Better management of chronic pain care for all

MacDonald, Noni E.; Flegel, Ken; Hébert, Paul C.; Stanbrook, Matthew B.

doi:10.1503/cmaj.111065

Cited by 19 publications

(14 citation statements)

References 6 publications

(4 reference statements)

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“…Similarly, many patients spoke to medication as an alternative rather than the sole option and also spoke to the importance for adherence. This key finding validates literature calling for comprehensive pain management approaches [7][8]25,[29][30]. Additionally, patients generally asked for a reduction in verbal learning (e.g., didactic lecture) and an increase in visual activities (e.g., demonstrations) and process/discussion.…”

Section: Discussionsupporting

confidence: 78%

Mixed-method approach to veteran satisfaction with pain education

Watson

Coghill²,

Lin³

2014

J Rehabil Res Dev

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Abstract-Patient education is a central component in highquality integrated care of patients with chronic pain. The current study assessed patients' satisfaction with a 12 wk "Pain Education School" program within the initial 2 yr phase of implementation. A mixed-method treatment outcome design was used. A sample of 219 veterans between November 6, 2009, and January 20, 2012, was evaluated. Quantitative findings suggest that patients reported learning "new and useful" information (mean = 4.62 +/-0.82), perceived the program as "easy to understand" (4.62 +/-0.70), used the learned information (4.58 +/-0.77), and recommended the program to others (4.71 +/-0.74). Four thematic maps emerged from the qualitative data. Response percentages were calculated in order to illustrate the relative magnitude of emerging themes and subthemes corresponding to participant extracts.

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Section: Discussionsupporting

confidence: 78%

Mixed-method approach to veteran satisfaction with pain education

Watson

Coghill²,

Lin³

2014

J Rehabil Res Dev

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“…5,6 Nevertheless, CP is still underreported, underdiagnosed, and underrecognized in clinical practice and among the general public. [7][8][9][10][11][12] Despite decades of research in the field, CP management continues to be far from optimal, with patients going from one doctor to another and seeking different health care treatments 13,14 Various factors can explain this situation: (1) knowledge gaps and lack of training of health care professionals, (2) limited access to pain clinics and resources, (3) suboptimal use or efficacy of treatment modalities, and (4) lack of recognition of this condition, particularly in primary care settings. [10][11][12][15][16][17] Stigmatization and lack of empathy toward CP sufferers from people of the community, including health care professionals, is also reported.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, beliefs, and attitudes of the Quebec population toward chronic pain: Where are we now?

Lacasse

Choinière

Connelly

2017

Canadian Journal of Pain

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Background: Many chronic pain (CP) awareness and educational initiatives have been achieved, but it is time to take stock of where we are today. Aims: The aim of this study was to describe and identify determinants of knowledge, beliefs, and attitudes of different subgroups of the Quebec population regarding CP and especially toward people suffering from this condition. Methods: A web-based, cross-sectional study was conducted between May and June 2014. Results: A total of 1958 participants responded, among whom 70.9% reported suffering from CP and 14.4% reported being a health care professional (HCP). Almost half of the participants were not aware that the risk of developing CP is increased after undergoing surgery or that CP affects approximately one in five adults. A minority (10.30%) agreed that HCP are well trained in CP treatment. The two most frequent negative beliefs were that people suffering from CP become dependent on their medications as do drug addicts (16.7%) and that consulting a psychologist is useless unless the person with CP is depressed (16.9%). Multiple regression analysis showed that being a woman, being born in Canada, being unemployed, suffering from CP, and being an HCP were predictors of better knowledge and more positive attitudes toward people suffering from CP (all P values < 0.05). Older age and residing in a remote region were associated with poorer knowledge and more negative attitudes. Conclusions: Our results underline the importance of continuing the efforts and the need for more education programs, awareness campaigns, and stigma reduction activities about CP for HCP, patients, and the general public. RÉSUMÉ Contexte : De nombreuses initiatives de sensibilisation et d'éducation à propos de la douleur chronique ont été réalisées mais le temps est venu de faire le point sur la situation actuelle. Objectifs : Décrire et identifier les déterminants des connaissances, des attitudes et des croyances de différents sous-groupes de la population du Québec en ce qui concerne la douleur chronique, en particulier à l'égard des personnes qui souffrent de cette condition. Méthodes : Une étude transversale en ligne a été menée entre mai et juin 2014. Résultats : Au total, 1 958 participants ont répondu, parmi lesquels 70,9 % ont déclaré souffrir de douleur chronique et 14,4 % ont déclaré être des professionnels de la santé. Près de la moitié des participants ne savaient pas que le risque de souffrir de douleur chronique augmente après une intervention chirurgicale ou que la douleur chronique affecte près d'un adulte sur cinq. Une minorité (10,30 %) était d'accord pour dire que les professionnels de la santé sont bien formés pour traiter la douleur chronique. Les deux croyances négatives les plus fréquentes étaient que les personnes souffrant de douleur chronique deviennent dépendantes à leur médication tout comme des toxicomanes (16,7 %) et qu'il est inutile de consulter un psychologue sauf si la personne souffrant de douleur chronique est déprimée (16,9 %). Une analyse de régression multiple...

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“…It is well documented that CP is commonly underreported, underrecognized, and underdiagnosed in clinical practice and in the community [ 12 – 16 ]. Its treatment remains suboptimal, mainly because of insufficient training of healthcare professionals, limited access to specialized pain clinics, suboptimal use or efficacy of treatment modalities, and lack of recognition of this condition [ 6 , 13 , 14 , 16 – 18 ]. Heightened awareness coupled to better education about this condition for the healthcare professionals, the patients, and the general public is an important but a still neglected aspect in the efforts to improve CP management [ 17 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

The Chronic Pain Myth Scale: Development and Validation of a French-Canadian Instrument Measuring Knowledge, Beliefs, and Attitudes of People in the Community towards Chronic Pain

Lacasse

Connelly

Choinière

2016

Pain Research and Management

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Background. In order to better design awareness programs on chronic pain (CP), measurement of knowledge, beliefs, and attitudes of people in the community towards this condition is most useful. Objectives. To develop and validate a French-Canadian scale that could be used for this purpose. Methods. Items of the Chronic Pain Myth Scale (CPMS) were developed based on different information sources, reviewed by pain experts, and pretested. The CPMS was administered to 1555 participants among the general Quebec population. Results. The final CPMS contained 26 items allowing the calculation of three subscales scores (knowledge, beliefs, and attitudes towards people suffering from CP, biopsychosocial impacts of CP, and treatment of CP) which showed adequate internal consistency (α = 0.72–0.82). There were statistically significant differences in subscales scores between participants who reported suffering versus not suffering from CP, reported knowing versus not knowing someone who suffers from CP, and reported being versus not being a healthcare professional, which supports the construct validity of the scale. Conclusions. Our results provide preliminary evidence supporting the psychometric qualities of the use of the CPMS for the measurement of knowledge, beliefs, and attitudes towards CP among French-speaking individuals of the Quebec general population.

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Better management of chronic pain care for all

Cited by 19 publications

References 6 publications

Mixed-method approach to veteran satisfaction with pain education

Mixed-method approach to veteran satisfaction with pain education

Knowledge, beliefs, and attitudes of the Quebec population toward chronic pain: Where are we now?

The Chronic Pain Myth Scale: Development and Validation of a French-Canadian Instrument Measuring Knowledge, Beliefs, and Attitudes of People in the Community towards Chronic Pain

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