一个跨学科的虚拟小组程序解决慢性疼痛管理的精细点:功能结果的探索性分析。

IF 2.5 3区 医学 Q2 ANESTHESIOLOGY
Pain Practice Pub Date : 2025-02-01 DOI:10.1111/papr.70011
Danielle L Sarno, Ashley E Gureck, Alejandra Cardenas-Rojas, Marissa Eckley, Kevin Vu, Jennifer Kurz, Melanie Fu, Zacharia Isaac, Edward Phillips, Bridget Chin, Daniel S Barron
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引用次数: 0

摘要

目的:慢性疼痛是多因素的,具有巨大的社会和经济成本。通过跨学科的方法解决疼痛的生物心理社会模型的综合疼痛管理是有益的。本研究的目的是评估参加为期8周的虚拟跨学科功能综合修复(FINER)计划后的可行性和功能结果。设计:队列研究。设置:大型学术机构内参与者和临床医生使用的虚拟平台(Zoom)。受试者:从2021年9月至2023年4月参加虚拟FINER项目的44名符合研究标准的慢性疼痛患者纳入最终分析。方法:参与者每周参加两次关于疼痛教育、生活方式医学、中西医结合和心理治疗的研讨会和小组会议,并完成项目前和项目后的调查。结果包括疼痛灾难化量表(PCS)、坦帕运动恐惧症量表(TSK)和患者报告的结果测量信息系统-29 (promise -29)。还获得了定性反馈。结果:从2021年9月到2023年4月,44名患有慢性腰痛和/或颈部疼痛的成年FINER参与者完成了干预前和干预后的调查。我们观察到PCS、TSK和promise -29的各个领域有显著改善,包括疼痛干扰、参与、身体功能和睡眠,效应大小适中。结论:FINER方案降低了与参与者慢性疼痛相关的自我报告功能结果。来自FINER参与者的积极定性反馈表明精神和身体健康益处。未来的研究将包括更大的队列,并将采用主动(患者报告的结果)和被动(移动性和社交性)数字测量来进一步表征功能变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An interdisciplinary virtual group program addressing the FINER points of chronic pain management: An exploratory analysis of functional outcomes.

Objectives: Chronic pain is multifactorial and has large social and economic costs. Comprehensive pain management through an interdisciplinary approach addressing the biopsychosocial model of pain is beneficial. The purpose of this study was to assess the feasibility and functional outcomes following participation in the 8-week virtual interdisciplinary Functional Integrative Restoration (FINER) program.

Design: Cohort study.

Setting: Virtual platform (Zoom) utilized by participants and clinicians within a large academic institution.

Subjects: 44 individuals with chronic pain meeting study criteria who participated in the virtual FINER program from September 2021 to April 2023 were included in final analysis.

Methods: Participants attended twice weekly seminars and group sessions focused on pain education, lifestyle medicine, integrative medicine, and psychological therapies virtually and completed pre- and post-program surveys. Outcomes included the Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK), and Patient-Reported Outcomes Measurement Information System-29 (PROMIS-29). Qualitative feedback was also obtained.

Results: From September 2021 to April 2023, 44 adult FINER participants with chronic low back and/or neck pain completed pre- and post-intervention surveys. We observed significant improvements in PCS, TSK, and various domains of the PROMIS-29, including pain interference, participation, physical function, and sleep, with modest effect sizes.

Conclusions: The FINER program reduced self-reported functional outcomes related to the participants' chronic pain. Positive qualitative feedback from FINER participants suggested mental and physical health benefits. Future investigation will include a larger cohort and will deploy active (patient-reported outcomes) and passive (mobility and sociability) digital measures to further characterize functional changes.

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来源期刊
Pain Practice
Pain Practice ANESTHESIOLOGY-CLINICAL NEUROLOGY
CiteScore
5.60
自引率
3.80%
发文量
92
审稿时长
6-12 weeks
期刊介绍: Pain Practice, the official journal of the World Institute of Pain, publishes international multidisciplinary articles on pain and analgesia that provide its readership with up-to-date research, evaluation methods, and techniques for pain management. Special sections including the Consultant’s Corner, Images in Pain Practice, Case Studies from Mayo, Tutorials, and the Evidence-Based Medicine combine to give pain researchers, pain clinicians and pain fellows in training a systematic approach to continuing education in pain medicine. Prior to publication, all articles and reviews undergo peer review by at least two experts in the field.
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