Video-telecare collaborative pain management during COVID-19: a single-arm feasibility study

Area of Science:

• Pain Management
• Telehealth
• Opioid Use Disorder

Background:

• Chronic pain is a prevalent primary care issue with complex management challenges.
• The COVID-19 pandemic necessitated innovative healthcare delivery models.
• Video-Telecare Collaborative Pain Management (VCPM) was developed to address these challenges.

Purpose of the Study:

• To assess the feasibility and acceptability of the VCPM program.
• To evaluate VCPM's effectiveness in managing chronic pain in U.S. veterans on long-term opioid therapy.
• To explore patient satisfaction with virtual pain management interventions.

Main Methods:

• A single-arm feasibility study involving U.S. veterans on ≥50 mg MEDD opioid therapy.
• VCPM incorporated opioid reassessment, tapering, buprenorphine rotation, and self-management support.
• Data collected on enrollment, engagement, patient satisfaction, and treatment outcomes.

Main Results:

• VCPM met feasibility and acceptability targets, with 33% initial intake and 14% multiple appointments.
• Patients reported satisfaction with virtual modalities and provider interactions.
• Significant reductions in morphine equivalent daily dose (MEDD) observed, particularly with multiple VCPM appointments.

Conclusions:

• VCPM is a feasible and acceptable model for supporting primary care-based chronic pain management.
• Preliminary results indicate VCPM's potential for reducing opioid dosage and improving patient outcomes.
• Further strategies to enhance enrollment and engagement are needed for broader implementation.