Research Service.
Primary Care, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio.
Pain Med. 2018 Feb 1;19(2):262-268. doi: 10.1093/pm/pnx122.
The Specialty Care Access Network-Extension for Community Health Outcomes (SCAN-ECHO) is a video teleconferencing-based training program where primary care providers are trained by a specialty care team to provide specialty care. A multidisciplinary team of pain management specialists at the Cleveland Veterans Affairs Medical Center established such a program for pain management; a description and preliminary effectiveness assessment of this training program is presented.
Primary care provider participants in the Specialty Care Access Network program in pain management completed pre- and post-training questionnaires. A subset of these participants also participated in a group session semistructured interview.
Twenty-four primary care providers from Cleveland, South Texas, or Wisconsin Veterans Affairs Medical Centers who regularly attended pain management SCAN-ECHO sessions during 2011, 2012, 2013, or 2014 completed pre- and post-training questionnaires.
Pre- and post-training questionnaires were conducted to measure confidence in treating and knowledge of pain management. Questionnaire responses were tested for significance using R. Qualitative data were analyzed using inductive coding and content analysis.
Statistically significant increases in confidence ratings and scores on knowledge questionnaires were noted from pre- to post-pain management SCAN-ECHO training. Program participants felt more knowledgeable and reported improved communication between specialty and primary care providers.
This pilot study reveals positive outcomes in terms of primary care providers' confidence and knowledge in treating patients with chronic pain. Results suggest that involving primary care providers in a one-year academic project such as this can improve their knowledge and skills and has the potential to influence their opioid prescribing practices.
专门护理接入网络-社区健康成果扩展（SCAN-ECHO）是一个基于视频电话会议的培训计划，通过该计划，初级保健提供者接受专业护理团队的培训，以提供专业护理。克利夫兰退伍军人事务医疗中心的一个多学科疼痛管理专家小组为此建立了一个疼痛管理计划；本文介绍了该培训计划的描述和初步效果评估。
参与疼痛管理专项护理接入网络计划的初级保健提供者在培训前后完成了问卷。这些参与者中的一部分还参加了小组半结构化访谈。
来自克利夫兰、南得克萨斯或威斯康星退伍军人事务医疗中心的 24 名初级保健提供者，他们在 2011、2012、2013 或 2014 年定期参加疼痛管理 SCAN-ECHO 会议，完成了培训前后的问卷。
在疼痛管理 SCAN-ECHO 培训前后进行问卷调查，以衡量治疗信心和疼痛管理知识。使用 R 测试问卷的反应是否有统计学意义。使用归纳编码和内容分析对定性数据进行分析。
从疼痛管理 SCAN-ECHO 培训前到培训后，信心评分和知识问卷的评分都显著增加。项目参与者感到更有知识，并报告称专业护理提供者和初级保健提供者之间的沟通得到改善。
这项试点研究显示，初级保健提供者在治疗慢性疼痛患者方面的信心和知识方面取得了积极的结果。结果表明，让初级保健提供者参与为期一年的学术项目，如本项目，可以提高他们的知识和技能，并有可能影响他们的阿片类药物处方实践。
