Educating Generalist Physicians about Chronic Pain: Live Experts and Online Education Can Provide Durable Benefits

Harris, John; Elliott, Thomas E.; Davis, Bennet; Chabal, Charles; Fulginiti, John V.; Fine, Perry G.

doi:10.1111/j.1526-4637.2007.00399.x

Cited by 41 publications

(53 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 The burden of illness demonstrated by the STOP-PAIN-1 & 2 studies -together with the sheer magnitude of resource shortages suggested by recent waitlist data 4 -points to some combination of possible problems, including: 1) inadequate assessment and treatment in the primary care setting leading to excessive referral; 2) inefficient triage and processing of referred patients; and 3) insufficient resources to care for referred patients in a timely manner. In light of these issues, continued improvements in the primary care setting are anticipated with recently accelerated educational endeavours 9 and innovations, such as collaborative care models for chronic pain. 10 Also, efforts to refine the triage of chronic pain referrals according to urgency together with enhanced communication with referring physicians may improve overall efficiency in waitlist management.…”

mentioning

confidence: 99%

L’impact financier de la douleur chronique, ou comment la science peut guider les politiques de santé

Gilron

Johnson

2010

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Prevalence estimates between 15-40% of the general population have been reported in epidemiologic studies of chronic noncancer pain 1 which includes headache, arthritis, fibromyalgia, low back and neck, post-traumatic, neuropathic, visceral and other causes of pain. Recognizing the biopsychosocial complexity of chronic pain and the fact that diagnosis and/or cure of underlying conditions is often unsuccessful, John Bonica et al. pioneered the concept of multidisciplinary pain clinics over 50 years ago to manage these devastating conditions. 2 Although chronic pain generally presents first to primary care practitioners, pain clinic referrals are made often for resistance to first-line treatments, severe unremitting pain and/or complex psychosocial situations. A wide variety of chronic pain treatment interventions are aimed at reducing pain, improving mood, promoting better physical, occupational, and social function, and teaching individual and family coping skills. A longstanding recognition of the value of pain clinics together with an increasing prevalence of chronic pain have led to growth in demand, waiting list size, and international concerns over limited pain treatment resources. 3,4 In Canada, a task force was recently established to study pain treatment waiting times. 4 In this issue of the Journal, STOP-PAIN Research Group investigators report on the biopsychosocial 5 and economic 6 burden of pain in individuals waiting to consult with a pain specialist.In STOP-PAIN-1, 728 of the 3,343 invitees from a waiting list to be seen at any of eight Canadian universitybased pain clinics completed several validated questionnaires regarding demographics, pain, sleep, and physical and emotional functioning. 5 To evaluate changes over time, 271 of the 512 randomly selected respondents repeated the questionnaires three months afterwards. In the linked STOP-PAIN-2 study, a subgroup of 272 of the 512 randomly selected respondents completed daily questionnaires about publicly and privately funded healthcarerelated costs (direct and indirect) over a three-month period. 6 STOP-PAIN-1 results indicated a shockingly high level of pain burden with ratings of severe pain, sleep disturbance, and interference with normal activities in approximately 66% of respondents, moderate or severe depression in 50% of respondents, and suicidal ideation in 35% of respondents. Compared with the general population, the results of the SF-36 questionnaire suggested profound quality of life impairments of 40-70% of respondents. Despite some small statistical differences, changes over the three-month follow up were unremarkable. STOP-PAIN-2 results indicated median participant care costs of $1,462 (CDN)/month or an overwhelming $17,544/year, the vast majority of which was indirect, e.g., lost labour time, and privately funded. As with other surveys, these investigations need to be considered in the context of some important methodological limitations, including likely heterogeneity of the study population, limited generalization to broader trea...

show abstract

mentioning

confidence: 99%

L’impact financier de la douleur chronique, ou comment la science peut guider les politiques de santé

Gilron

Johnson

2010

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…Knowledge gain was mostly assessed through pre and post testing of knowledge immediately before and immediately post intervention although several of the studies did include additional post testing at two weeks [96], three months [1,97,101] and six months [104].…”

Section: Populationsmentioning

confidence: 99%

“…These consisted of one, [96] being conducted in Canada through the emergency department of the University of Toronto, one, [97] being conducted through the University of Arizona College of Medicine, one, [1] through primary care centers in Houston, Texas and one, [98] through the North Carolina community hospital in Arizona.…”

Section: Settingsmentioning

confidence: 99%

“…Harris et al, [97] used a pre-test post-test design in 2 different GP groups to assess knowledge, attitudes and behaviors (KAB) in pain management delivered through either online or face-to-face training. Participants were allocated into either a live lecture on pain management or an online programme using laptop computers with each being 4-hours and occurring during the second day of a 2-day CME event on geriatric care.…”

Section: Populationsmentioning

confidence: 99%

“…The predominant outcomes measured by ten of the thirteen studies [1][2][3][96][97][98][99][100][101][102] focused on knowledge gain and skills with eight of these also reviewing acceptability and satisfaction with the course [1][2][3]96,97,99,101,102]. Knowledge gain was mostly assessed through pre and post testing of knowledge immediately before and immediately post intervention although several of the studies did include additional post testing at two weeks [96], three months [1,97,101] and six months [104].…”

Section: Populationsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review to compare the effectiveness of face-to-face versus online (including blended learning) delivery of CME/CPD for healthcare practitioners (HCPs)

Sullivan¹

View full text Add to dashboard Cite

i A systematic review to compare the effectiveness of face-to-face versus online (including blended learning) delivery of CME/CPD for healthcare practitioners (HCPs). Lisa Gaye Sullivan BBus-Marketing A thesis submitted for the degree of Master of Philosophy at The University of Queensland in 2017Medicine Faculty ii Abstract Objectives: With the ever increasing use of online learning, a systemic review of randomized clinical trials from January 2000 to October 2014 was conducted to investigate the effectiveness of education delivery for CME/CPD between face-to-face and online (including blended) learning modalities in healthcare practitioners (HCPs).Settings: Thirteen studies fit the inclusion criteria and of these four were from North America, two from Iran, two from Asia, four from Europe and one from Australia.Populations varied with five of the studies being conducted amongst primary care physicians (GPs), one with occupational physicians, five with nurses, one with allied health including physiotherapists, occupational therapists and exercise physiologists and one with a mixture of scientists and physicians.Interventions: The interventions used across the studies varied with eleven of the studies comparing face-to-face with online learning, and only two studies comparing blended with face-to-face learning. There were no studies comparing blended with online learning only.Outcomes Measures: The predominant outcomes measured by ten of the thirteen studies focused on knowledge gain and skills with eight of these also reviewing acceptability and satisfaction with the course. Knowledge gain was mostly assessed through pre and post-testing of knowledge immediately before and immediately post-intervention although several of the studies did include additional post-testing at two weeks, three months and six months.Only one study assessed preference for learning styles for future CME activities and found that all those in the web-based group (100%) and 97% of the face-to-face group wanted to stay with the same learning medium as they had experienced in the intervention.Results: Of the eleven studies comparing online with face-to-face education, all found similar and usually lasting improvements in knowledge gain from baseline with both groups suggesting that online learning was comparable or at least as effective as onsite or face-to-face training. Increased knowledge, attitudes (perception of confidence) or change in practice were found in three of the studies [1-3] with another two assessing disease detection, diagnosis and management or concordance with guidelines.iii Discussion: Although numerous studies have been conducted comparing the effectiveness of online learning or the effectiveness of face-to-face learning in CME/CPD delivery for HCPs, it appears this is the first review that has looked specifically at studies comparing the two modalities.Conclusions: Further comparative research of the different delivery modalities is required. Any new studies should include those elements known to be effective in CME ...

show abstract

E-learning for health professionals

Vaona

Banzi

Kwag

et al. 2018

Cochrane Database of Systematic Reviews

256

212

View full text Add to dashboard Cite

show abstract

Educating Generalist Physicians about Chronic Pain: Live Experts and Online Education Can Provide Durable Benefits

Abstract: When used under similar conditions, national speakers and a publicly available online CME program were associated with improved pain management KAB in physicians. The benefits lasted for 3 months. These findings support the continued use of these pain education strategies.

Cited by 41 publications

References 7 publications

L’impact financier de la douleur chronique, ou comment la science peut guider les politiques de santé

L’impact financier de la douleur chronique, ou comment la science peut guider les politiques de santé

A systematic review to compare the effectiveness of face-to-face versus online (including blended learning) delivery of CME/CPD for healthcare practitioners (HCPs)

E-learning for health professionals

Contact Info

Product

Resources

About