Design of the integrative medical group visits randomized control trial for underserved patients with chronic pain and depression
Center for Integrated Primary Care; Department of Family Medicine and Community Health
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
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.
Integrative medicine, Medical group visits, Mindfulness, Mindfulness based stress reduction, Shared medical appointments, eHealth
DOI of Published Version
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
Contemporary clinical trials
Gardiner P. (2017). Design of the integrative medical group visits randomized control trial for underserved patients with chronic pain and depression. Center for Integrated Primary Care Publications. https://doi.org/10.1016/j.cct.2016.12.013. Retrieved from https://escholarship.umassmed.edu/cipc/26