Browsing by Subject "chronic pain"

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Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis
(BMC Family Practice, 2014-03-29) Noel, Polly; Parchman, Michael L.; Palmer, Ray F.; Romer, Raquel L.; Leykum, Luci K.; Lanham, Holly J.; Zeber, John E.; Bowers, Krista W.
Background: Little is known as to whether primary care teams’ perceptions of how well they have implemented the Chronic Care Model (CCM) corresponds with their patients’ own experience of chronic illness care. We examined the extent to which practice members’ perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients’ perceptions of the chronic illness care they have received. Methods: Analysis of baseline measures from a cluster randomized controlled trial testing a practice facilitation intervention to implement the CCM in small, community-based primary care practices. All practice “members” (i.e., physician providers, non-physician providers, and staff) completed the Assessment of Chronic Illness Care (ACIC) survey and adult patients with 1 or more chronic illnesses completed the Patient Assessment of Chronic Illness Care (PACIC) questionnaire. Results: Two sets of hierarchical linear regression models accounting for nesting of practice members (N = 283) and patients (N = 1,769) within 39 practices assessed the association between practice member perspectives of CCM implementation (ACIC scores) and patients’ perspectives of CCM (PACIC). ACIC summary score was not significantly associated with PACIC summary score or most of PACIC subscale scores, but four of the ACIC subscales were consistently associated with PACIC summary score and the majority of PACIC subscale scores after controlling for patient characteristics. The magnitude of the coefficients, however, indicates that the level of association is weak. Conclusions: The ACIC and PACIC scales appear to provide complementary and relatively unique assessments of how well clinical services are aligned with the CCM. Our findings underscore the importance of assessing both patient and practice member perspectives when evaluating quality of chronic illness care.
Computers and Medicine in the 21st Century: A Digital Communications Perspective
(2020) Park, Kristin; Ramgolam, Dina Inman
Chronic pain is one of the most common conditions within the United States. It affects at least 116 million people and has immense economic impacts, costing $560 to $635 billion a year. Although there are some applications of telemedicine in chronic pain management, few methods exist utilizing video mediated communication (VMC) directly between health professionals and chronic pain patients. Surprisingly, no research to-date has provided a comprehensive understanding of the opportunity VMC poses for the treatment of chronic pain. To fill this gap in knowledge, the goal for this thesis was to examine the current state of research on telemedicine and VMC to fully understand it’s potential. The review conducted, yields promising insight that helps to establish how VMC may indeed improve treatment for chronic pain patients. Previous research demonstrates that cognitive behavior therapy (CBT) provided through face to face (FTF) interactions does not have significant benefits when compared to CBT provided through video mediated communication (VMC). Similarly, telemedicine and CBT, together, could provide a more efficient treatment methodology for chronic pain patients in the 21st century. This thesis discusses successful cases of VMC in other fields of medicine such as occupational dermatology, pediatric intensive care units, and neurology in terms of digital communication theories to determine what communication factors affect success. It also examines previous studies concerning current applications of telemedicine in chronic pain management and CBT inside and outside chronic pain management. The non-systematic analysis uses digital communication theories to identify why the treatment technique is transferable across digital media, VMC, to improve chronic pain management. A method blending CBT and VMC may be a solution for minimizing the use of resources that are required to treat chronic pain patients, especially by reducing travel needs for those who cannot travel to pain management specialists.
Exploring how pain outcomes are reported for chronic pain: A qualitative literature review
(2014) Haq, Shireen
To gain a better understanding of how pain measures are being described, represented, and used in scientific literature in order to ultimately reach a standard in pain reporting.