Lomanowska Anna M, Tahir Rabia, Choo Christina, Zhu Sabrina, Wang Dora Y, Slepian P Maxwell, Katz Joel, Clarke Hance
Pain Research Unit, Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
Transitional Pain Service, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
BMC Health Serv Res. 2025 Jan 29;25(1):169. doi: 10.1186/s12913-025-12301-y.
Evidence-based treatment of chronic pain requires a multidisciplinary approach grounded in the biopsychosocial model. Implementing this approach within health systems relies on its acceptance by both healthcare providers and patients. While pioneering multidisciplinary pain clinics can serve as a model for implementation, a systematic effort is needed to share knowledge effectively and broadly. In the current paper we provide an overview of the knowledge translation initiatives undertaken at our Transitional Pain Service (TPS) at Toronto General Hospital, a state-of-the-art multidisciplinary pain program established in 2014 for patients at risk of developing chronic pain after surgery. The TPS team strives to enhance acceptance of this model of care among patients and providers, facilitate the establishment of similar clinics, and promote patient understanding of the integrated multidisciplinary pain care approach. Guided by the Knowledge to Action (KTA) framework, knowledge translation activities undertaken by our TPS team include clinician training, resources and outreach activities for providers, and patient education. Resource development was preceded by consultation and needs assessment among patients and providers and feedback from both groups was incorporated as part of the development process. The tailored resources were disseminated via the TPS clinic website and monitoring of online usage enables continuous evaluation of engagement. Barriers to engagement with the resources were examined through patient surveys and staff interviews. Based on these activities, we offer insights gained by our team throughout the knowledge translation process and provide recommendations for other clinical teams who wish to undertake similar initiatives.
慢性疼痛的循证治疗需要一种基于生物心理社会模型的多学科方法。在卫生系统中实施这种方法依赖于医疗服务提供者和患者双方的接受。虽然开创性的多学科疼痛诊所可作为实施的典范，但需要做出系统性努力以有效且广泛地分享知识。在本文中，我们概述了多伦多综合医院过渡性疼痛服务中心（TPS）开展的知识转化举措，该中心是2014年为术后有发展为慢性疼痛风险的患者设立的一家先进的多学科疼痛项目。TPS团队致力于提高患者和医疗服务提供者对这种护理模式的接受度，促进类似诊所的建立，并增进患者对综合多学科疼痛护理方法的理解。在知识转化行动（KTA）框架的指导下，我们TPS团队开展的知识转化活动包括临床医生培训、为医疗服务提供者提供资源及外展活动，以及患者教育。在资源开发之前，对患者和医疗服务提供者进行了咨询和需求评估，并将两组的反馈纳入开发过程。量身定制的资源通过TPS诊所网站进行传播，对在线使用情况的监测可实现对参与度的持续评估。通过患者调查和员工访谈来研究使用这些资源的障碍。基于这些活动，我们分享了团队在整个知识转化过程中获得的见解，并为希望开展类似举措的其他临床团队提供建议。
