A Controlled Pilot Trial of PainTracker Self-Manager, a Web-Based Platform Combined With Patient Coaching, to Support Patients' Self-Management of Chronic Pain

Sullivan, Mark D.; Langford, Dale J.; Davies, Pamela Stitzlein; Tran, Christine; Vilardaga, Roger; Cheung, Gifford; Yoo, Daisy; McReynolds, Justin; Lober, William B.; Tauben, David; Vowles, Kevin E.

doi:10.1016/j.jpain.2018.03.009

Cited by 16 publications

(20 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Tais artigos são apresentados no Quadro 1. Em relação à caracterização, 2018 foi o ano com maior número de publicações, com quatro estudos (Lima & Reis, 2018;Loduca et al, 2018;Alvarez, et al, 2018;Sullivan et al, 2018), seguido do ano de 2019 com três estudos publicados (Valentim et al, 2019;Vieira et al, 2019;Chu et al, 2019). Estados Unidos da América (Marco et al, 2006;Sullivan et al, 2018;Buchbinder, Wilbur, Mclean & Leath, 2015;Street et al, 2010;Syrjala et al, 2008;West et al, 2003;Erkes, Parker;Carr & Mayo, 2001) e Brasil (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018) foram os dois países com maior número mais publicações sobre o tema, tendo sete e seis artigos publicados respectivamente.…”

Section: Resultsunclassified

“…Quanto ao delineamento, 12 estudos utilizaram a abordagem quantitativa (Vieira et al, 2019;Loduca et al, 2018;Alvarez et al, 2018;Marco et al, 2006;Chu et al, 2019;Sullivan et al, 2018;Capewell;Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco utilizaram a abordagem qualitativa (Valentim et al, 2019;Lima & Reis, 2018;Mendez et al, 2017;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003).…”

Section: Resultsmentioning

confidence: 99%

“…Sobre o tipo de amostragem, quando mencionada, 12 estudos utilizaram a forma intencional (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018;Chu et al, 2019;Sullivan et al, 2018;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco a randomizada (Marco et al, 2006;Capewell, Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004).…”

Section: Resultsmentioning

confidence: 99%

“…A respeito dos participantes, dois estudos apresentaram como participantes enfermeiros, médicos e pacientes (Buchbinder, Wilbur, Mclean, Sleath, 2015;Syrjala et al, 2008), oito somente pacientes (Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Marco et al, 2006;Sullivan et al, 2018;Yates et al, 2004;West et al, 2003), um com pacientes e familiares (Capewell, Gregory, Closs & Bennett, 2010), um com pacientes e médicos (Street et al, 2010), Research, Society and Development, v. 10, n. 3, e25210313297, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i3.13297 um com enfermeiros e estudantes (Alvarez et al, 2018), e três somente com enfermeiros (Chu et al, 2019;Edwards et al, 2001;Yates et al, 2004).…”

Section: Resultsunclassified

See 3 more Smart Citations

Estratégias para o desenvolvimento de educação em saúde sobre dor no hospital

Hahn

Cordeiro

2021

RSD

View full text Add to dashboard Cite

A avaliação e a intervenção sobre a dor devem ser atividades prioritárias na atuação profissional no contexto hospitalar, pois ela impacta na qualidade de vida. Por isso, esta revisão integrativa teve por objetivo identificar, na literatura brasileira e internacional, estratégias para o desenvolvimento de educação em saúde sobre dor no hospital. A seleção dos estudos ocorreu, entre fevereiro e março de 2020, nas bases de dados Scientific Electronic Library Online (SCIELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scopus, PubMed e Web of Science. Foram identificados 449 artigos e, dentre eles, após a aplicação dos critérios de inclusão e exclusão, 17 compuseram o material empírico de análise. As informações extraídas dos estudos foram organizadas em planilha do programa Microsoft Excel, avaliou-se o nível de evidência das publicações, e a análise ocorreu com base na síntese e proximidade dos tipos de estratégias de educação em saúde. Os resultados abordaram três grupos de estratégias recomendadas para uso com profissionais de saúde, pacientes e cuidadores, a citar: tecnologias digitais, estratégias grupais e psicoeducativas, e cartilhas e materiais impressos. Constatou-se que os estudos apresentaram, em sua maioria, forte recomendação com base no nível de evidência. Vídeos, jogos, cartilhas, psicodrama e plataformas online são estratégias mais atraentes, interativas e acessíveis. Essas estratégias podem ser incorporadas durante a hospitalização, a fim de favorecer a compreensão e o protagonismo de pacientes e familiares no controle da dor, bem como pode ser utilizada com estudantes e profissionais de saúde.

show abstract

Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsunclassified

See 2 more Smart Citations

Estratégias para o desenvolvimento de educação em saúde sobre dor no hospital

Hahn

Cordeiro

2021

RSD

View full text Add to dashboard Cite

show abstract

“…Originally done face-to-face, most recently, this type of intervention, commonly known as “health coaching,” is also delivered electronically [ 67 ]. Coaching has been used as an intervention for chronic pain [ 68 ], weight loss [ 69 ], HIV medication adherence [ 70 ], and other health conditions. A recent review of coaching interventions found positive effects in most studies but highlighted the need for research to be more specific in describing coaching interventions including the types of behavior-change strategies used [ 71 ].…”

Section: Introductionmentioning

confidence: 99%

The Stepped Care Intervention to Suppress Viral Load in Youth Living With HIV: Protocol for a Randomized Controlled Trial

et al. 2019

View full text Add to dashboard Cite

BackgroundAmong youth living with HIV (YLH) aged 12-24 years who have health care in the United States, only 30% to 40% are virally suppressed. YLH must achieve viral suppression in order to reduce the probability of infecting others as well as increasing the length and quality of their own life.ObjectiveThis randomized controlled trial aimed to evaluate the efficacy of an Enhanced Standard Care condition (n=110) compared to an Enhanced Stepped Care intervention condition (n=110) to increase viral suppression among YLH aged 12-24 years with established infection (not acutely infected).MethodsYLH (N=220) who are not virally suppressed will be identified at homeless shelters, health clinics, and gay-identified community-based organizations in Los Angeles, CA, and New Orleans, LA. Informed consent will be obtained from all participants. YLH will be randomly assigned to one of two study conditions: Enhanced Standard Care, which includes standard clinical care plus an automated messaging and monitoring intervention (AMMI), or an Enhanced Stepped Care, which includes three levels of intervention (AMMI, Peer Support via social media plus AMMI, or Coaching plus Peer Support and AMMI). The primary outcome is viral suppression of HIV, and YLH will be assessed at 4-month intervals for 24 months. For the Enhanced Stepped Care intervention group, those who do not achieve viral suppression (via blood draw, viral load<200 copies/mL) at any 4-month assessment will “step up” to the next level of intervention. Secondary outcomes will be retention in care, antiretroviral therapy adherence, alcohol use, substance use, sexual behavior, and mental health symptoms.ResultsRecruitment for this study began in June 2017 and is ongoing. We estimate data collection to be completed by the end of 2020.ConclusionsThis is the first known application of an Enhanced Stepped Care intervention model for YLH. By providing the lowest level of intervention needed to achieve viral suppression, this model has the potential to be a cost-effective method of helping YLH achieve viral suppression and improve their quality of life.Trial RegistrationClinicalTrials.gov NCT03109431; https://clinicaltrials.gov/ct2/show/NCT03109431International Registered Report Identifier (IRRID)DERR1-10.2196/10791

show abstract

Improvement in pain interference and function by an allied health pain management program: Results of a randomized trial

Vandermost

Bagraith

Kennedy

et al. 2021

European Journal of Pain

View full text Add to dashboard Cite

Background Chronic pain is a significant health problem worldwide and requires a biopsychosocial treatment approach. Access to traditional pain medicine specialist services is limited and innovative treatment models are required to support patients in tertiary care. The study evaluated the clinical effectiveness and safety of the Treatment Access Pathway (TAP), an allied health expanded scope model of care which included innovative group assessment and collaboration with patients to create individualized treatment plans. Methods One hundred and eighty‐one patients referred to a tertiary level chronic pain service were randomly allocated to either the TAP or the waitlist study groups. Primary (pain interference) and secondary outcome measures were collected at recruitment and again at 6 months. Per‐protocol analyses were utilized due to high participant attrition (46% across groups). Results The TAP group reported greater reductions in pain interference at 6 months than waitlist group (0.9, 95% CI: 0.2–1.6), with more than half of the TAP group (52%) reporting clinically significant improvement. In addition, statistically significant differences between the TAP and waitlist groups were observed for objective measurements of walking endurance (5.4 m, 95% CI: 1.7–9.1); and global impressions of change (1.4 unit decrease, 95% CI: 1–1.9). Nil adverse events were recorded. Conclusions The study suggests that an expanded scope allied health model of care prioritizing patient choice and group‐based interventions provides modest benefits for tertiary‐referral chronic pain patients. TAP warrants further investigation as a potentially viable alternative for tertiary healthcare where traditional pain services are unavailable or have long waiting lists. Significance The study tests effectiveness and safety of an expanded scope allied health‐led chronic pain program. Despite a high attrition rate, the study showed reduced pain interference and increased physical function in those who completed the protocol. The results are promising and support introduction of this model as an adjunct to existing traditional chronic pain models of care, with a particular focus on improving participant retention in the program. Additionally, the model of care can be used as a standalone chronic pain model of care where no other pain management resources are available. The study was registered on ANZCTR (Trial ID: ACTRN12617001284358).

show abstract

A Controlled Pilot Trial of PainTracker Self-Manager, a Web-Based Platform Combined With Patient Coaching, to Support Patients' Self-Management of Chronic Pain

Cited by 16 publications

References 40 publications

Estratégias para o desenvolvimento de educação em saúde sobre dor no hospital

Estratégias para o desenvolvimento de educação em saúde sobre dor no hospital

The Stepped Care Intervention to Suppress Viral Load in Youth Living With HIV: Protocol for a Randomized Controlled Trial

Improvement in pain interference and function by an allied health pain management program: Results of a randomized trial

Contact Info

Product

Resources

About