Computerized Decision Support Tool for Pain Management in Primary Care
- Conditions
- Chronic Pain
- Interventions
- Other: Early interventionOther: Delayed intervention
- Registration Number
- NCT04716621
- Lead Sponsor
- MJHS Institute for Innovation in Palliative Care
- Brief Summary
Chronic pain is highly prevalent, compromises quality of life, and increases care utilization. Primary care providers are challenged to provide effective treatments, use opioid therapy appropriately, and address the adverse consequences of pain. Technology-enabled decision support tools may provide a means to improve pain management in primary care.
The objective of this study was to evaluate a novel electronic health record (EHR)-based decision support tool-plus-education intervention for pain management in primary care.
- Detailed Description
This randomized, wait-list controlled trial evaluated a novel EHR-based system for pain management among patients with chronic pain in six practices of a Federally Qualified Health Center network in New York.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 528
- Treated at the Institute for Family Health
- Spoke English or Spanish
- Received one or more prescriptions for an opioid or nonopioid analgesic during the past three months
- Pain screening at the prior three office visits documented scores >3 on the 0-6 scale (FACES, Hicks et al., 2001).
- Willingness to complete questionnaires three times
- A commitment to return to the practice
- Reachable by phone
- No evidence of psychopathology or cognitive impairment severe enough to prevent informed consent or completing the survey instruments
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Early intervention Early intervention Three sites received the Pain Management Support System for Primary Care (PMSS-PC) integrated into the Electronic Health Record. Delayed intervention Delayed intervention Delayed wait-list control group. Three additional sites received the intervention 6 months after the first arm.
- Primary Outcome Measures
Name Time Method Worst Pain Intensity From baseline to 6 months following intervention implementation Worst pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe worst pain intensity.
Pain Interference with Function From baseline to 6 months following intervention implementation Pain interference T-score, measured on the PROMIS Pain Interference Short Form. Higher scores indicate more pain interference with function.
Average Pain Intensity From baseline to 6 months following intervention implementation Average pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe average pain intensity.
- Secondary Outcome Measures
Name Time Method Worst Pain Intensity From 6 to 12 months following intervention implementation Worst pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe worst pain intensity.
Average Pain Intensity From 6 to 12 months following intervention implementation Average pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe average pain intensity.
Pain Interference with Function From 6 to 12 months following intervention implementation Pain interference T-score, measured on the PROMIS Pain Interference Short Form. Higher scores indicate more pain interference with function.
Uptake of the PMSS-PC intervention tool From baseline to 12 months following intervention implementation Use of the PMSS-PC decision support tool by primary care providers