دورية أكاديمية
Measuring Implementation to Impact: Evaluation of a Chronic Pain Integrative Medical Group Visit Program
| العنوان: | Measuring Implementation to Impact: Evaluation of a Chronic Pain Integrative Medical Group Visit Program |
|---|---|
| المؤلفون: | Tomczak, Paula, MSN, RN, LMT, CPH, CNE |
| المصدر: | Doctor of Nursing Practice Projects |
| بيانات النشر: | Health Sciences Research Commons |
| سنة النشر: | 2024 |
| المجموعة: | George Washington University: Health Sciences Research Commons (HSRC) |
| مصطلحات موضوعية: | Program Evaluation, Federally Qualified Health Center (FQHC), Integrative Medical Group Visits (IMGV), Shared Medical Appointments (SMA), Chronic Pain, Opioid Use Disorder (OUD) |
| الوصف: | Background: Chronic pain is a public health crisis. Current clinical practice guidelines recommend non-invasive mind-body therapies as a first-line treatment, and studies indicate they can be successfully delivered in group settings using an Integrative Medical Group Visit model. A Federally Qualified Health Center piloted a nurse-led Integrative Chronic Pain Group program for Medication Assisted Treatment patients experiencing chronic pain and opioid use disorder, for which an evaluation was needed. Objectives: This evaluation examined program quality, value, and significance to provide a progress report toward established goals to inform stakeholder decision-making and improve effectiveness. Methods: Following the CDC Program Evaluation Framework, the execution, cost- effectiveness, and impact of the program were evaluated through review of deidentified clinical and billing data, program and organizational documents, and stakeholder interviews and surveys. Conclusions and recommendations were generated from study findings. Results: Quality measures indicated that program implementation and execution were mostly aligned with the original plan and many best practices. Value and sustainability indicators revealed slightly higher annual revenue than traditional individualized care. Paired pre-post biometric indicators detected a significant decrease (a = 0.05) in depression-related PHQ-9 scores (n = 3, p = 0.04), and a marginally significant decrease in systolic blood pressure (n = 5, p = 0.06). Patient and provider surveys indicated satisfaction with program execution and impact. Qualitative data found that peer support and group involvement were considered primary positive program impacts. Conclusions: Though the power to identify significant program-related effects was limited by the lack of robust financial and clinical data and low power, the sample population did represent the target population so results may be generalizable within the organization. By increasing access to integrative chronic pain ... |
| نوع الوثيقة: | text |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| العلاقة: | https://hsrc.himmelfarb.gwu.edu/son_dnp/146Test; https://hsrc.himmelfarb.gwu.edu/context/son_dnp/article/1145/viewcontent/TomczakPaula_DNP_Project_Measuring_Implementation_to_Impact___Evaluation_of_a_Chronic_Pain_Integrative_Medical_Group_Visit_Program_4_18_24.pdfTest |
| الإتاحة: | https://hsrc.himmelfarb.gwu.edu/son_dnp/146Test https://hsrc.himmelfarb.gwu.edu/context/son_dnp/article/1145/viewcontent/TomczakPaula_DNP_Project_Measuring_Implementation_to_Impact___Evaluation_of_a_Chronic_Pain_Integrative_Medical_Group_Visit_Program_4_18_24.pdfTest |
| رقم الانضمام: | edsbas.23112A19 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |