Impact of a Novel Community-Based Biobehavioral Chronic Pain Team Training Program (4PCP) on Practitioner and Patient Outcomes
Virginia Commonwealth University
Summary
Reducing opioid prescribing and improving outcomes in patients with chronic pain would benefit our nation. Neither addiction nor chronic pain spares any race, gender, or particular socio-economic status. This study is investigating a potentially inexpensive way of providing a previously costly service (the intensive chronic pain rehabilitation program), which is why insurers stopped covering it. Although it is unusual for an application from an academic institution to include a startup company (PainSTakers, LLC) as the curriculum provider, this is actually a long-term strength of this program, and the reason NIH recommended this route. It ensures that 4PCP will ultimately sustain itself rather than require government support for its continuation. Support for this application is not to provide the curriculum, but to determine if it is effective in the outcomes expected to be found. The curriculum is being provided freely only as an incentive for practitioners to participate in the research portion of the study. If the study is able to demonstrate its clinical effectiveness, the next step will be to show a positive economic impact for health care institutions and for health insurers who may then wish to support the program for their practitioners and their patients.
Description
Practitioner procedures: After the completion of informed consent, practitioners will be sent their first set of surveys (Baseline). 1 week before the first day of the practitioner's course, they will be sent a second set of surveys (Time 0). 6 months after course completion, practitioners will be sent their next set of surveys (Follow Up 1). 6 months after the distribution of Follow Up Survey 1, practitioners will be sent their next set of surveys (Follow Up 2). 6 months after the distribution of Follow Up Survey 2, practitioners will be sent their next set of surveys (Follow Up 3). 6 m…
Eligibility
- Age range
- 14–80 years
- Sex
- All
- Healthy volunteers
- No
Practitioner Inclusion: * General practitioners * Part of a practice that has their own identifiable patient population including patients with chronic pain * Able to fully answer questionnaires * Able to attend 4PCP course * English speaking Patient inclusion: * Age 14-80 * Self-report of chronic non-malignant pain \> 3 months * No foreseeable or planned surgeries for chronic pain * Has attended at least 2 established visits in the enrolled practitioner's practice * English speaking Practitioner exclusion: * Pain specialists * Unable to fully answer questionnaires * Unable to attend the…
Interventions
- Behavioral4PCP Course
4PCP is a training framework for the management of chronic pain and gives practitioners lasting knowledge on how to better care for chronic pain patients.
Locations (4)
- Case Western Reserve UniversityCleveland, Ohio
- Virginia Commonwealth UniversityRichmond, Virginia
- Wisconsin Research and Education Network (WREN)Madison, Wisconsin
- SSM HealthMadison, Wisconsin