“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments
Abstract Objective To evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain. Design This is a retrospective, pre–post r...
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| Veröffentlicht in: | Pain medicine (Malden, Mass.) Mass.), 2021-01, Vol.22 (1), p.181-190 |
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| creator | Znidarsic, Josie Kirksey, Kellie N Dombrowski, Stephen M Tang, Anne Lopez, Rocio Blonsky, Heather Todorov, Irina Schneeberger, Dana Doyle, Jonathan Libertini, Linda Jamie, Starkey Segall, Tracy Bang, Andrew Barringer, Kathy Judi, Bar Ehrman, Jane Pernotto Roizen, Michael F Golubić, Mladen |
| description | Abstract
Objective
To evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain.
Design
This is a retrospective, pre–post review of “Living Well with Chronic Pain” shared medical appointments (August 2016 through May 2018).
Setting
The appointments included eight 3-hour-long visits held once per week at an outpatient wellness facility.
Subjects
Patients with chronic, non–cancer-related pain.
Methods
Patients received evaluation and evidence-based therapies from a team of integrative and lifestyle medicine professionals, as well as education about nonpharmacological therapeutic approaches, the etiology of pain, and the relationship of pain to lifestyle factors. Experiential elements focused on the relaxation techniques of meditation, yoga, breathing, and hypnotherapy, while patients also received acupuncture, acupressure, massage, cognitive behavioral therapy, and chiropractic education. Patients self-reported data via the Patient-Reported Outcomes Measurement Information System (PROMIS-57) standardized questionnaire. Use of opioid medications was evaluated in morphine milligram equivalents.
Results
A total of 178 participants completed the PROMIS-57 questionnaire at the first and the last visits. Statistically significant improvements in all domains (Physical Functioning, Anxiety, Depression, Fatigue, Social Roles, Pain Interference, and Sleep Disturbance) were observed (P |
| doi_str_mv | 10.1093/pm/pnaa418 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7861469</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A700892216</galeid><oup_id>10.1093/pm/pnaa418</oup_id><sourcerecordid>A700892216</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-eb3f138b8c9b281186d316f718e6624899e2543e73a581a14a1b819c7fce1e0a3</originalsourceid><addsrcrecordid>eNp9kt-K1DAUxoMo7u7ojQ8gARFEmN2epk3SvRCGwT8LsyioeBnT9LSTpU1q2s7i3T6Ivtw-iRlnXF0RyUXCOb985zuHQ8gjSI4hKdhJ3530TusM5B1yCHnK5xln4u7-nTKRH5CjYbhIEuCZZPfJAWN5xlLODsnn66tvK7uxrqGfsG3ppR3XdLkO3llD32nrrq--n9IzN2IT9Gg3-DNIz7XTDXboRrqxmr5f64AVPcfKGt3SRd9768ZtenhA7tW6HfDh_p6Rj69efli-ma_evj5bLlZzkydsnGPJamCylKYoUwkgecWA1wIkcp5msigwjZ5RMJ1L0JBpKCUURtQGARPNZuTFTrefyg4rE2sH3ao-2E6Hr8prq25nnF2rxm-UkBwyXkSBZ3uB4L9MOIyqs4OJM9EO_TSoaEJAtBLtzsiTv9ALPwUX21NpLgTPIRPwm2p0i8q62se6ZiuqFiJJZJGmwCN1_A8qngo7a7zD2sb4rQ_Pdx9M8MMQsL7pERK13QfVd2q_DxF-_OdUbtBfCxCBpzvAT_3_hH4Avam-VA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2577651471</pqid></control><display><type>article</type><title>“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Znidarsic, Josie ; Kirksey, Kellie N ; Dombrowski, Stephen M ; Tang, Anne ; Lopez, Rocio ; Blonsky, Heather ; Todorov, Irina ; Schneeberger, Dana ; Doyle, Jonathan ; Libertini, Linda ; Jamie, Starkey ; Segall, Tracy ; Bang, Andrew ; Barringer, Kathy ; Judi, Bar ; Ehrman, Jane Pernotto ; Roizen, Michael F ; Golubić, Mladen</creator><creatorcontrib>Znidarsic, Josie ; Kirksey, Kellie N ; Dombrowski, Stephen M ; Tang, Anne ; Lopez, Rocio ; Blonsky, Heather ; Todorov, Irina ; Schneeberger, Dana ; Doyle, Jonathan ; Libertini, Linda ; Jamie, Starkey ; Segall, Tracy ; Bang, Andrew ; Barringer, Kathy ; Judi, Bar ; Ehrman, Jane Pernotto ; Roizen, Michael F ; Golubić, Mladen</creatorcontrib><description>Abstract
Objective
To evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain.
Design
This is a retrospective, pre–post review of “Living Well with Chronic Pain” shared medical appointments (August 2016 through May 2018).
Setting
The appointments included eight 3-hour-long visits held once per week at an outpatient wellness facility.
Subjects
Patients with chronic, non–cancer-related pain.
Methods
Patients received evaluation and evidence-based therapies from a team of integrative and lifestyle medicine professionals, as well as education about nonpharmacological therapeutic approaches, the etiology of pain, and the relationship of pain to lifestyle factors. Experiential elements focused on the relaxation techniques of meditation, yoga, breathing, and hypnotherapy, while patients also received acupuncture, acupressure, massage, cognitive behavioral therapy, and chiropractic education. Patients self-reported data via the Patient-Reported Outcomes Measurement Information System (PROMIS-57) standardized questionnaire. Use of opioid medications was evaluated in morphine milligram equivalents.
Results
A total of 178 participants completed the PROMIS-57 questionnaire at the first and the last visits. Statistically significant improvements in all domains (Physical Functioning, Anxiety, Depression, Fatigue, Social Roles, Pain Interference, and Sleep Disturbance) were observed (P < 0.001) between the pre-intervention (visit 1) and post-intervention (visit 8) scores. Average opioid use decreased nonsignificantly over the 8-week intervention, but the lower rate of opioid use was not sustained at 6 and 12 months’ follow-up.
Conclusions
Patients suffering from chronic pain who participated in a multidisciplinary, nonpharmacological treatment approach delivered via shared medical appointments experienced reduced pain and improved measures of physical, mental, and social health without increased use of opioid pain medications.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1093/pm/pnaa418</identifier><identifier>PMID: 33543263</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Acupuncture ; Care and treatment ; Chronic pain ; Chronic Pain - therapy ; Cognitive ability ; Cognitive behavioral therapy ; Cognitive therapy ; Dosage and administration ; Etiology ; Health aspects ; Humans ; Hypnotherapy ; Integrative Medicine Section ; Medical appointments ; Meditation ; Methods ; Morphine ; Narcotics ; Opioids ; Pain ; Pain Management ; Patients ; Quality of Life ; Questionnaires ; Relaxation ; Retrospective Studies ; Shared Medical Appointments ; Statistical analysis ; Statistics</subject><ispartof>Pain medicine (Malden, Mass.), 2021-01, Vol.22 (1), p.181-190</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.</rights><rights>COPYRIGHT 2021 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-eb3f138b8c9b281186d316f718e6624899e2543e73a581a14a1b819c7fce1e0a3</citedby><cites>FETCH-LOGICAL-c503t-eb3f138b8c9b281186d316f718e6624899e2543e73a581a14a1b819c7fce1e0a3</cites><orcidid>0000-0002-1081-824X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33543263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Znidarsic, Josie</creatorcontrib><creatorcontrib>Kirksey, Kellie N</creatorcontrib><creatorcontrib>Dombrowski, Stephen M</creatorcontrib><creatorcontrib>Tang, Anne</creatorcontrib><creatorcontrib>Lopez, Rocio</creatorcontrib><creatorcontrib>Blonsky, Heather</creatorcontrib><creatorcontrib>Todorov, Irina</creatorcontrib><creatorcontrib>Schneeberger, Dana</creatorcontrib><creatorcontrib>Doyle, Jonathan</creatorcontrib><creatorcontrib>Libertini, Linda</creatorcontrib><creatorcontrib>Jamie, Starkey</creatorcontrib><creatorcontrib>Segall, Tracy</creatorcontrib><creatorcontrib>Bang, Andrew</creatorcontrib><creatorcontrib>Barringer, Kathy</creatorcontrib><creatorcontrib>Judi, Bar</creatorcontrib><creatorcontrib>Ehrman, Jane Pernotto</creatorcontrib><creatorcontrib>Roizen, Michael F</creatorcontrib><creatorcontrib>Golubić, Mladen</creatorcontrib><title>“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract
Objective
To evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain.
Design
This is a retrospective, pre–post review of “Living Well with Chronic Pain” shared medical appointments (August 2016 through May 2018).
Setting
The appointments included eight 3-hour-long visits held once per week at an outpatient wellness facility.
Subjects
Patients with chronic, non–cancer-related pain.
Methods
Patients received evaluation and evidence-based therapies from a team of integrative and lifestyle medicine professionals, as well as education about nonpharmacological therapeutic approaches, the etiology of pain, and the relationship of pain to lifestyle factors. Experiential elements focused on the relaxation techniques of meditation, yoga, breathing, and hypnotherapy, while patients also received acupuncture, acupressure, massage, cognitive behavioral therapy, and chiropractic education. Patients self-reported data via the Patient-Reported Outcomes Measurement Information System (PROMIS-57) standardized questionnaire. Use of opioid medications was evaluated in morphine milligram equivalents.
Results
A total of 178 participants completed the PROMIS-57 questionnaire at the first and the last visits. Statistically significant improvements in all domains (Physical Functioning, Anxiety, Depression, Fatigue, Social Roles, Pain Interference, and Sleep Disturbance) were observed (P < 0.001) between the pre-intervention (visit 1) and post-intervention (visit 8) scores. Average opioid use decreased nonsignificantly over the 8-week intervention, but the lower rate of opioid use was not sustained at 6 and 12 months’ follow-up.
Conclusions
Patients suffering from chronic pain who participated in a multidisciplinary, nonpharmacological treatment approach delivered via shared medical appointments experienced reduced pain and improved measures of physical, mental, and social health without increased use of opioid pain medications.</description><subject>Acupuncture</subject><subject>Care and treatment</subject><subject>Chronic pain</subject><subject>Chronic Pain - therapy</subject><subject>Cognitive ability</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive therapy</subject><subject>Dosage and administration</subject><subject>Etiology</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hypnotherapy</subject><subject>Integrative Medicine Section</subject><subject>Medical appointments</subject><subject>Meditation</subject><subject>Methods</subject><subject>Morphine</subject><subject>Narcotics</subject><subject>Opioids</subject><subject>Pain</subject><subject>Pain Management</subject><subject>Patients</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Relaxation</subject><subject>Retrospective Studies</subject><subject>Shared Medical Appointments</subject><subject>Statistical analysis</subject><subject>Statistics</subject><issn>1526-2375</issn><issn>1526-4637</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kt-K1DAUxoMo7u7ojQ8gARFEmN2epk3SvRCGwT8LsyioeBnT9LSTpU1q2s7i3T6Ivtw-iRlnXF0RyUXCOb985zuHQ8gjSI4hKdhJ3530TusM5B1yCHnK5xln4u7-nTKRH5CjYbhIEuCZZPfJAWN5xlLODsnn66tvK7uxrqGfsG3ppR3XdLkO3llD32nrrq--n9IzN2IT9Gg3-DNIz7XTDXboRrqxmr5f64AVPcfKGt3SRd9768ZtenhA7tW6HfDh_p6Rj69efli-ma_evj5bLlZzkydsnGPJamCylKYoUwkgecWA1wIkcp5msigwjZ5RMJ1L0JBpKCUURtQGARPNZuTFTrefyg4rE2sH3ao-2E6Hr8prq25nnF2rxm-UkBwyXkSBZ3uB4L9MOIyqs4OJM9EO_TSoaEJAtBLtzsiTv9ALPwUX21NpLgTPIRPwm2p0i8q62se6ZiuqFiJJZJGmwCN1_A8qngo7a7zD2sb4rQ_Pdx9M8MMQsL7pERK13QfVd2q_DxF-_OdUbtBfCxCBpzvAT_3_hH4Avam-VA</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Znidarsic, Josie</creator><creator>Kirksey, Kellie N</creator><creator>Dombrowski, Stephen M</creator><creator>Tang, Anne</creator><creator>Lopez, Rocio</creator><creator>Blonsky, Heather</creator><creator>Todorov, Irina</creator><creator>Schneeberger, Dana</creator><creator>Doyle, Jonathan</creator><creator>Libertini, Linda</creator><creator>Jamie, Starkey</creator><creator>Segall, Tracy</creator><creator>Bang, Andrew</creator><creator>Barringer, Kathy</creator><creator>Judi, Bar</creator><creator>Ehrman, Jane Pernotto</creator><creator>Roizen, Michael F</creator><creator>Golubić, Mladen</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1081-824X</orcidid></search><sort><creationdate>20210101</creationdate><title>“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments</title><author>Znidarsic, Josie ; Kirksey, Kellie N ; Dombrowski, Stephen M ; Tang, Anne ; Lopez, Rocio ; Blonsky, Heather ; Todorov, Irina ; Schneeberger, Dana ; Doyle, Jonathan ; Libertini, Linda ; Jamie, Starkey ; Segall, Tracy ; Bang, Andrew ; Barringer, Kathy ; Judi, Bar ; Ehrman, Jane Pernotto ; Roizen, Michael F ; Golubić, Mladen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-eb3f138b8c9b281186d316f718e6624899e2543e73a581a14a1b819c7fce1e0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acupuncture</topic><topic>Care and treatment</topic><topic>Chronic pain</topic><topic>Chronic Pain - therapy</topic><topic>Cognitive ability</topic><topic>Cognitive behavioral therapy</topic><topic>Cognitive therapy</topic><topic>Dosage and administration</topic><topic>Etiology</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Hypnotherapy</topic><topic>Integrative Medicine Section</topic><topic>Medical appointments</topic><topic>Meditation</topic><topic>Methods</topic><topic>Morphine</topic><topic>Narcotics</topic><topic>Opioids</topic><topic>Pain</topic><topic>Pain Management</topic><topic>Patients</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Relaxation</topic><topic>Retrospective Studies</topic><topic>Shared Medical Appointments</topic><topic>Statistical analysis</topic><topic>Statistics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Znidarsic, Josie</creatorcontrib><creatorcontrib>Kirksey, Kellie N</creatorcontrib><creatorcontrib>Dombrowski, Stephen M</creatorcontrib><creatorcontrib>Tang, Anne</creatorcontrib><creatorcontrib>Lopez, Rocio</creatorcontrib><creatorcontrib>Blonsky, Heather</creatorcontrib><creatorcontrib>Todorov, Irina</creatorcontrib><creatorcontrib>Schneeberger, Dana</creatorcontrib><creatorcontrib>Doyle, Jonathan</creatorcontrib><creatorcontrib>Libertini, Linda</creatorcontrib><creatorcontrib>Jamie, Starkey</creatorcontrib><creatorcontrib>Segall, Tracy</creatorcontrib><creatorcontrib>Bang, Andrew</creatorcontrib><creatorcontrib>Barringer, Kathy</creatorcontrib><creatorcontrib>Judi, Bar</creatorcontrib><creatorcontrib>Ehrman, Jane Pernotto</creatorcontrib><creatorcontrib>Roizen, Michael F</creatorcontrib><creatorcontrib>Golubić, Mladen</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pain medicine (Malden, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Znidarsic, Josie</au><au>Kirksey, Kellie N</au><au>Dombrowski, Stephen M</au><au>Tang, Anne</au><au>Lopez, Rocio</au><au>Blonsky, Heather</au><au>Todorov, Irina</au><au>Schneeberger, Dana</au><au>Doyle, Jonathan</au><au>Libertini, Linda</au><au>Jamie, Starkey</au><au>Segall, Tracy</au><au>Bang, Andrew</au><au>Barringer, Kathy</au><au>Judi, Bar</au><au>Ehrman, Jane Pernotto</au><au>Roizen, Michael F</au><au>Golubić, Mladen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments</atitle><jtitle>Pain medicine (Malden, Mass.)</jtitle><addtitle>Pain Med</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>22</volume><issue>1</issue><spage>181</spage><epage>190</epage><pages>181-190</pages><issn>1526-2375</issn><eissn>1526-4637</eissn><abstract>Abstract
Objective
To evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain.
Design
This is a retrospective, pre–post review of “Living Well with Chronic Pain” shared medical appointments (August 2016 through May 2018).
Setting
The appointments included eight 3-hour-long visits held once per week at an outpatient wellness facility.
Subjects
Patients with chronic, non–cancer-related pain.
Methods
Patients received evaluation and evidence-based therapies from a team of integrative and lifestyle medicine professionals, as well as education about nonpharmacological therapeutic approaches, the etiology of pain, and the relationship of pain to lifestyle factors. Experiential elements focused on the relaxation techniques of meditation, yoga, breathing, and hypnotherapy, while patients also received acupuncture, acupressure, massage, cognitive behavioral therapy, and chiropractic education. Patients self-reported data via the Patient-Reported Outcomes Measurement Information System (PROMIS-57) standardized questionnaire. Use of opioid medications was evaluated in morphine milligram equivalents.
Results
A total of 178 participants completed the PROMIS-57 questionnaire at the first and the last visits. Statistically significant improvements in all domains (Physical Functioning, Anxiety, Depression, Fatigue, Social Roles, Pain Interference, and Sleep Disturbance) were observed (P < 0.001) between the pre-intervention (visit 1) and post-intervention (visit 8) scores. Average opioid use decreased nonsignificantly over the 8-week intervention, but the lower rate of opioid use was not sustained at 6 and 12 months’ follow-up.
Conclusions
Patients suffering from chronic pain who participated in a multidisciplinary, nonpharmacological treatment approach delivered via shared medical appointments experienced reduced pain and improved measures of physical, mental, and social health without increased use of opioid pain medications.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>33543263</pmid><doi>10.1093/pm/pnaa418</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1081-824X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1526-2375 |
| ispartof | Pain medicine (Malden, Mass.), 2021-01, Vol.22 (1), p.181-190 |
| issn | 1526-2375 1526-4637 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7861469 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Acupuncture Care and treatment Chronic pain Chronic Pain - therapy Cognitive ability Cognitive behavioral therapy Cognitive therapy Dosage and administration Etiology Health aspects Humans Hypnotherapy Integrative Medicine Section Medical appointments Meditation Methods Morphine Narcotics Opioids Pain Pain Management Patients Quality of Life Questionnaires Relaxation Retrospective Studies Shared Medical Appointments Statistical analysis Statistics |
| title | “Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments |
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