Patient-Reported Outcomes of an Integrative Pain Management Program Implemented in a Primary Care Safety Net Clinic: a Quasi-experimental Study
Socioeconomically vulnerable patients experience high rates of pain, barriers to care,1 and risks from conventional pain treatments.2 Multimodal, non-pharmacologic approaches are recommended as first-line treatments for chronic pain,3 but are often unavailable in resource-limited settings. We evaluated the impact of a multimodal chronic pain management program among patients at a safety-net clinic.
Setting and Intervention
We developed the Integrative Pain Management Program (IPMP) at Tom Waddell Urban Health Clinic (TWUHC), a public health, primary care clinic in San Francisco. TWUHC provides healthcare for diverse, marginalized patients with high rates of homelessness, chronic disease, chronic pain, and substance use. IPMP consists of a core 12-week program centered around a weekly “home group” that provides education on the biopsychosocial model of pain and multimodal treatments, physical movement, mindfulness training, and peer support. Patients also receive...
KEY WORDSchronic pain integrative medicine multidisciplinary pain management multimodal care primary care underserved populations vulnerable populations
The authors thank Blue Walcer, MPH, for her involvement with program development, facilitation of weekly groups, and service on the IPMP Steering Committee; Jimmy He for assistance coordinating and conducting interviews, monitoring and collecting attendance, and quality improvement data; and Trilce Santana for conducting interviews of participants and providing training and support to IPMP staff for best practices in research conduct. Institutional support for IPMP was provided through the San Francisco Department of Public Health.
Funding for the study was provided through the Mount Zion Health Fund.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
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