petraschka ◽

Michael Schenk ◽

Anett Reißhauer ◽

Tanja Newie ◽

...

Keyword(s):

Chronic Pain ◽

Back Pain ◽

Pain Management ◽

Chronic Pain Management ◽

Pain Patients

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Enhancing Chronic Pain Management: Motivational Interview Among Lower Back Patients –Phase II

10.22371/07.2020.027 ◽

2020 ◽

Author(s):

Valerie Gates

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Phase Ii ◽

Motivational Interview ◽

Chronic Pain Management ◽

Lower Back

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Predicting the outcome of pain management among chronic back pain patients by using motivational stages of chronic pain management

Journal of Pain ◽

10.1016/j.jpain.2005.01.015 ◽

2005 ◽

Vol 6 (3) ◽

pp. S4

Author(s):

M. Petraschka ◽

S. Zenker ◽

M. Schenk ◽

C. Spies

Keyword(s):

Chronic Pain ◽

Back Pain ◽

Pain Management ◽

Chronic Back Pain ◽

Chronic Pain Management ◽

Pain Patients

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865 LIVING WITH AND WITHOUT CHRONIC PAIN (CP): A QUALITATIVE ANALYSIS OF THE CONVERGENT AND DIVERGENT EXPERIENCES OF OROFACIAL AND LOWER BACK PAIN PATIENTS

European Journal of Pain ◽

10.1016/s1090-3801(06)60868-9 ◽

2006 ◽

Vol 10 (S1) ◽

pp. S224b-S224

Author(s):

K. Reid ◽

A.J. Asbury ◽

M. Serpell ◽

R. MacDonald ◽

D. Wray ◽

...

Keyword(s):

Chronic Pain ◽

Back Pain ◽

Qualitative Analysis ◽

Lower Back Pain ◽

Lower Back ◽

Pain Patients

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Therapeutic Effectiveness of AxioBionics Wearable Therapy Pain Management System in Patients with Chronic Lower Back Pain

Clinical Medicine Insights Arthritis and Musculoskeletal Disorders ◽

10.1177/1179544121993778 ◽

2021 ◽

Vol 14 ◽

pp. 117954412199377

Author(s):

Philip Muccio ◽

Josh Schueller ◽

Miriam van Emde Boas ◽

Norm Howe ◽

Edward Dabrowski ◽

...

Keyword(s):

Back Pain ◽

Pain Management ◽

Lower Back Pain ◽

Chronic Lower Back Pain ◽

Analog Scale ◽

System A ◽

System Reduction ◽

Lower Back ◽

Muscular Function

Chronic lower back pain is one of the most common medical conditions leading to a significant decrease in quality of life. This study retrospectively analyzed whether the AxioBionics Wearable Therapy Pain Management (WTPM) System, a customized and wearable electrical stimulation device, alleviated chronic lower back pain, and improved muscular function. This study assessed self-reported pain levels using the visual analog scale before and during the use of the AxioBionics WTPM System when performing normal activities such as sitting, standing, and walking (n = 69). Results showed that both at-rest and activity-related pain were significantly reduced during treatment with the AxioBionics WTPM System (% reduction in pain: 64% and 60%, respectively; P < .05). Thus, this study suggests that the AxioBionics WTPM System is efficacious in treating chronic lower back pain even when other therapies have failed to sufficiently decrease reported pain levels.

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Educating Physicians in Family Medicine Residencies About Nonpharmacologic Approaches to Pain:

Family Medicine ◽

10.22454/fammed.2020.865003 ◽

2020 ◽

Vol 52 (3) ◽

pp. 189-197

Author(s):

Ann Marie Chiasson ◽

Audrey J. Brooks ◽

Mari Ricker ◽

Patricia Lebensohn ◽

Mei-Kuang Chen ◽

...

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Family Medicine ◽

Self Efficacy ◽

Medical Knowledge ◽

Primary Care Providers ◽

Control Group ◽

Chronic Pain Management ◽

Care Providers ◽

Pain Patients

Background and Objectives: Opioid misuse is at an all-time crisis level, and nationally enhanced resident and clinician education on chronic pain management is in demand. To date, broad-reaching, scalable, integrative pain management educational interventions have not been evaluated for effectiveness on learner knowledge or attitudes toward chronic pain management. Methods: An 11-hour integrative pain management (IPM) online course was evaluated for effect on resident and faculty attitudes toward and knowledge about chronic pain. Participants were recruited from family medicine residencies participating in the integrative medicine in residency program. Twenty-two residencies participated, with 11 receiving the course and 11 serving as a control group. Evaluation included pre/post medical knowledge and validated measures of attitude toward pain patients, self-efficacy for nondrug therapies, burnout, and compassion. Results: Forty-three participants (34.4%) completed the course. The intervention group (n=50), who received the course, improved significantly (P<.05) in medical knowledge, attitude toward pain patients, and self-efficacy to prescribe nondrug therapies while the control group (n=54) showed no improvement. There was no effect on burnout or compassion for either group. The course was positively evaluated, with 83%-94% rating the course content and delivery very high. All participants responded that they would incorporate course information into practice, and almost all thought what they learned in the course would improve patient care (98%). Conclusions: Our findings demonstrate the feasibility of an online IPM course as an effective and scalable intervention for residents and primary care providers in response to the current opioid crisis and need for better management of chronic pain. Future directions include testing scalability in formats that lead to improved completion rates, implementation in nonacademic settings, and evaluation of clinical outcomes such as decreased opioid prescribing.

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