--- title: "Shared med appt in opiods: pt confident manage chronic pain. | Sutter Health" description: "A shared medical appointment on the benefits and risks of opioids was associated with prompt improvements in patients’ confidence in self-managing pain." url: "https://www.sutterhealth.org/research/publications/shared-med-appt-opiods-pt-manage-chronic-pain-1055312349" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Shared med appt in opiods: pt confident manage chronic pain. # A shared medical appointment on the benefits and risks of opioids is associated with improved patient confidence in managing chronic pain. Romanelli RJ, Dolginsky M, Byakina Y, Bronstein D, & Wilson S. _J Patient Exper 2017 May 8:1-8. doi: 10.1177/2374373517706837._ 2017-05-08 ## Abstract Objectives: To evaluate a shared medical appointment (SMA) on opioids in the treatment of chronic pain. Research design: This prospective study was conducted at an ambulatory clinic within a health-care delivery system. The SMA is a single 90-minute encounter, led by a physician. We included adult patients who attended the SMA and completed an immediate pre–post survey. Survey items were measured on a scale from 0 (worst) to 5 (best). Mean differences in pre–post responses were assessed by a paired t test. Results: A total of 130 patients were included in the analysis. Patients showed improvements in confidence in self-managing pain (+0.44; 95% confidence interval \[CI\]: 0.29-0.59; P < .001) and their providers’ ability to help manage pain (+0.28; 95% CI: 0.14-0.43; P < .001). Most patients (81%) were very/extremely satisfied with the SMA. Conclusions: An SMA on the benefits and risks of opioids was associated with prompt improvements in patients’ confidence in self-managing pain and in their health-care providers’ ability to help manage pain. Such confidence can lay the foundation for increased patient engagement and activation in pain management. [PubMed abstract](http://journals.sagepub.com/doi/full/10.1177/2374373517706837) ## Research topics - [Addiction Pharmacology](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Addiction+Pharmacology%5C%22%22) - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) - [Pain](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Pain%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Patient characteristics and healthcare utilization of a chronic pain population within an integrated healthcare system.](https://www.sutterhealth.org/research/publications/pt-characteristics-healthcare-use-chronic-pain-1055312340) Romanelli RJ, Shah SN, Ikeda L, Lynch B, Craig TL, Cappelleri JC, Jukes T, Ishisaka D. Am J Manag Care. 23(2):e50-e56. 2017 Feb 01 - Publication ### [Opioid prescribing for chronic pain in a community-based healthcare system.](https://www.sutterhealth.org/research/publications/opiod-prescribing-chronic-pain-community-health-1055312298) Romanelli RJ, Ikeda LI, Lynch B, Craig T, Cappelleri JC, Jukes T, Ishisaka DY. Am J Manag Care. 23(5):e138-e145. 2017 May 01 - Publication ### [Management of chronic pain among older patients: inside primary care in the US.](https://www.sutterhealth.org/research/publications/chronic-pain-older-patients-in-pc-in-united-states-1055312613) Tai-Seale M, Bolin J, Bao X, Street R. Eur J Pain. 15(10):1087.e1-8. doi: 10.1016/j.ejpain.2011.06.012. Epub 2011 Jul 23. 2011 Nov 01 - Publication ### [Patient and family engagement: a survey of US hospital practices.](https://www.sutterhealth.org/research/publications/pt-family-engagement-survey-us-hosp-practices-1055312463) Herrin J, Harris KG, Kenward K, Hines S, Joshi MS, Frosch DL. BMJ Qual Saf. pii: bmjqs-2015-004006. doi: 10.1136/bmjqs-2015-004006. \[Epub ahead of print\] 2015 Jun 16 - Publication ### [An exploratory mixed-methods crossover study comparing DVD- vs. Web-based patient decision support in three conditions: The importance of patient perspectives.](https://www.sutterhealth.org/research/publications/dvd-vs-web-based-pt-decision-spt-1055312529) Halley MC, Rendle KA, Gillespie KA, Stanley KM, Frosch DL. Health Expect. 18(6):2880-91. doi: 10.1111/hex.12273. Epub 2014 Sep 29. 2015 Dec 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/shared-med-appt-opiods-pt-manage-chronic-pain-1055312349#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Shared med appt in opiods: pt confident manage chronic pain."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/shared-med-appt-opiods-pt-manage-chronic-pain-1055312349#medicalscholarlyarticle","name":"A shared medical appointment on the benefits and risks of opioids is associated with improved patient confidence in managing chronic pain.","headline":"Shared med appt in opiods: pt confident manage chronic pain.","abstract":"Objectives: To evaluate a shared medical appointment (SMA) on opioids in the treatment of chronic pain. 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