Heals on Wheels: Development and Implementation of Community-Based Workshops for Integrative, Whole Person Pain Care in Underserved Communities.

IF 1.3
Global advances in integrative medicine and health Pub Date : 2026-03-05 eCollection Date: 2026-01-01 DOI:10.1177/27536130261432565
Catherine Justice, Jadyn E Knox, Stefanie Stevenson, Kate Shafto, Tegan Reeves, Jacinta Rebang, Susan Haddow, Arti Prasad
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Abstract

Introduction: Chronic pain is a complex and pervasive issue that disproportionately affects marginalized and underserved populations, driven in part by healthcare access barriers. Chronic pain affects multiple domains of life, warranting the need for accessible, holistic, whole-person, evidence-based care. The Heals on Wheels (HoW) program's multidisciplinary team developed and implemented community-based integrative pain care workshops for underserved communities throughout Hennepin County, Minnesota.

Methods: The 4-week curriculum included 60-120 minute-long weekly workshops hosted by community organizations. A pre- and post-workshop weekly progress sheet questionnaire explored perceptions of pain, overall state, favorite moments, and future suggestions. Responses were analyzed thematically.

Results: Throughout 2022-2025, 13 workshop series occurred with 9 different community organizations. Total attendance was 369 (average 7.10/session) with 265 weekly progress sheets completed by 163 unique individuals (71.82%). Average pre-visit pain was 5.40; post-visit was 3.26 (-2.14). Themes of before group state were: 1) Stable (2) Health Concerns (3) Overwhelm and (4) Hope. Themes after group were: (1) Relaxed, calmer, tired (2) Improvement, relief (3) Gratitude, hope and (4) Neutral. Roughly 1/10 participants highlighted the importance of sharing stories. Themes for future suggestions were mainly expressions of positive feedback; other themes included wanting more time, session structure, and specific activities.

Conclusion: The HoW workshops are feasible as an innovative and accessible community-based integrative pain care model.

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车轮上的治疗:在服务不足的社区开发和实施以社区为基础的综合、全人疼痛护理讲习班。
慢性疼痛是一个复杂而普遍的问题,不成比例地影响边缘化和服务不足的人群,部分原因是卫生保健准入障碍。慢性疼痛影响生活的多个领域,因此需要可获得的、全面的、全人的、基于证据的护理。车轮上的治疗(HoW)项目的多学科团队为明尼苏达州亨内平县服务不足的社区开发并实施了以社区为基础的综合疼痛护理讲习班。方法:为期4周的课程包括由社区组织主办的每周60-120分钟的研讨会。研讨会前后的每周进度表问卷调查了对疼痛的感知、总体状态、最喜欢的时刻和未来的建议。对回答进行主题分析。结果:在2022-2025年期间,与9个不同的社区组织举办了13个系列研讨会。总出勤率为369人(平均每堂课7.10人),163个人(71.82%)完成了265张每周进度表。平均诊前疼痛为5.40;随访后为3.26(-2.14)。前群体状态的主题是:1)稳定(2)健康问题(3)压倒和(4)希望。小组后的主题是:(1)放松,平静,疲倦;(2)改善,解脱;(3)感恩,希望;(4)中性。大约十分之一的参与者强调了分享故事的重要性。未来建议的主题主要是积极反馈的表达;其他主题包括想要更多的时间、会议结构和具体活动。结论:HoW工作坊作为一种创新的、可获取的社区疼痛综合护理模式是可行的。
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