Implementation of an opioid risk electronic pain assessment program significantly increased the likelihood that a risk assessment would be included in the medical record, which has implications for improvement of quality of care.
Results indicate that use of the PainCAS electronic pain assessment improves documentation of chart elements in clinic notes and is associated with increased discussion of key, pain-relevant topics during the clinical visit.
BACKGROUND
Approximately 75% of adolescents who receive substance abuse treatment relapse within one year; therefore, it is important to have effective, easily accessible aftercare resources to support them while they are in recovery.
OBJECTIVE
The goal of this study was twofold: 1) to find out from adolescents and counselors if an online relapse prevention program was feasible and of interest and 2) to solicit ideas for content for this program regarding peer relationships during early recovery.
METHODS
Sixteen counselors were interviewed about peer relationship-related content and features this program should include then asked to sort and rate the responses using an online concept mapping program. The development of an interactive prototype of the proposed program was informed by these results. This prototype was shown to the 16 counselors and 24 adolescents in substance abuse treatment (M age=15.8 years) for feedback. Then the adolescents participated in focus groups in which they discussed their use of technology and peer relationship-related challenges in recovery.
RESULTS
The concepts that were rated highest by counselors were Setting Boundaries in Peer Relationships (M = 4.38), How to Follow Through with Decisions (M = 4.23), and Figuring Out What You Really Want (M = 4.18). Pre-established criteria for satisfaction were exceeded with both adolescents (M = 84%) and counselors (M = 86%). In the focus groups, adolescents said that they would be interested in using technology to meet challenges in recovery.
CONCLUSIONS
The online relapse prevention program concept has feasibility according to these key stakeholders.
Objective-Self-management of pain is a critical component of arthritis care; however, limited mobility can restrict access to resources. Although the Internet has become a primary source of health information, few studies address what patients want and need from a self-management website.Methods-Thirty-two people diagnosed with arthritis and 12 practitioners a) participated in individual one hour interviews and b) sorted and rated a list of 88 unique statements that were derived from the interviews. Qualitative data were analyzed using Concept Mapping procedures.Results-The six cluster map provided the best discrimination between statements. Follow up analyses suggested that although patients with arthritis and practitioners generally agree on the categories of content on a self-management website about arthritis, they appear to disagree on the importance of each category.Conclusions-These findings about patient and provider desired content and features can be used by health educators to develop curriculum for health education of patients with arthritis pain.
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