دورية أكاديمية
Medical group visits: a feasibility study to manage patients with chronic pain in an underserved urban clinic
| العنوان: | Medical group visits: a feasibility study to manage patients with chronic pain in an underserved urban clinic |
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| المؤلفون: | Gardiner, Paula, Dresner, Danielle, Barnett, Katherine Gergen., Sadikova, Ekaterina, Saper, Robert |
| المساهمون: | Department of Family Medicine and Community Health, Center for Integrated Primary Care |
| المصدر: | Global advances in health and medicine ; 3 ; 4 ; 20-6 |
| سنة النشر: | 2022 |
| المجموعة: | University of Massachusetts, Medical School: eScholarship@UMMS |
| مصطلحات موضوعية: | Group medical visit, chronic pain, integrative medical group visits, mindfulness-based stress reduction, patient-centered non-pharmacologic strategies, Alternative and Complementary Medicine, Health Services Administration, Integrative Medicine, Movement and Mind-Body Therapies, Pain Management, Psychiatry and Psychology |
| الوصف: | At the time of publication, Paula Gardiner was not yet affiliated with the University of Massachusetts Medical School. ; BACKGROUND: Chronic pain affects millions of racially diverse Americans. Evidence suggests that group medical visits are effective for treating chronic pain; similarly, a number of studies demonstrate the effectiveness of certain evidence-based complementary therapies in managing pain. OBJECTIVES: The primary goal of this study is to evaluate the feasibility of the integrative medical group visit (IMGV) care model in an inner-city racially diverse outpatient clinic. IMGV combines patient-centered, non-pharmacologic strategies and principles of mindfulness-based stress-reduction with a group medical visit to reduce pain and associated symptoms. METHODS: We surveyed patients pre and post an 8-session IMGV program to evaluate changes in pain in the last week (0-10 point scale) and comorbid symptoms including depression (Patient Health Questionaire-8 [PHQ-8]), perceived stress, and sleep quality. We also recorded referrals to the program, patients screened for eligibility, total enrollment, loss to follow-up, and attendance. RESULTS: Seventy patients joined IMGV, and of these, 65 (93%) enrolled in the study. Over the course of 12 months, 7 groups met (median 9 patients/group; range 8-13 participants). Mean difference in pain level for all patients between baseline and 8 weeks was 0.7 (SD=2.0, P=.005). Mean difference in PHQ-8 depression score for patients with baseline score > /=5 was 2.6 (SD=4.6, P < .001). Statistically significant improvements were also seen in sleep quality and perceived stress. CONCLUSION: A group visits program combining conventional and integrative medicine for predominantly racially diverse patients is feasible. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | Link to Article in PubMed; Glob Adv Health Med. 2014 Jul;3(4):20-6. doi:10.7453/gahmj.2014.011. Link to article on publisher's site; 2164-9561 (Linking); http://hdl.handle.net/20.500.14038/26812Test; https://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1051&context=cipc&unstamped=1Test; https://escholarship.umassmed.edu/cipc/52Test; cipc/52 |
| DOI: | 10.7453/gahmj.2014.011 |
| الإتاحة: | https://doi.org/10.7453/gahmj.2014.011Test https://doi.org/20.500.14038/26812Test https://hdl.handle.net/20.500.14038/26812Test https://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1051&context=cipc&unstamped=1Test https://escholarship.umassmed.edu/cipc/52Test |
| حقوق: | Copyright © 2014 GAHM LLC. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial- No Derivative 3.0 License, which permits rights to copy, distribute and transmit the work for noncommercial purposes only, provided the original work is properly cited. ; http://creativecommons.org/licenses/by-nc-nd/3.0Test/ |
| رقم الانضمام: | edsbas.3068CB16 |
| قاعدة البيانات: | BASE |
| DOI: | 10.7453/gahmj.2014.011 |
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