Telehealth Increases Access to Brief Behavioral Interventions in an Orofacial Pain Clinic During the COVID-19 Pandemic: A Retrospective Study
Abstract Objective The aim of the study was to test whether patients with orofacial pain were more likely to start and complete a brief psychological intervention for managing certain chronic orofacial pain conditions (physical self-regulation [PSR]) via telehealth (during the COVID-19 pandemic) vs....
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| Veröffentlicht in: | Pain medicine (Malden, Mass.) Mass.), 2022-04, Vol.23 (4), p.799-806 |
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| container_title | Pain medicine (Malden, Mass.) |
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| creator | Sangalli, Linda Fernandez-Vial, Diego Moreno-Hay, Isabel Boggero, Ian |
| description | Abstract
Objective
The aim of the study was to test whether patients with orofacial pain were more likely to start and complete a brief psychological intervention for managing certain chronic orofacial pain conditions (physical self-regulation [PSR]) via telehealth (during the COVID-19 pandemic) vs. in-person (before the COVID-19 pandemic). The exploratory aim was to describe demographic factors that could influence patients’ likelihood of starting and completing PSR.
Methods
Retrospective medical charts of all patients seen at a university-affiliated tertiary orofacial pain clinic between July–December 2019 (in-person; before the pandemic) and July–December 2020 (telehealth; during the pandemic) were reviewed. Charts were examined for demographic information and to compare the number of patients who started and completed PSR during each study period (chi-squared test).
Results
Of 248 new patients seen in the clinic during the 2019 period, 25 started PSR in-person (10.08%). Of 252 new patients seen during the 2020 period, 53 started PSR via telehealth (21.03%). Patients were more likely to start PSR (odds ratio = 6.21, p |
| doi_str_mv | 10.1093/pm/pnab295 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8524454</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A774676711</galeid><oup_id>10.1093/pm/pnab295</oup_id><sourcerecordid>A774676711</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-2b3bbcd910e10723dcba017f65ff988250f09cb9c6f5897bacb2123cd07ebc8d3</originalsourceid><addsrcrecordid>eNp9kt9qFDEUxgex2Fq98QEkIIII0-bPzGTihbDdal0orGj1NmQyJzspM8mYzCz0IXxnU3etVkRykXDO73zh-zhZ9ozgE4IFOx2H09GphoryQXZESlrlRcX4w_2bMl4eZo9jvMaYVEXNHmWHrKgoKxg7yr5fQQ8dqH7q0MrpACpCRAutIUY0eXQWLBh0Bp3aWh9Un6AJwhbcZL2LyDqkHFoHb5S2qftRpcqyt85qdD4H6zZo6gAt119X5zkRqe9aGKx-gxboE0zBxxH0ZLeAPk9ze_MkOzCqj_B0fx9nX96_u1p-yC_XF6vl4jLXJWZTThvWNLoVBAPBnLJWNwoTbqrSGFHXtMQGC90IXZmyFrxRuqGEMt1iDo2uW3acvd3pjnMzQKuTneRNjsEOKtxIr6y833G2kxu_lXVJi6IsksCrvUDw32aIkxxs1ND3yoGfo6RljSvBai4S-uIv9NrPwSV7klaFoJQIzn9TG9WDtM749K--FZULzouKV5yQRJ38g0rnZ6jegbGpfm_g9W5Ap6hjAHPnkWB5uzxyHOR-eRL8_M9U7tBf25KAlzvAz-P_hH4AXDHNVQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2649221977</pqid></control><display><type>article</type><title>Telehealth Increases Access to Brief Behavioral Interventions in an Orofacial Pain Clinic During the COVID-19 Pandemic: A Retrospective Study</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Sangalli, Linda ; Fernandez-Vial, Diego ; Moreno-Hay, Isabel ; Boggero, Ian</creator><creatorcontrib>Sangalli, Linda ; Fernandez-Vial, Diego ; Moreno-Hay, Isabel ; Boggero, Ian</creatorcontrib><description>Abstract
Objective
The aim of the study was to test whether patients with orofacial pain were more likely to start and complete a brief psychological intervention for managing certain chronic orofacial pain conditions (physical self-regulation [PSR]) via telehealth (during the COVID-19 pandemic) vs. in-person (before the COVID-19 pandemic). The exploratory aim was to describe demographic factors that could influence patients’ likelihood of starting and completing PSR.
Methods
Retrospective medical charts of all patients seen at a university-affiliated tertiary orofacial pain clinic between July–December 2019 (in-person; before the pandemic) and July–December 2020 (telehealth; during the pandemic) were reviewed. Charts were examined for demographic information and to compare the number of patients who started and completed PSR during each study period (chi-squared test).
Results
Of 248 new patients seen in the clinic during the 2019 period, 25 started PSR in-person (10.08%). Of 252 new patients seen during the 2020 period, 53 started PSR via telehealth (21.03%). Patients were more likely to start PSR (odds ratio = 6.21, p < 0.001, 95% confidence interval = 2.499 to 15.435) and more likely to complete all three sessions of PSR (odds ratio = 5.69, p < 0.001, 95% confidence interval = 2.352 to 13.794) when it was offered via telehealth than when it was offered in-person. Among those who started PSR via telehealth, patients from metropolitan areas were more likely to start the intervention than those from non-metropolitan areas (p = 0.045).
Conclusions
Offering brief psychological pain interventions via telehealth in tertiary orofacial pain clinics has demonstrated feasibility and may improve patients’ willingness to participate in psychological treatments. Results need to be replicated with prospective data, as modality was confounded with the pandemic in the present study.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1093/pm/pnab295</identifier><identifier>PMID: 34623433</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Care and treatment ; Chronic pain ; Confidence intervals ; Coronaviruses ; COVID-19 ; Demographic aspects ; Facial pain ; Facial Pain - therapy ; Humans ; Original Research ; Orofacial pain ; Pain ; Pain management ; Pandemics ; Patient outcomes ; Patients ; Prospective Studies ; Retrospective Studies ; Social aspects ; Telemedicine</subject><ispartof>Pain medicine (Malden, Mass.), 2022-04, Vol.23 (4), p.799-806</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2022 Oxford University Press</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-2b3bbcd910e10723dcba017f65ff988250f09cb9c6f5897bacb2123cd07ebc8d3</citedby><cites>FETCH-LOGICAL-c503t-2b3bbcd910e10723dcba017f65ff988250f09cb9c6f5897bacb2123cd07ebc8d3</cites><orcidid>0000-0002-1386-5594</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/34623433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sangalli, Linda</creatorcontrib><creatorcontrib>Fernandez-Vial, Diego</creatorcontrib><creatorcontrib>Moreno-Hay, Isabel</creatorcontrib><creatorcontrib>Boggero, Ian</creatorcontrib><title>Telehealth Increases Access to Brief Behavioral Interventions in an Orofacial Pain Clinic During the COVID-19 Pandemic: A Retrospective Study</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract
Objective
The aim of the study was to test whether patients with orofacial pain were more likely to start and complete a brief psychological intervention for managing certain chronic orofacial pain conditions (physical self-regulation [PSR]) via telehealth (during the COVID-19 pandemic) vs. in-person (before the COVID-19 pandemic). The exploratory aim was to describe demographic factors that could influence patients’ likelihood of starting and completing PSR.
Methods
Retrospective medical charts of all patients seen at a university-affiliated tertiary orofacial pain clinic between July–December 2019 (in-person; before the pandemic) and July–December 2020 (telehealth; during the pandemic) were reviewed. Charts were examined for demographic information and to compare the number of patients who started and completed PSR during each study period (chi-squared test).
Results
Of 248 new patients seen in the clinic during the 2019 period, 25 started PSR in-person (10.08%). Of 252 new patients seen during the 2020 period, 53 started PSR via telehealth (21.03%). Patients were more likely to start PSR (odds ratio = 6.21, p < 0.001, 95% confidence interval = 2.499 to 15.435) and more likely to complete all three sessions of PSR (odds ratio = 5.69, p < 0.001, 95% confidence interval = 2.352 to 13.794) when it was offered via telehealth than when it was offered in-person. Among those who started PSR via telehealth, patients from metropolitan areas were more likely to start the intervention than those from non-metropolitan areas (p = 0.045).
Conclusions
Offering brief psychological pain interventions via telehealth in tertiary orofacial pain clinics has demonstrated feasibility and may improve patients’ willingness to participate in psychological treatments. Results need to be replicated with prospective data, as modality was confounded with the pandemic in the present study.</description><subject>Care and treatment</subject><subject>Chronic pain</subject><subject>Confidence intervals</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Demographic aspects</subject><subject>Facial pain</subject><subject>Facial Pain - therapy</subject><subject>Humans</subject><subject>Original Research</subject><subject>Orofacial pain</subject><subject>Pain</subject><subject>Pain management</subject><subject>Pandemics</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Social aspects</subject><subject>Telemedicine</subject><issn>1526-2375</issn><issn>1526-4637</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kt9qFDEUxgex2Fq98QEkIIII0-bPzGTihbDdal0orGj1NmQyJzspM8mYzCz0IXxnU3etVkRykXDO73zh-zhZ9ozgE4IFOx2H09GphoryQXZESlrlRcX4w_2bMl4eZo9jvMaYVEXNHmWHrKgoKxg7yr5fQQ8dqH7q0MrpACpCRAutIUY0eXQWLBh0Bp3aWh9Un6AJwhbcZL2LyDqkHFoHb5S2qftRpcqyt85qdD4H6zZo6gAt119X5zkRqe9aGKx-gxboE0zBxxH0ZLeAPk9ze_MkOzCqj_B0fx9nX96_u1p-yC_XF6vl4jLXJWZTThvWNLoVBAPBnLJWNwoTbqrSGFHXtMQGC90IXZmyFrxRuqGEMt1iDo2uW3acvd3pjnMzQKuTneRNjsEOKtxIr6y833G2kxu_lXVJi6IsksCrvUDw32aIkxxs1ND3yoGfo6RljSvBai4S-uIv9NrPwSV7klaFoJQIzn9TG9WDtM749K--FZULzouKV5yQRJ38g0rnZ6jegbGpfm_g9W5Ap6hjAHPnkWB5uzxyHOR-eRL8_M9U7tBf25KAlzvAz-P_hH4AXDHNVQ</recordid><startdate>20220408</startdate><enddate>20220408</enddate><creator>Sangalli, Linda</creator><creator>Fernandez-Vial, Diego</creator><creator>Moreno-Hay, Isabel</creator><creator>Boggero, Ian</creator><general>Oxford University Press</general><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/0000-0002-1386-5594</orcidid></search><sort><creationdate>20220408</creationdate><title>Telehealth Increases Access to Brief Behavioral Interventions in an Orofacial Pain Clinic During the COVID-19 Pandemic: A Retrospective Study</title><author>Sangalli, Linda ; Fernandez-Vial, Diego ; Moreno-Hay, Isabel ; Boggero, Ian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-2b3bbcd910e10723dcba017f65ff988250f09cb9c6f5897bacb2123cd07ebc8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Care and treatment</topic><topic>Chronic pain</topic><topic>Confidence intervals</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Demographic aspects</topic><topic>Facial pain</topic><topic>Facial Pain - therapy</topic><topic>Humans</topic><topic>Original Research</topic><topic>Orofacial pain</topic><topic>Pain</topic><topic>Pain management</topic><topic>Pandemics</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Social aspects</topic><topic>Telemedicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sangalli, Linda</creatorcontrib><creatorcontrib>Fernandez-Vial, Diego</creatorcontrib><creatorcontrib>Moreno-Hay, Isabel</creatorcontrib><creatorcontrib>Boggero, Ian</creatorcontrib><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>Sangalli, Linda</au><au>Fernandez-Vial, Diego</au><au>Moreno-Hay, Isabel</au><au>Boggero, Ian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Telehealth Increases Access to Brief Behavioral Interventions in an Orofacial Pain Clinic During the COVID-19 Pandemic: A Retrospective Study</atitle><jtitle>Pain medicine (Malden, Mass.)</jtitle><addtitle>Pain Med</addtitle><date>2022-04-08</date><risdate>2022</risdate><volume>23</volume><issue>4</issue><spage>799</spage><epage>806</epage><pages>799-806</pages><issn>1526-2375</issn><eissn>1526-4637</eissn><abstract>Abstract
Objective
The aim of the study was to test whether patients with orofacial pain were more likely to start and complete a brief psychological intervention for managing certain chronic orofacial pain conditions (physical self-regulation [PSR]) via telehealth (during the COVID-19 pandemic) vs. in-person (before the COVID-19 pandemic). The exploratory aim was to describe demographic factors that could influence patients’ likelihood of starting and completing PSR.
Methods
Retrospective medical charts of all patients seen at a university-affiliated tertiary orofacial pain clinic between July–December 2019 (in-person; before the pandemic) and July–December 2020 (telehealth; during the pandemic) were reviewed. Charts were examined for demographic information and to compare the number of patients who started and completed PSR during each study period (chi-squared test).
Results
Of 248 new patients seen in the clinic during the 2019 period, 25 started PSR in-person (10.08%). Of 252 new patients seen during the 2020 period, 53 started PSR via telehealth (21.03%). Patients were more likely to start PSR (odds ratio = 6.21, p < 0.001, 95% confidence interval = 2.499 to 15.435) and more likely to complete all three sessions of PSR (odds ratio = 5.69, p < 0.001, 95% confidence interval = 2.352 to 13.794) when it was offered via telehealth than when it was offered in-person. Among those who started PSR via telehealth, patients from metropolitan areas were more likely to start the intervention than those from non-metropolitan areas (p = 0.045).
Conclusions
Offering brief psychological pain interventions via telehealth in tertiary orofacial pain clinics has demonstrated feasibility and may improve patients’ willingness to participate in psychological treatments. Results need to be replicated with prospective data, as modality was confounded with the pandemic in the present study.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>34623433</pmid><doi>10.1093/pm/pnab295</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1386-5594</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Pain medicine (Malden, Mass.), 2022-04, Vol.23 (4), p.799-806 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Care and treatment Chronic pain Confidence intervals Coronaviruses COVID-19 Demographic aspects Facial pain Facial Pain - therapy Humans Original Research Orofacial pain Pain Pain management Pandemics Patient outcomes Patients Prospective Studies Retrospective Studies Social aspects Telemedicine |
| title | Telehealth Increases Access to Brief Behavioral Interventions in an Orofacial Pain Clinic During the COVID-19 Pandemic: A Retrospective Study |
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