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Cited by 8Musculoskeletal pain and rehabilitationPain Management and Opioid UsePediatric Pain Management Techniques

Evaluation of the Empower Veterans Program for Military Veterans With Chronic Pain

Open access
Uche·2022·Journal of Clinical Outcomes Management
DOI 10.12788/jcom.0089
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Abstract

Objective: The purpose of this quality improvement project was to abstract and analyze previously collected data from veterans with high-impact chronic pain who attended the Empower Veterans Program (EVP) offered by a Veterans Administration facility in the northeastern United States.Methods: This quality improvement project used data collected from veterans with chronic pain who completed the veterans health care facility's EVP between August 2017 and August 2019.Pre-and postintervention data on pain intensity, pain interference, quality of life, and pain catastrophizing were compared using paired t-tests.Results: Although data were abstracted from 115 patients, the final sample included 67 patients who completed both pre-and postintervention questionnaires.Baseline measures of completers and noncompleters were similar.Comparison of pre and post mean scores on completers showed statistically significant findings (P = .004)based on the Bonferroni correction.The medium and large effect sizes (Cohen's d) indicated clinically significant improvements for veterans who completed the program.Veterans reported high levels of satisfaction with the program.Conclusion: Veterans with chronic high-impact noncancer pain who completed the EVP had reduced pain intensity, pain interference, pain catastrophizing as well as improved quality of life and satisfaction with their health.

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Crossref · 10.12788/jcom.0089

Cites

47 of 47 references verified0 citation errors · 0 not checkable

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  • A pre-post pilot evaluation found medium-to-large effect size improvements in pain intensity, catastrophizing, and health-related quality of life (HRQoL) among veterans that graduated (attended ≥ 8 of 10 sessions) from EVP.

    “A pre-post pilot evaluation [40] found medium-to-large effect size improvements in pain intensity, catastrophizing, and health-related quality of life (HRQoL) among veterans that graduated (attended ≥ 8 of 10 sessions) from EVP.”

    From Benchmark findings from a veteran electronic patient-reported outcomes evaluation from a chronic pain management telehealth program (2024) · cites this paper as [40]

    The Results and Discussion (page unavailable) report pre–post improvements in pain intensity, catastrophizing, and quality of life among 67 EVP completers, describing the effect sizes overall as moderate to large. The Intervention describes a 10-week program, but the passages do not define completion or graduation as attending at least 8 of 10 sessions. (LLM, conf=0.86)

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  • This paper offers a PiPT framework for mindful movement that is evidence-based, theory-driven, and has real-world implementation with positive outcomes for an integrated approach to interdisciplinary pain care.

    “This paper offers a PiPT framework for mindful movement that is evidence-based, theory-driven, and has real-world implementation with positive outcomes for an integrated approach to interdisciplinary pain care.63,65,68”

    From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [65]

    The Intervention section describes a real-world interdisciplinary program for veterans with chronic pain that included mindful movement, and the Results report improvements in pain and quality-of-life measures. The paper does not present this program as a PiPT framework for mindful movement or establish outcomes for mindful movement separately from the program as a whole (page numbers unavailable in our copy). (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Pain catastrophizing was lower post-treatment compared to baseline with an observed medium effect size which was consistent with previous evaluations.

    “In the current evaluation, pain catastrophizing was lower post-treatment compared to baseline with an observed medium effects size which was consistent with these previous evaluations.”

    From Benchmark findings from a veteran electronic patient-reported outcomes evaluation from a chronic pain management telehealth program (2024) · cites this paper as [40]

  • The lack of pre-post improvements in pain intensity and interference were contradictory to previous evaluations which produced small and medium effects, respectively.

    “The lack of pre-post improvements in pain intensity [36, 40] and interference [36] were contradictory to previous evaluations which produced small and medium effects, respectively.”

    From Benchmark findings from a veteran electronic patient-reported outcomes evaluation from a chronic pain management telehealth program (2024) · cites this paper as [40]

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Research works printed but not linked: 3

  1. [2]2. Bastian LA, Heapy A, Becker WC, et al. Understanding pain and pain treatment for veterans: responding to the federal pain research strategy. Pain Med. 2018;19(suppl_1); S1-S4. doi:10.1093/pm/ pny1433 · DOI
  2. [32]32. Stroud C, Posey Norris SM, Bain L, eds. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. National Academies Press (US); April 12, 2019.
  3. [50]50. Margiotta F, Hannigan A, Imran A, et al. Pain, perceived injustice, and pain catastrophizing in chronic pain patients in Ireland. Pain Pract. 2016;17(5):663-668. doi:10.1111/papr.12 · DOI

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Authors
Uche
Corresponding author
Uche
Venue
Journal of Clinical Outcomes Management
Publisher
Frontline Medical Communications, Inc.
Published
2022-03-28
Volume
29
Issue
2
ISSN
1079-6533 (ISSN-L)
DOI
10.12788/jcom.0089
OpenAlex
W4221060383
Cited by
8
References
46
Citations by year
2024: 6 · 2023: 2
FWCI
1.20
Type
journal article
Language
en
Open access
Locations
Journal of clinical outcomes management (publishedVersion)
Funders
U.S. Department of Veterans Affairs
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
military veterans, chronic pain, pain intensity, pain interference, pain catastrophizing, quality of life, program satisfaction, non-cancer pain, Veterans Affairs health care

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