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Panel-based pain management in primary care. a pilot study.

T A Ahles1, J Seville, J Wasson

  • 1Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.

Journal of Pain and Symptom Management
|August 23, 2001
PubMed
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A new pain management approach using the Dartmouth COOP Clinical Improvement System (DCCIS) and nurse educators improved patient outcomes in primary care. This efficient intervention showed feasibility and acceptability for managing persistent pain.

Area of Science:

  • Primary Care Medicine
  • Pain Management
  • Health Services Research

Background:

  • Persistent pain is a common primary care symptom often inadequately managed.
  • Busy community practices require efficient assessment and management strategies for pain.

Purpose of the Study:

  • To develop and pilot-test an efficient, rapid pain assessment and management approach for primary care settings.
  • To evaluate the feasibility and acceptability of a novel intervention for patients with persistent pain.

Main Methods:

  • A feasibility study involving four rural primary care practices.
  • Patients with persistent pain were randomized to usual care or an intervention group.
  • The intervention included the Dartmouth COOP Clinical Improvement System (DCCIS) and nurse-educator support via telephone.

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Main Results:

  • The intervention group showed significant improvements on SF-36 subscales (Pain, Physical, Emotional, Social) and the Functional Interference Scale compared to the control group.
  • The approach demonstrated feasibility and acceptability in community practices.
  • Baseline imbalances between groups tempered outcome conclusions.

Conclusions:

  • The developed pain management intervention is feasible and acceptable for primary care.
  • The intervention shows promise for improving patient-reported outcomes in pain management.
  • Further research is needed to confirm efficacy, addressing baseline imbalances.