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A shared medical appointment on the benefits and risks of opioids is associated with improved patient confidence in managing chronic pain.

Description

Romanelli RJ, Dolginsky M, Byakina Y, Bronstein D, Wilson S., J Patient Exper 2017 May 8:1-8. doi: 10.1177/2374373517706837., 2017 May 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

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Associated Topics

  • Addiction Pharmacology
  • Disease Management
  • Health Services
  • Pain

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