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Please use this identifier to cite or link to this item: https://hdl.handle.net/11055/810
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dc.contributor.authorHolliday Sen_US
dc.contributor.authorHayes Cen_US
dc.contributor.authorDunlop Aen_US
dc.contributor.authorMorgan Sen_US
dc.contributor.authorTapley Aen_US
dc.contributor.authorHenderson Ken_US
dc.contributor.authorLarance Ben_US
dc.contributor.authorMagin Pen_US
dc.date.accessioned2018-12-14T02:04:58Z-
dc.date.available2018-12-14T02:04:58Z-
dc.date.issued2017-12-
dc.identifier.citation18(12):2306-2315en_US
dc.identifier.urihttp://hdl.handle.net/11055/810-
dc.description.abstractINTRODUCTION: Advocacy and commercially funded education successfully reduced barriers to the provision of long-term opioid analgesia. The subsequent escalation of opioid prescribing for chronic noncancer pain has seen increasing harms without improved pain outcomes. METHODS: This was a one-group pretest-posttest design study. A multidisciplinary team developed a chronic pain educational package for general practitioner trainees emphasizing limitations, risk-mitigation, and deprescribing of opioids with transition to active self-care. This educational intervention incorporated prereadings, a resource kit, and a 90-minute interactional video case-based workshop incorporated into an education day. Evaluation was via pre- and postintervention (two months) questionnaires. Differences in management of two clinical vignettes were tested using McNemar's test. RESULTS: Of 58 eligible trainees, 47 (response rate = 81.0%) completed both questionnaires (36 of whom attended the workshop). In a primary analysis including these 47 trainees, therapeutic intentions of tapering opioid maintenance for pain (in a paper-based clinical vignette) increased from 37 (80.4%) pre-intervention to 44 (95.7%) postintervention (P = 0.039). In a sensitivity analysis including only trainees attending the workshop, 80.0% pre-intervention and 97.1% postintervention tapered opioids (P = 0.070). Anticipated initiation of any opioids for a chronic osteoarthritic knee pain clinical vignette reduced from 35 (74.5%) to 24 (51.1%; P = 0.012) in the primary analysis and from 80.0% to 41.7% in the sensitivity analysis (P = 0.001). CONCLUSIONS: Necessary improvements in pain management and opioid harm avoidance are predicated on primary care education being of demonstrable efficacy. This brief educational intervention improved hypothetical management approaches two months subsequently. Further research measuring objective changes in physician behavior, especially opioid prescribing, is indicated.en_US
dc.subjectopioidsen_US
dc.subjectPain Managementen_US
dc.subjectpain training programsen_US
dc.subjecteducationen_US
dc.subjectAddictionen_US
dc.subjectOpioidsen_US
dc.titleProtecting Pain Patients. The Evaluation of a Chronic Pain Educational Intervention.en_US
dc.typeJournal Articleen_US
dc.type.contentTexten_US
dc.identifier.journaltitlePain medicine (Malden, Mass.)en_US
dc.identifier.doi10.1093/pm/pnx018en_US
dc.type.studyortrialStudyen_US
dc.ispartof.anzcaresearchfoundationYesen_US
local.message.claim2023-05-01T22:25:55.502+1000|||rp00071|||submit_approve|||dc_contributor_author|||None*
dc.type.specialtyPain Medicineen_US
item.cerifentitytypePublications-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
Appears in Collections:Scholarly and Clinical
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