Defense and Veterans Center for Integrative Pain Management, Department of Anesthesiology, Uniformed Services University, Rockville, MD, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine (HJF) Inc., Bethesda, MD, USA.
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Pain Manag Nurs. 2021 Apr;22(2):164-168. doi: 10.1016/j.pmn.2020.10.007. Epub 2020 Nov 19.
Best approaches to delivering patient education related to pain management and opioid safety are understudied.
This study assessed the feasibility, acceptability, and preliminary patient-reported impact of an app-based patient pain education program.
Pilot study with data collection occurring on 43 weekdays between August 2019-February 2020.
Waiting rooms at the pain clinic and a primary care medical home within two military treatment facilities.
Military health system beneficiaries seeking general care at the primary care medical home or pain-specific care at the pain clinic.
The Joint Pain Education and Project curriculum includes patient-focused videos describing the biopsychosocial aspects of pain and pain management, medication take-back and safe disposal, and multidimensional pain assessments. The app-based videos were available on tablets in the waiting rooms for patients to view and complete surveys on after.
Overall, 152 patients viewed the videos and completed surveys. Most viewers were interested in receiving other tablet-based health education while in the waiting room (62%). Most viewers found videos to be moderately or very helpful (73%) and were satisfied or very satisfied with the information provided (85%). Participants at the primary care medical home were more likely to find videos helpful compared to participants at the pain clinic (OR = 2.11; 95% CI: 1.07, 4.20; p = .03).
Implementing app-based pain management education is feasible across clinic settings and is well received by patients. Clinics should consider providing pain education across care setting, rather than just pain specialty clinics, to help foster discussions between clinicians and patients regarding pain management and opioid safety.
有关疼痛管理和阿片类药物安全的患者教育的最佳方法尚未得到充分研究。
本研究评估了基于应用程序的患者疼痛教育计划的可行性、可接受性和初步患者报告的影响。
2019 年 8 月至 2020 年 2 月期间,在 43 个工作日内进行了一项试点研究,进行数据收集。
两家军事治疗设施内的疼痛诊所和初级保健医疗之家的候诊室。
在初级保健医疗之家寻求一般护理或在疼痛诊所寻求疼痛特定护理的军人健康系统受益人。
联合疼痛教育和项目课程包括以患者为中心的视频,描述疼痛和疼痛管理的生物心理社会方面、药物回收和安全处置以及多维疼痛评估。基于应用程序的视频可在等候室的平板电脑上供患者观看,并在观看后完成调查。
总体而言,有 152 名患者观看了视频并完成了调查。大多数观看者对在等候室接受其他基于平板电脑的健康教育感兴趣(62%)。大多数观看者认为视频中等或非常有帮助(73%),对提供的信息感到满意或非常满意(85%)。与疼痛诊所的参与者相比,初级保健医疗之家的参与者更有可能认为视频有帮助(OR=2.11;95%CI:1.07,4.20;p=0.03)。
在诊所环境中实施基于应用程序的疼痛管理教育是可行的,并且深受患者欢迎。诊所应考虑在整个护理环境中提供疼痛教育,而不仅仅是在疼痛专科诊所,以帮助促进临床医生和患者之间关于疼痛管理和阿片类药物安全的讨论。