AI Article Synopsis
- - A new program called Video-Telecare Collaborative Pain Management (VCPM) was developed to help primary care providers manage chronic pain more effectively, especially during the challenges posed by the COVID-19 pandemic.
- - The study evaluated VCPM's feasibility and acceptability among veterans on long-term opioid therapy, with findings showing that participants appreciated the program, and many successfully switched to buprenorphine or reduced their opioid use.
- - Results indicated a significant decrease in patients' daily opioid dosage over three months, particularly for those attending multiple appointments, and the program met its initial goals, suggesting potential for further development in pain management strategies.
Article Abstract
Background: Chronic pain is among the most common conditions presenting to primary care and guideline-based care faces several challenges. A novel pain management program, Video-Telecare Collaborative Pain Management (VCPM), was established to support primary care providers and meet new challenges to care presented by the COVID-19 pandemic.
Methods: The present single-arm feasibility study aimed to evaluate the feasibility and acceptability of VCPM and its components among U.S. veterans on long-term opioid therapy for chronic pain at ≥ 50 mg morphine equivalent daily dose (MEDD). VCPM consists of evidence-based interventions, including opioid reassessment and tapering, rotation to buprenorphine and monitoring, and encouraging behavioral pain and opioid-use disorder self-management.
Results: Of the 133 patients outreached for VPCM, 44 completed an initial intake (33%) and 19 attended multiple VCPM appointments (14%). Patients were generally satisfied with VCPM, virtual modalities, and provider interactions. Nearly all patients who attended multiple appointments maintained a buprenorphine switch or tapered opioids (16/19; 84%), and buprenorphine switches were generally reported as acceptable by patients. Patients completing an initial intake with VCPM had reduced morphine equivalent daily dose after three months (means = 109 mg MEDD vs 78 mg), with greater reductions among those who attended multiple appointments compared to intake only (Δ = -58.1 vs. -8.40). Finally, 29 referrals were placed for evidence-based non-pharmacologic interventions.
Conclusion: Pre-defined feasibility and acceptability targets for VCPM and its components were broadly met, and preliminary data are encouraging. Novel strategies to improve enrollment and engagement and future directions are discussed.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308713 | PMC |
| http://dx.doi.org/10.1186/s12875-023-02052-2 | DOI Listing |
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