Calling All Pain Patients: Telehealth Has Arrived

Kroenke, Kurt

doi:10.1111/j.1533-2500.2012.00588.x

Cited by 3 publications

(7 citation statements)

References 18 publications

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“…32,33 Telecare has considerable potential for interventions focused predominantly on pain and other symptoms, since patient-reported outcomes are amenable to remote monitoring, and treatment adjustments, such as medication changes and prescriptions, can often be made telephonically. 9,10 Also, evidence-based behavioural interventions for chronic pain (such as pain self-management and cognitive-behavioural therapy) have proven effective when administered telephonically. 10,16,34,35 Given the prevalence of chronic pain and its associated disability as well as health care and societal costs, telecare has the potential of augmenting office-based care in an effective and efficient fashion.…”

Section: Suggested Changes (Number Of Participants Who Recommend Change)mentioning

confidence: 99%

“…[6][7][8] Telecare interventions can assist patients with chronic illnesses to manage their pain by providing access to geographically distant healthcare providers who can monitor pain symptoms remotely. 9,10 One component of telecare interventions is automated symptom monitoring (ASM), in which patients record information about their health using interactive telephone calls or Web-based surveys. [10][11][12] Another component of telecare interventions is contact with nurses or other healthcare professionals who follow up on patients' reported symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…9,10 One component of telecare interventions is automated symptom monitoring (ASM), in which patients record information about their health using interactive telephone calls or Web-based surveys. [10][11][12] Another component of telecare interventions is contact with nurses or other healthcare professionals who follow up on patients' reported symptoms. 10,11 Several randomized trials of telecare interventions for the management of pain have indicated that these interventions are effective in reducing symptom severity, functional impairment and pain-related disability.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12] Another component of telecare interventions is contact with nurses or other healthcare professionals who follow up on patients' reported symptoms. 10,11 Several randomized trials of telecare interventions for the management of pain have indicated that these interventions are effective in reducing symptom severity, functional impairment and pain-related disability. [12][13][14][15][16][17] However, in addition to effectiveness, the acceptability of telecare interventions needs to be assessed.…”

Section: Introductionmentioning

confidence: 99%

“…10–12 Another component of telecare interventions is contact with nurses or other healthcare professionals who follow up on patients’ reported symptoms. 10,11…”

Section: Introductionmentioning

confidence: 99%

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Acceptability of a telecare intervention for persistent musculoskeletal pain

Guilkey

Draucker

et al. 2016

J Telemed Telecare

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Introduction Persistent musculoskeletal pain is a prevalent, disabling, and often undertreated condition. This paper examines the acceptability of a telecare intervention for this condition. Methods The Stepped Care to Optimize Pain Care Effectiveness (SCOPE) intervention couples automatic symptom monitoring (ASM) with optimized analgesic care management by a nurse-physician team. Data from participants in the telecare intervention arm (n = 124) of a randomized control trial of SCOPE were analysed to determine the acceptability of the telecare intervention as indicated by patient use and satisfaction. Results Most (93.5%) patients completed at least one ASM report, selecting equally web-based (49%) or interactive voice-recorded (51%) reporting. The median number of ASM reports and nurse contacts per patient was 15 and 12, respectively. Of 12 demographic and clinical factors examined, none predicted the number of ASM reports, whereas nurse contacts were more frequent in patients with higher pain severity or receiving opioids. Only a minority of ASM reports required an expedited nurse call, with the most frequent alerts being for a medication change, a nurse call or side effects. Most (92%) patients rated ASM as easy to use and found the ASM reporting (76%) and nurse contacts (81%) very or moderately helpful. Nearly three-fourths of patients rated their overall pain treatment as good to excellent. The most common suggestions from patient feedback were for a free-text messaging function, more frequent nurse contact and less redundancy in ASM reporting items. Discussion Participants generally found the telecare intervention a user-friendly and helpful approach for treating persistent musculoskeletal pain.

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Section: Suggested Changes (Number Of Participants Who Recommend Change)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…10–12 Another component of telecare interventions is contact with nurses or other healthcare professionals who follow up on patients’ reported symptoms. 10,11…”

Section: Introductionmentioning

confidence: 99%

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Acceptability of a telecare intervention for persistent musculoskeletal pain

Guilkey

Draucker

et al. 2016

J Telemed Telecare

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Interdisciplinary chronic pain management: Past, present, and future.

Gatchel¹,

McGeary²,

McGeary³

et al. 2014

American Psychologist

662

488

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Chronic pain is a significant and costly problem in the United States as well as throughout the industrialized world. Unfortunately, there have been concerns about the effectiveness of traditional medical interventions, suggesting the need for alternative chronic pain treatment strategies. However, the introduction of the biopsychosocial model of pain during the past decade stimulated the development of more therapeutically effective and cost-effective interdisciplinary chronic pain management programs. In the present article we briefly review the history of pain management, discuss the major components of a "true" interdisciplinary pain management program, focus on the evidence-based outcomes that have documented the effectiveness of such interdisciplinary pain management programs, and note the barriers that have blocked the wider use of such programs. Finally, we discuss future directions in interdisciplinary pain management.

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