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TelePain: Primary Care Chronic Pain Management through Weekly Didactic and Case-based Telementoring.
Flynn, Diane M; Eaton, Linda H; McQuinn, Honor; Alden, Ashley; Meins, Alexa R; Rue, Tessa; Tauben, David J; Doorenbos, Ardith Z.
Afiliación
  • Flynn DM; Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431, USA.
  • Eaton LH; School of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA.
  • McQuinn H; Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431, USA.
  • Alden A; Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431, USA.
  • Meins AR; School of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA.
  • Rue T; School of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA.
  • Tauben DJ; School of Medicine, University of Washington, Box 356340, Seattle, WA 98195, USA.
  • Doorenbos AZ; School of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA.
Contemp Clin Trials Commun ; 8: 162-166, 2017 Dec.
Article en En | MEDLINE | ID: mdl-29497708
Chronic pain is a significant problem among military personnel and a priority of the military health system. The U.S. Army Surgeon General's Pain Management Task Force recommends using telehealth capabilities to enhance pain management. This article describes the development and evaluation of a telehealth intervention (TelePain) designed to improve access to pain specialist consultation in the military health system. The study uses a wait-list controlled clinical trial to test: 1) effectiveness of the intervention, and 2) interviews to assess barriers and facilitators of the intervention implementation. The intervention involves a didactic presentation based on the Joint Pain Education Curriculum followed by patient case presentations and multi-disciplinary discussion via videoconference by clinicians working in the military health system. A panel of pain specialists representing pain medicine, internal medicine, anesthesiology, rehabilitation medicine, psychiatry, addiction medicine, health psychology, pharmacology, nursing, and complementary and integrative pain management provide pain management recommendations for each patient case. We use the Pain Assessment Screening Tool and Outcomes Registry (PASTOR) to measure patient outcomes, including pain, sleep, fatigue, anxiety, and depression. This article reports some of the challenges and lessons learned during early implementation of the TelePain intervention. Weekly telephone meetings among the multisite research team were instrumental in problem solving, identifying problem areas, and developing solutions. Solutions for recruitment challenges included additional outreach and networking to military health providers, both building on.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline Idioma: En Revista: Contemp Clin Trials Commun Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline Idioma: En Revista: Contemp Clin Trials Commun Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos