King Alesha C, Zahrai Amin, Bisson Etienne, Shergill Yaadwinder, Andreev Pavel, Bosma Rachael, MacNeil Alexandra O, Radhakrishnan Arun, Rash Joshua A, Wilson Rosemary, Poulin Patricia
Department of Psychology, Memorial University of Newfoundland, St John's, Newfoundland, Canada.
Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Digit Health. 2024 Oct 7;10:20552076241288748. doi: 10.1177/20552076241288748. eCollection 2024 Jan-Dec.
Chronic pain affects approximately 7.6 million Canadians and access to care remains an issue. The Power Over Pain (POP) Portal offers immediate access to evidence-based resources ranging from low- (e.g. education, self-management), to high- (e.g. individual counseling) intensity. We explored the POP Portal's acceptability, usability, and perceived usefulness among patients newly referred to a tertiary care pain clinic.
We used a descriptive, qualitative approach with a prospective cohort of 60 adult patients recently referred to The Ottawa Hospital Pain Clinic. Patients were offered an orientation session and asked to participate in a seven-week follow-up interview. Data were thematically analyzed in an iterative process, whereby responses were reviewed and coded by two members of the research team.
Of the 60 patients referred to the POP Portal by clinic clerks, 45 participated in the orientation session, and 40 completed a four-week follow-up. All 40 patients had used the POP Portal and recommended that we continue to offer the POP Portal to patients awaiting care. We identified overarching themes of acceptability (five subthemes), usability (ten subthemes), accessibility (three subthemes), and patient value of the POP Portal (three subthemes). This includes (1) the POP Portal provides easy access to chronic pain resources; (2) the POP Portal is helpful in developing an understanding of chronic pain; and (3) improvements to the POP Portal are needed to increase usability and foster a user-friendly experience.
The POP Portal offers accessible and diverse resources for people living with pain awaiting a tertiary care consultation; however, patients would like to see resources specific to diagnosis. Improvements are suggested to allow greater increase the POP Portal usability.
慢性疼痛影响着约760万加拿大人，获得护理服务仍然是一个问题。疼痛掌控（POP）门户提供了即时获取从低强度（如教育、自我管理）到高强度（如个人咨询）的循证资源的途径。我们探讨了POP门户在新转诊至三级护理疼痛诊所的患者中的可接受性、可用性和感知有用性。
我们采用描述性定性方法，对60名最近转诊至渥太华医院疼痛诊所的成年患者进行前瞻性队列研究。为患者提供了一次介绍会，并要求他们参加为期七周的随访访谈。数据在一个迭代过程中进行主题分析，研究团队的两名成员对回答进行审查和编码。
在诊所工作人员转诊至POP门户的60名患者中，45名参加了介绍会，40名完成了四周的随访。所有40名患者都使用了POP门户，并建议我们继续向等待护理的患者提供POP门户。我们确定了POP门户的可接受性（五个子主题）、可用性（十个子主题）、可及性（三个子主题）和患者价值（三个子主题）的总体主题。这包括：（1）POP门户提供了轻松获取慢性疼痛资源的途径；（2）POP门户有助于增进对慢性疼痛的理解；（3）需要对POP门户进行改进，以提高可用性并营造用户友好的体验。
POP门户为等待三级护理咨询的疼痛患者提供了可及且多样的资源；然而，患者希望看到针对诊断的资源。建议进行改进，以进一步提高POP门户的可用性。
