Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program
Open accessAbstract
PURPOSE: There is evidence that the management of chronic non-cancer pain (CNCP) in primary care is far from being optimal. A 1-day workshop was held to explore the perceptions of key actors regarding the challenges and priority interventions to improve CNCP management in primary care. METHODS: Using the Chronic Care Model as a conceptual framework, physicians (n=6), pharmacists (n=6), nurses (n=6), physiotherapists (n=6), psychologists (n=6), pain specialists (n=6), patients (n=3), family members (n=3), decision makers and managers (n=4), and pain researchers (n=7) took part in seven focus groups and five nominal groups. RESULTS: Challenges identified in focus group discussions were related to five dimensions: knowledge gap, "work in silos", lack of awareness that CNCP represents an important clinical problem, difficulties in access to health professionals and services, and patient empowerment needs. Based on the nominal group discussions, the following priority interventions were identified: interdisciplinary continuing education, interdisciplinary treatment approach, regional expert leadership, creation and definition of care paths, and patient education programs. CONCLUSION: Barriers to optimal management of CNCP in primary care are numerous. Improving its management cannot be envisioned without considering multifaceted interventions targeting several dimensions of the Chronic Care Model and focusing on both clinicians and patients.
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Interventions targeted at both clinicians and patients improved management in patients with chronic pain.
“Research exploring interventions targeted at both clinicians and patients demonstrated improved management in patients with chronic pain [67].”
From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [67]
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Identification and Management of Chronic Pain in Primary Care: a Review
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Self-citation
- Authors
- Lalonde, L., Choinière, M., Martin, E., Lévesque, L., Hudon, E., Bélanger, D., Perreault, S., Lacasse, A., & Laliberté, M.-C.
- Affiliations
- Sanofi (Canada) (CA)
- Centre Hospitalier de l’Université de Montréal (CA)
- Centre Integre de Sante et de Services Sociaux de Laval (CA)
- Université de Montréal (CA)
- Université du Québec en Abitibi-Témiscamingue (CA)
- AbbVie Canada (Canada) (CA)
- Corresponding author
- Lalonde, Lyne
- Venue
- Journal of Pain Research
- Publisher
- Informa UK Limited
- Published
- 2015-04
- Volume
- 8
- Pages
- 203
- ISSN
- 1178-7090 (ISSN-L)
- PMC
- PMC4425332
- OpenAlex
- W1552059934
- Cited by
- 29
- References
- 48
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 6 · 2022: 1 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 2
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Pain Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Depositum (Université du Québec en Abitibi-Témiscamingue) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- chronic non-cancer pain, primary care, Chronic Care Model, stakeholder perspectives, multidisciplinary care, continuing education, care pathways, patient education, patient empowerment, health care access, knowledge gaps, barriers to pain management
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