Implementation of biopsychosocial supported self‐management for chronic primary oro‐facial pain including temporomandibular disorders: A theory, person and evidence‐based approach.
Background: Aims of the study were to: Implement supported self‐management for chronic primary oro‐facial pain in a clinical setting.Evaluate its impact on consultation rates, pain severity, interference with life and patient experience. Methods: Sixty‐six patients with chronic primary oro‐facial pa...
| Publicado en: | Journal of Oral Rehabilitation Vol. 48; no. 10; pp. 1118 - 1129 |
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| Autores principales: | , , , , , |
| Formato: | critical path research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152442974&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152442974 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0305182X ERZ jtl: Journal of Oral Rehabilitation issn: 0305182X maglogo: Y pubinfo: dt: Oct2021 vid: 48 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 152442974 151572319 152442974 152442974 10.1111/joor.13229 152442974 ppf: 1118 ppct: 11 formats: tig: atl: Implementation of biopsychosocial supported self‐management for chronic primary oro‐facial pain including temporomandibular disorders: A theory, person and evidence‐based approach. aug: au: Aggarwal, Vishal R. Wu, Jianhua Fox, Frank Howdon, Daniel Guthrie, Elspeth Mighell, Alan affil: School of Dentistry, Faculty of Medicine & Health, University of Leeds, Leeds, UK sug: subj: Self-Management Facial Pain Temporomandibular Joint Diseases Biological Psychiatry Outcomes (Health Care) Human Models, Theoretical Models, Biopsychosocial Brief Pain Inventory Scales Pretest-Posttest Design Descriptive Statistics Cost Benefit Analysis Support, Psychosocial Medical Practice, Evidence-Based Feedback Critical Path ab: Background: Aims of the study were to: Implement supported self‐management for chronic primary oro‐facial pain in a clinical setting.Evaluate its impact on consultation rates, pain severity, interference with life and patient experience. Methods: Sixty‐six patients with chronic primary oro‐facial pain received the intervention at a facial pain clinic at Leeds Dental Institute, UK. Brief Pain Inventory (BPI) scores measured pain severity and interference with life before and after the intervention. Process mining outlined patient care pathways. Monthly consultation rates measured 12 months before and after the intervention were used to evaluate burden on healthcare services and economic impact. Patient feedback was assessed via Patient and Public involvement discussion groups. Results: Mean BPI scores significantly improved after intervention—from 5.70 (SD 1.89) to 3.78 (SD 2.34) (p <.001); mean pain interference score reduced from 19.95 (SD 9.41) to 12.05 (SD 9.64) (p <.001). Average monthly consultations significantly (p =.001) reduced from 0.42/month before the intervention to 0.16/month after the intervention. Economic assessment showed cost savings of £293 per patient per year. Process mining showed high rates of service usage with 31 patients also attending 51 other specialist services between them. Patient and Public Involvement discussion groups with 5 patients identified that the intervention was a 'constant companion' and should be implemented at the outset in the care pathway. Conclusion: Supported self‐management for chronic primary oro‐facial pain has a positive impact on health outcomes (physical functioning, pain intensity and patient experience), as well as service usage and healthcare costs when implemented in a secondary care clinical setting. Reconfiguring current care pathways to upscale early implementation of such interventions should be a priority for future testing. pubtype: Academic Journal doctype: critical path research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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