Exploring the impact of a pain assessment information visualization tool on provider-patient pain discussion with limited English proficiency Hmong patients

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-01-15 DOI:10.1016/j.pec.2024.108595

Maichou Lor , Mai Nhia Yang , Roger Brown , Betty Chewning

{"title":"Exploring the impact of a pain assessment information visualization tool on provider-patient pain discussion with limited English proficiency Hmong patients","authors":"Maichou Lor , Mai Nhia Yang , Roger Brown , Betty Chewning","doi":"10.1016/j.pec.2024.108595","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This pilot study examines the impact of the Pain Assessment Information Visualization (InfoViz) Tool on the length of the patient visit for Hmong patients with limited English proficiency (LEP).</div></div><div><h3>Methods</h3><div>A static design study was used to collect data from a triad of 20 Hmong patients with LEP, medical interpreters, and clinicians in the usual care group followed by 20 triads in the intervention group in primary care. We analyzed patient-clinician communication audio-recorded visits in primary care, examining both the length of the visit and the nature of the clinician efforts to gather more information using Svarstad’s clinician conversation conceptualization to explore probing frequencies for three pain categories: pain location, severity, and quality in the intervention group (Pain InfoViz Tool) and usual care group.</div></div><div><h3>Results</h3><div>The usual care group spent a longer time on pain discussions (Mean = 19.56 min, SD=20.17) compared to the intervention group (Mean = 12.39 min, SD=7.78). Clinicians in the intervention group probed less than those in the usual care group. Patients in the intervention group provided more pain information to clinicians than those in the usual care group.</div></div><div><h3>Conclusions</h3><div>The tool appears to shorten the time it takes to discuss the patient’s pain. It may have positively impacted Hmong patients with LEP' ability to describe their pain more clearly, resulting in less time and fewer assessment probes needed by clinicians.</div></div><div><h3>Practice implications</h3><div>Implementing the tool in clinical settings may lead to more efficient pain-related discussions.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"134 ","pages":"Article 108595"},"PeriodicalIF":2.9000,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient Education and Counseling","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0738399124004622","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

This pilot study examines the impact of the Pain Assessment Information Visualization (InfoViz) Tool on the length of the patient visit for Hmong patients with limited English proficiency (LEP).

Methods

A static design study was used to collect data from a triad of 20 Hmong patients with LEP, medical interpreters, and clinicians in the usual care group followed by 20 triads in the intervention group in primary care. We analyzed patient-clinician communication audio-recorded visits in primary care, examining both the length of the visit and the nature of the clinician efforts to gather more information using Svarstad’s clinician conversation conceptualization to explore probing frequencies for three pain categories: pain location, severity, and quality in the intervention group (Pain InfoViz Tool) and usual care group.

Results

The usual care group spent a longer time on pain discussions (Mean = 19.56 min, SD=20.17) compared to the intervention group (Mean = 12.39 min, SD=7.78). Clinicians in the intervention group probed less than those in the usual care group. Patients in the intervention group provided more pain information to clinicians than those in the usual care group.

Conclusions

The tool appears to shorten the time it takes to discuss the patient’s pain. It may have positively impacted Hmong patients with LEP' ability to describe their pain more clearly, resulting in less time and fewer assessment probes needed by clinicians.

Practice implications

Implementing the tool in clinical settings may lead to more efficient pain-related discussions.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.