Design of the integrative medical group visits randomized control trial for underserved patients with chronic pain and depression
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Authors
Gardiner, PaulaUMass Chan Affiliations
Department of Family Medicine and Community HealthCenter for Integrated Primary Care
Document Type
Journal ArticlePublication Date
2017-03-01Keywords
Integrative medicineMedical group visits
Mindfulness
Mindfulness based stress reduction
Shared medical appointments
eHealth
Alternative and Complementary Medicine
Behavioral Medicine
Health Information Technology
Health Psychology
Integrative Medicine
Mental and Social Health
Movement and Mind-Body Therapies
Pain Management
Primary Care
Psychiatry and Psychology
Metadata
Show full item recordAbstract
BACKGROUND: Given the public health crisis of opioid overprescribing for pain, there is a need for evidence-based non pharmacological treatment options that effectively reduce pain and depression. We aim to examine the effectiveness of the Integrative Medical Group Visits (IMGV) model in reducing chronic pain and depressive symptoms, as well as increasing pain self-management. METHODS: This paper details the study design and implementation of an ongoing randomized controlled trial of the IMGV model as compared to primary care visits. The research aims to determine if the IMGV model is effective in achieving: a) a reduction in self-reported pain and depressive symptoms and 2) an improvement in the self-management of pain, through increasing pain self-efficacy and reducing use of self-reported pain medication. We intend to recruit 154 participants to be randomized in our intervention, the IMGV model (n=77) and to usual care (n=77). CONCLUSIONS: Usual care of chronic pain through pharmacological treatment has mixed evidence of efficacy and may not improve quality of life or functional status. We aim to conduct a randomized controlled trial to evaluate the effectiveness of the IMGV model as compared to usual care in reducing self-reported pain and depressive symptoms as well as increasing pain management skills.Source
Contemp Clin Trials. 2017 Mar;54:25-35. doi: 10.1016/j.cct.2016.12.013. Epub 2016 Dec 13. Link to article on publisher's site
DOI
10.1016/j.cct.2016.12.013Permanent Link to this Item
http://hdl.handle.net/20.500.14038/26790PubMed ID
27979754Notes
At the time of publication, Paula Gardiner was not yet affiliated with the University of Massachusetts Medical School.
Full author list omitted for brevity. For the full list of authors, see article.
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10.1016/j.cct.2016.12.013