Multidimensional Patient Impression of Change Following Interdisciplinary Pain Management

Gagnon, Christine; Scholten, Paul; Atchison, James W.

doi:10.1111/papr.12702

Cited by 19 publications

(30 citation statements)

References 29 publications

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“…Although the PGICS scale has been widely used in chronic pain clinical trials [49], it has not been used in chronic TMD. However, it is important to identify appropriate measures to assess functional changes [50] among patients with chronic pain related to TMD receiving treatment, since a perception of improvement after the treatment may reduce stress levels, and therefore, improve how they manage their condition. Furthermore, associations of PGICS ratings with other outcomes measures (e.g., depression, sleep, and vitality) have been demonstrated in other conditions [51] indicating the relationship between pain and other important health aspects which may be also considered as future research lines in TMD patients.…”

Section: Discussionmentioning

confidence: 99%

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Espí-López

Arnal‐Gómez

Pino

et al. 2020

JCM

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Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conducted to ascertain whether a combined program of MT techniques, including intraoral treatment, plus traditional ST improves pain and clinical dysfunction in subjects with TMD. Methods: A preliminary trial was conducted. 16 participants were assigned to either the MT plus ST-Experimental Group (EG, n = 8) or the ST alone—Control Group (CG, n = 8). Forty-five minute sessions of combined MT techniques were performed, once a week for four weeks. Three evaluations were conducted: baseline, post-treatment, and one-month follow-up. Outcome measures were pain perception, pain pressure threshold (PPT), TMD dysfunction, and perception of change after treatment. Results: EG showed significant reduction on pain, higher PPT, significant improvement of dysfunction and significantly positive perception of change after treatment (p < 0.05 all). Additionally, such positive effects were maintained at follow-up with a high treatment effect (R2 explaining 26.6–33.2% of all variables). Conclusion: MT plus ST showed reduction on perceived pain (3 points decrease), higher PPT (of at least 1.0 kg/cm2), improvement of disability caused by pain (4.4 points decrease), and positive perception of change (EG: 50% felt “much improvement”), compared to ST alone.

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Section: Discussionmentioning

confidence: 99%

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Espí-López

Arnal‐Gómez

Pino

et al. 2020

JCM

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“…Building up one's resources supports this process by providing a facilitating environment, developing one's performance in interacting with their environment [7], regulating inappropriate adaptive stress responses posited to cause disorders such as depression and chronic fatigue syndrome [8], and reducing the calamitous impact poorly managed symptoms can have on healthcare systems [9]. Multidisciplinary approaches to pain management yield significant improvement in pain, physical and perceived functioning, emotional distress, pain acceptance and coping, and in the decreased use of maladaptive and passive coping strategies [10] [11]. Coordinated interdisciplinary approaches offer the best clinical care for patients with chronic pain and is also the most cost-effective approach [12].…”

Section: Multidisciplinary Rehabilitation For Symptom Managementmentioning

confidence: 99%

Vibroacoustic treatment to improve functioning and ability to work: a multidisciplinary approach to chronic pain rehabilitation

Campbell¹,

Hynynen

Burger

et al. 2019

Disability and Rehabilitation

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“…Following the medical evaluation, each physician completed an electronic assessment whereby they selected each of the domains they perceived their patients to have difficulty with. The 7 domains were selected based on their inclusion in the MPIC scale that is used for assessing post‐program treatment patient impression of change.…”

Section: Methodsmentioning

confidence: 99%

“…However, little to no data are collected from physicians to measure their assessment of the patients’ impairments beyond their subjective assessment documented in the medical record. The Multidimensional Patient Impression of Change (MPIC) was recently developed as a patient‐reported outcomes tool for persons with chronic pain completing a treatment program. The presence of the clinical domains included in the MPIC was assessed by both physicians and their patients at the time of evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…Such interdisciplinary pain management programs teach self‐management strategies to address both the physical and emotional components of a patient's pain and ultimately maximize function. They are the most effective, low‐risk, and cost‐effective means of improving pain, affective distress, and function in both the immediate and long term …”

Section: Introductionmentioning

confidence: 99%

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Impact of Symptom Reporting Agreement on Interdisciplinary Pain Program Participation

et al. 2019

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Objective To investigate whether physician–patient agreement of potential patient problem areas impacts subsequent patient enrollment in an interdisciplinary pain management program. Design Retrospective chart review of 544 patients who underwent evaluation of their chronic pain. Physicians and their patients endorsed perceived patient problems during the evaluation. The potential problems included 7 clinical domains: pain, sleep, mood, physical functioning, ability to cope with pain, ability to manage pain flare‐ups, and pain medication effectiveness. Results Results indicated statistically significant levels of agreement among the physicians and their patients (free‐marginal kappa range, 0.19 to 0.94, P's < 0.001). The highest agreement occurred for pain and the lowest for pain medication effectiveness. Patients who enrolled in a recommended program did not differ from those who did not enroll based on either levels of agreement or average number of physician–patient agreements for the 7 clinical domains (P's > 0.05). Patients recommended for higher‐intensity programs were perceived by their evaluating physician to have a significantly greater number of problematic clinical domains than those recommended for less intense pain programs. Conclusion The level of physician–patient agreement regarding the patients’ current difficulties did not appear to influence patients’ decisions to participate in interdisciplinary pain management. Extraneous, nonclinical factors may have had a greater impact on participation in interdisciplinary pain management than physician–patient agreement. Future research should focus on identifying these factors and their impact. Also, studying the impact of physician–patient agreement beyond enrollment status (eg, on successful program completion) may be helpful in potentially enhancing patient outcomes.

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Multidimensional Patient Impression of Change Following Interdisciplinary Pain Management

Abstract: Our results support the use of the MPIC as a quick and easy post-treatment assessment screening tool. Future research is needed to examine relevant correlates to Medication Effectiveness.

Cited by 19 publications

References 29 publications

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Vibroacoustic treatment to improve functioning and ability to work: a multidisciplinary approach to chronic pain rehabilitation

Impact of Symptom Reporting Agreement on Interdisciplinary Pain Program Participation

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