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Information about ongoing health services research and public health projects
| New approach to pain assessment/management in primary practice.
(Archived Project) |
|
|---|---|
| Investigator (PI): | Ahles, Tim A |
| Performing Organization (PO): |
(Current): Dartmouth College, Geisel School of Medicine, Department of Psychiatry |
| Supporting Agency (SA): | Agency for Healthcare Research and Quality (AHRQ) |
| Initial Year: | 1997 |
| Final Year: | 1998 |
| Record Source/Award ID: | CRISP/R03HS09368 |
| Award Type: | Grant |
| Abstract: | 1) A random sample of 30% of patients (age 21-69) from ten physician practices will be mailed the SF 36 and a screening questionnaire to determine their level of pain in the previous one month (level 4 or 5 pain on a 1-5 intensity rating scale), their age, gender and a checklist of diagnoses. Based on our preliminary data, we anticipate that approximately 15% of patients will have moderate-severe pain. Assuming that each physician has about 1000 adult patients, we anticipate that 450-500 patients will be eligible for the study. One hundred patients will be randomly assigned to the control group. Of the remaining 350, we anticipate from our earlier data, that two-thirds (approximately 250 patients) will not endorse significant psychosocial problems and that one-third (approximately 100 patients) will endorse significant psychosocial problems (level 4-5 impairment on the Improve Your Medical Care Questionnaire, see below) in one or more of the following areas: "feelings," social activities, social support, sexual problems, substance abuse, or violence or abuse. The questionnaires will be mailed from and returned to the COOP Research Office at Dartmouth. Patients who report no significant psychosocial problems will receive the Dartmouth COOP Clinical Improvement Intervention and patients who report experiencing psychosocial problems will receive the Nurse-Educator Intervention. In addition to completing questionnaires, patients in the Nurse-Educator group will receive up to 9 phone calls from a nurse designed to help improve the management of their pain and related psychosocial problems. 2) The primary data source for the study will be questionnaires completed by the patient as part of the research objectives of the study. 3) Consent for completion of the screening questionnaires and for participation in the intervention will be obtained by mail. 4) There are no major risks for study participation. 5) Patient confidentiality will be strictly protected. Access to collected data will be restricted to the treating primary care physician and the research team. All data will be maintained in locked files in the Dartmouth COOP Research Office. As described in the proposal, Drs. Ahles and Seville will be available for consultation and intervention if serious psychological problems are identified by the nurse-educator. 6) Patients who participate in the Intervention should benefit from improved pain management and treatment of psychosocial problems. We believe that the benefits far outweigh any potential risks. |
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| Country: | United States |
| State: | New Hampshire |
| Zip Code: | 03756 |
| UI: | 97300020 |
| Project Status: | Archived |
