Effects of a Patient Driven Assessment Process With Complex Pain Patients
| Status: | Completed |
|---|---|
| Conditions: | Chronic Pain, Chronic Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/22/2016 |
| Start Date: | October 2012 |
| End Date: | April 2015 |
Effects of a Patient Driven Assessment Process With Complex Pain Patients (PDAP)
The objective of this study is to engage patients with chronic pain and other key
stakeholders in an iterative process of pilot-testing a validated patient generated
instrument, the Measure Yourself Medical Outcome Profile (MYMOP), to support primary care
encounters and provide a direct comparison between a strategy of incorporating patient
reported outcomes into the package of care for complex pain patients and usual care. The
specific aims of this phase of the project are to: 1) adapt the MYMOP for use in the primary
care setting well-integrated into everyday practice flow, and 2) evaluate whether the
utilization of the MYMOP data in routine primary care encounters results in improvements in
patient symptoms and functioning over time as well as increased satisfaction with the visit
for patients and primary care providers. To achieve Aim 2, the investigators will compare
the reported outcomes and health care utilization from participating patients in this study
for whom the MYMOP-based instrument will be used in routine clinical care to a matched group
of chronic pain patients who will not receive the MYMOP-based assessment but will otherwise
have similarly collected data. This also allows us to evaluate of the extent to which use of
the tool adds patient-centered information to more conventional instruments. In addition to
these two aims, for a third aim, the investigators plan to collect qualitative data from
patients, their family members, Kaiser Permanente Northwest (KPNW) health care providers,
and KPNW administrators to better understand the needs of this subpopulation of patients.
stakeholders in an iterative process of pilot-testing a validated patient generated
instrument, the Measure Yourself Medical Outcome Profile (MYMOP), to support primary care
encounters and provide a direct comparison between a strategy of incorporating patient
reported outcomes into the package of care for complex pain patients and usual care. The
specific aims of this phase of the project are to: 1) adapt the MYMOP for use in the primary
care setting well-integrated into everyday practice flow, and 2) evaluate whether the
utilization of the MYMOP data in routine primary care encounters results in improvements in
patient symptoms and functioning over time as well as increased satisfaction with the visit
for patients and primary care providers. To achieve Aim 2, the investigators will compare
the reported outcomes and health care utilization from participating patients in this study
for whom the MYMOP-based instrument will be used in routine clinical care to a matched group
of chronic pain patients who will not receive the MYMOP-based assessment but will otherwise
have similarly collected data. This also allows us to evaluate of the extent to which use of
the tool adds patient-centered information to more conventional instruments. In addition to
these two aims, for a third aim, the investigators plan to collect qualitative data from
patients, their family members, Kaiser Permanente Northwest (KPNW) health care providers,
and KPNW administrators to better understand the needs of this subpopulation of patients.
Inclusion Criteria:
- 18 years or older
- Kaiser Permanente Northwest health plan members with at least 12 months of continuous
eligibility at time of study entry and receive primary care from participating
physicians
- Continued opioid use during the previous 6 months, as defined by 2 or more dispenses
of long-acting opioids and/or a minimum cumulative supply of 90 days' worth of
short-acting opioids based on electronic medical record (EMR) d) EMR recorded
diagnosis of nonspecific chronic pain, Fibromyalgia, or diagnosis of ≥ 2 types of
pain in the past year
Exclusion Criteria:
- Active cancer
- Substance abuse or dependence
- Hospice care
- Severe mental illness
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