Advertisement

Journal of General Internal Medicine

, Volume 34, Issue 7, pp 1105–1107 | Cite as

Patient-Reported Outcomes of an Integrative Pain Management Program Implemented in a Primary Care Safety Net Clinic: a Quasi-experimental Study

  • Maria Teresa ChaoEmail author
  • Emily Hurstak
  • Kristina Leonoudakis-Watts
  • Frank Sidders
  • Joseph Pace
  • Hali Hammer
  • Barbara Wismer
Concise Research Reports

INTRODUCTION

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.

METHODS

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 WORDS

chronic pain integrative medicine multidisciplinary pain management multimodal care primary care underserved populations vulnerable populations 

Notes

Acknowledgments

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 Information

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.

References

  1. 1.
    Institute of Medicine. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: The National Academies Press; 2011.Google Scholar
  2. 2.
    Song Z. Mortality Quadrupled Among Opioid-Driven Hospitalizations, Notably Within Lower-Income And Disabled White Populations. Health Affairs. 2017;36(12):2054–61.  https://doi.org/10.1377/hlthaff.2017.0689 CrossRefGoogle Scholar
  3. 3.
    Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016. JAMA. 2016;315(15):1624–45.  https://doi.org/10.1001/jama.2016.1464 CrossRefGoogle Scholar
  4. 4.
    Amtmann D, Cook KF, Jensen MP, et al. Development of a PROMIS item bank to measure pain interference. Pain. 2010;150(1):173–82. doi: https://doi.org/10.1016/j.pain.2010.04.025 CrossRefGoogle Scholar
  5. 5.
    Nicholas MK. The pain self-efficacy questionnaire: Taking pain into account. Eur J Pain. 2007;11(2):153–63.  https://doi.org/10.1016/j.ejpain.2005.12.008 CrossRefGoogle Scholar
  6. 6.
    Hurstak E, Kushel MB. Pain Care on a New Track: Complementary Therapies in the Safety Net. California Health Care Foundation; 2016.Google Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Maria Teresa Chao
    • 1
    • 2
    Email author
  • Emily Hurstak
    • 2
  • Kristina Leonoudakis-Watts
    • 3
  • Frank Sidders
    • 3
  • Joseph Pace
    • 3
  • Hali Hammer
    • 3
    • 4
  • Barbara Wismer
    • 3
    • 4
  1. 1.Osher Center for Integrative MedicineUniversity of California, San FranciscoSan FranciscoUSA
  2. 2.Division of General Internal Medicine at Zuckerberg San Francisco General Hospital and Trauma CenterUCSFSan FranciscoUSA
  3. 3.San Francisco Department of Public HealthSan FranciscoUSA
  4. 4.Department of Family and Community MedicineUCSFSan FranciscoUSA

Personalised recommendations