A program evaluation of Arkansas Improving Multidisciplinary Pain Care and Treatment (AR-IMPACT)

Area of Science:

• Medical Education
• Pain Management
• Telehealth

Background:

• The Arkansas Improving Multidisciplinary Pain Care and Treatment (AR-IMPACT) program utilizes interprofessional televideo case conferences.
• The program aims to optimize non-opioid, evidence-based pain management strategies for healthcare providers.
• This study evaluates AR-IMPACT's effectiveness using the RE-AIM framework.

Purpose of the Study:

• To assess the reach, efficacy, adoption, implementation, and maintenance of the AR-IMPACT program.
• To understand the impact of televideo case conferences on provider knowledge and practice regarding pain management.

Main Methods:

• A cross-sectional study was conducted at a large, academic medical center.
• Participants included healthcare providers receiving interventions via televideo case conferences.
• Data on reach, efficacy, adoption, and implementation were collected through surveys and program metrics.

Main Results:

• Reach was extensive, with 395 providers in 54 Arkansas counties and 18 other states participating.
• Efficacy was high, with 89.6% of providers reporting increased knowledge.
• Adoption was significant, with 42% attending multiple conferences and 56% reporting no barriers to implementing recommendations.

Conclusions:

• The AR-IMPACT program demonstrated considerable success, particularly in its reach and efficacy.
• Similar programs are likely to achieve widespread adoption among healthcare providers.
• Televideo case conferences are a viable model for enhancing pain management education and practice.