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Impact of COVID-19 pandemic on nonpharmacological pain management trials in military and veteran healthcare settings: an evaluation informed by implementation science.
Midboe, Amanda M; Javier, Sarah J; Salsbury, Stacie A; Katsovich, Lily; Burgess, Diana J; King, Heather A; Taylor, Stephanie L; Martino, Steve; Mayer, John M; Wallace, Robert B; Der-Martirosian, Claudia; Kerns, Robert D.
Afiliación
  • Midboe AM; VA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
  • Javier SJ; Department of Public Health Sciences, School of Medicine, University of California, Davis, CA 95616, USA.
  • Salsbury SA; VA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
  • Katsovich L; Department of Public Health Sciences, School of Medicine, University of California, Davis, CA 95616, USA.
  • Burgess DJ; Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, IA 52803, USA.
  • King HA; Department of Psychiatry, Yale University, New Haven, CT 06511, USA.
  • Taylor SL; Departments of Neurology, Yale University, New Haven, CT 06511, USA.
  • Martino S; Departments of Psychology, Yale University, New Haven, CT 06511, USA.
  • Mayer JM; VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, Minneapolis, MN 55417, USA.
  • Wallace RB; Department of Medicine, University of Minnesota, Minneapolis, MN 55455, USA.
  • Der-Martirosian C; VA HSR&D Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, NC 27705, USA.
  • Kerns RD; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC 27701, USA.
Transl Behav Med ; 13(8): 601-611, 2023 08 11.
Article en En | MEDLINE | ID: mdl-37030012
Active-duty personnel and veterans often report pain and seek treatment in military and veteran healthcare settings. Nondrug treatments, such as self-care, counseling, exercise, and manual therapy, are recommended for most patients with chronic pain. The COVID-19 pandemic has affected clinical trials of these nondrug treatments in military and veteran populations. In this study, we explored how 11 research teams adapted study trials on pain to address COVID-19. Team members completed online questions, brief checklists, and a one-time focus group about how they modified their trials. Each of the 11 trials made 2 to 6 changes to their studies. Most paused or delayed recruitment efforts. Many shifted parts of the study to a virtual format. Goals for adapting treatments included improved feasibility and decreased patient exposure to COVID-19. Context or format changes increased virtual delivery of study treatments. Content changes focused on patient safety, tailoring treatments for virtual delivery, and offering varied manual therapies. Provider concerns about technology and patient willingness to seek in-person care during the pandemic also were factors driving changes. These findings may support the increased use of virtual care for pain management in military and veteran health settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / COVID-19 Tipo de estudio: Clinical_trials / Evaluation_studies / Guideline / Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research Límite: Humans Idioma: En Revista: Transl Behav Med Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / COVID-19 Tipo de estudio: Clinical_trials / Evaluation_studies / Guideline / Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research Límite: Humans Idioma: En Revista: Transl Behav Med Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido