A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain
Objectives: To evaluate a shared medical appointment (SMA) on opioids in the treatment of chronic pain. Research design: This prospective study was conducted at an ambulatory clinic within a health-care delivery system. The SMA is a single 90-minute encounter, led by a physician. We included adult p...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-09-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/2374373517706837 |
| _version_ | 1818870595299835904 |
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| author | Robert J Romanelli PhD, MPH Marina Dolginsky BS Yuliya Byakina BS Deborah Bronstein MD Sandra Wilson PhD |
| author_facet | Robert J Romanelli PhD, MPH Marina Dolginsky BS Yuliya Byakina BS Deborah Bronstein MD Sandra Wilson PhD |
| author_sort | Robert J Romanelli PhD, MPH |
| collection | DOAJ |
| description | Objectives: To evaluate a shared medical appointment (SMA) on opioids in the treatment of chronic pain. Research design: This prospective study was conducted at an ambulatory clinic within a health-care delivery system. The SMA is a single 90-minute encounter, led by a physician. We included adult patients who attended the SMA and completed an immediate pre–post survey. Survey items were measured on a scale from 0 (worst) to 5 (best). Mean differences in pre–post responses were assessed by a paired t test. Results: A total of 130 patients were included in the analysis. Patients showed improvements in confidence in self-managing pain (+0.44; 95% confidence interval [CI]: 0.29-0.59; P < .001) and their providers’ ability to help manage pain (+0.28; 95% CI: 0.14-0.43; P < .001). Most patients (81%) were very/extremely satisfied with the SMA. Conclusions: An SMA on the benefits and risks of opioids was associated with prompt improvements in patients’ confidence in self-managing pain and in their health-care providers’ ability to help manage pain. Such confidence can lay the foundation for increased patient engagement and activation in pain management. |
| first_indexed | 2024-12-19T12:09:31Z |
| format | Article |
| id | doaj.art-423f4bde88424d8886e73f9a59a5cef7 |
| institution | Directory Open Access Journal |
| issn | 2374-3743 2374-3735 |
| language | English |
| last_indexed | 2024-12-19T12:09:31Z |
| publishDate | 2017-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-423f4bde88424d8886e73f9a59a5cef72022-12-21T20:22:15ZengSAGE PublishingJournal of Patient Experience2374-37432374-37352017-09-01410.1177/2374373517706837A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic PainRobert J Romanelli PhD, MPH0Marina Dolginsky BS1Yuliya Byakina BS2Deborah Bronstein MD3Sandra Wilson PhD4 Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA Pharmacy Doctoral Program, University of California San Francisco, San Francisco, CA, USA Department of Managed Care, Palo Alto Medical Foundation, Mountain View, CA, USA Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USAObjectives: To evaluate a shared medical appointment (SMA) on opioids in the treatment of chronic pain. Research design: This prospective study was conducted at an ambulatory clinic within a health-care delivery system. The SMA is a single 90-minute encounter, led by a physician. We included adult patients who attended the SMA and completed an immediate pre–post survey. Survey items were measured on a scale from 0 (worst) to 5 (best). Mean differences in pre–post responses were assessed by a paired t test. Results: A total of 130 patients were included in the analysis. Patients showed improvements in confidence in self-managing pain (+0.44; 95% confidence interval [CI]: 0.29-0.59; P < .001) and their providers’ ability to help manage pain (+0.28; 95% CI: 0.14-0.43; P < .001). Most patients (81%) were very/extremely satisfied with the SMA. Conclusions: An SMA on the benefits and risks of opioids was associated with prompt improvements in patients’ confidence in self-managing pain and in their health-care providers’ ability to help manage pain. Such confidence can lay the foundation for increased patient engagement and activation in pain management.https://doi.org/10.1177/2374373517706837 |
| spellingShingle | Robert J Romanelli PhD, MPH Marina Dolginsky BS Yuliya Byakina BS Deborah Bronstein MD Sandra Wilson PhD A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain Journal of Patient Experience |
| title | A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain |
| title_full | A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain |
| title_fullStr | A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain |
| title_full_unstemmed | A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain |
| title_short | A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain |
| title_sort | shared medical appointment on the benefits and risks of opioids is associated with improved patient confidence in managing chronic pain |
| url | https://doi.org/10.1177/2374373517706837 |
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