Electronic Delivery of Pain Education for Chronic Overlapping Pain Conditions: A Prospective Cohort Study. Issue 10 (27th January 2021)

• Record Type: Journal Article
• Authors: McKernan, Lindsey C; Crofford, Leslie J; Kim, Ahra; Vandekar, Simon N; Reynolds, William S; Hansen, Kathryn A; Clauw, Daniel J; Williams, David A
• Is Part Of: Pain medicine. Volume 22:Issue 10(2021)
• Page Start: 2252
• Page End: 2262
• Publication Date: 2021-01-27
• Subjects: Chronic Overlapping Pain Conditions -- Pain -- Chronic -- Education -- Fibromyalgia -- Central sensitization; Pain -- Periodicals; Pain -- Treatment -- Periodicals; Analgesics -- Periodicals; Pain -- Periodicals; Pain Management -- Periodicals; Douleur -- Périodiques; Douleur -- Traitement -- Périodiques; Analgésiques -- Périodiques; Analgésique; Soulagement de la douleur; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.047205
• DOI: 10.1093/pm/pnab018
• Languages: English
• ISSNs: 1526-2375

Abstract

Abstract: Objective: To examine the impact of educational materials for chronic overlapping pain conditions (COPCs), the feasibility of delivering materials online, and to explore its impact on self-reported self-management applications at 3-month follow-up. Design: Prospective cohort study Setting: Online Subjects: Individuals from a university-wide active research repository with ≥1 coded diagnostic COPC by ICD-9/10 in the medical record. Methods: We determined the number of COPCs per participant as indicated by diagnostic codes in the medical record. Consenting participants completed self-report questionnaires and read educational materials. We assessed content awareness and knowledge pre- and post-exposure to education. Comprehension was assessed via embedded questions in reading materials in real time. Participants then completed assessments regarding concept retention, self-management engagement, and pain-related symptoms at 3-months. Results: N = 216 individuals enrolled, with 181 (84%) completing both timepoints. Results indicated that participants understood materials. Knowledge and understanding of COPCs increased significantly after education and was retained at 3-months. Patient characteristics suggested the number of diagnosed COPCs was inversely related to age. Symptoms or self-management application did not change significantly over the 3-month period. Conclusions: The educational materials facilitated teaching of key pain concepts in self-management programs, which translated easily into an electronic format. Education alone may not elicit self-management engagement or symptom reduction in this population; however, conclusions are limited by the study's uncontrolled design. Education is likely an important and meaningful first step in comprehensive COPC self-management.