Translational Behavioral Medicine

, Volume 2, Issue 4, pp 523–530 | Cite as

A primary care-based interdisciplinary team approach to the treatment of chronic pain utilizing a pragmatic clinical trials framework

  • Lynn L DeBar
  • Lindsay Kindler
  • Francis J Keefe
  • Carla A Green
  • David H Smith
  • Richard A Deyo
  • Katharine Ames
  • Adrianne Feldstein
Practice and Public Health Policies

ABSTRACT

Chronic pain affects at least 116 million adults in the USA and exacts a tremendous cost in suffering and lost productivity. While health systems offer specialized pain services, the primary care setting is where most patients seek and receive care for pain. Primary care-based treatment of chronic pain by interdisciplinary teams (including behavioral specialists, nurse case managers, physical therapists, and pharmacists) is one of the most effective approaches for improving outcomes and managing costs. To ensure robust integration of such services into sustainable health-care programs, evaluations must be conducted by researchers well versed in the methodologies of clinical trials, mixed methods and implementation research, bioinformatics, health services, and cost-effectiveness. Recent national health policy changes, in addition to the increasing recognition of the high prevalence and cost of chronic pain conditions, present a unique opportunity to shift the care paradigm for patients with chronic pain.

KEYWORDS

Chronic pain Interdisciplinary/multidisciplinary teams Primary care Implementation Research Pragmatic clinical trials 

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Copyright information

© Society of Behavioral Medicine 2012

Authors and Affiliations

  • Lynn L DeBar
    • 1
  • Lindsay Kindler
    • 2
  • Francis J Keefe
    • 3
  • Carla A Green
    • 1
  • David H Smith
    • 1
  • Richard A Deyo
    • 4
  • Katharine Ames
    • 5
  • Adrianne Feldstein
    • 6
  1. 1.Kaiser Permanente Center for Health ResearchPortlandUSA
  2. 2.School of NursingUniversity of PortlandPortlandUSA
  3. 3.Duke Pain Prevention and Treatment Research ProgramDuke University Medical CenterDurhamUSA
  4. 4.Department of Family MedicineOregon Health & Science UniversityPortlandUSA
  5. 5.Kaiser Health Plan, NorthwestPortlandUSA
  6. 6.Permanente Medical Group, NorthwestPortlandUSA

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