Pain Management in Primary Care: A Randomized Controlled Trial of a Computerized Decision Support Tool
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 528
- 主要终点
- Worst Pain Intensity
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- 未提供
结局指标
主要结局
Worst Pain Intensity
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Worst Pain Intensity(From 6 to 12 months following intervention implementation)
- Average Pain Intensity(From 6 to 12 months following intervention implementation)
- Pain Interference with Function(From 6 to 12 months following intervention implementation)
- Uptake of the PMSS-PC intervention tool(From baseline to 12 months following intervention implementation)