Evaluation of an innovative tele-education intervention in chronic pain management for primary care clinicians practicing in underserved areas

Journal of Telemedicine and Telecare

Volumn 25, Issue 8, 2019, Pages 484-492

  Furlan, Andrea D ^a,b   Zhao, Jane ^a   Voth, Jennifer ^c   Hassan, Samah ^a,b   Dubin, Ruth ^d   Stinson, Jennifer N ^e,f,g   Jaglal, Susan ^c,f,g   Fabico, Ralph ^a   Smith, Andrew J ^h   Taenzer, Paul ^d   Flannery, John F ^a,b  

^a TORONTO REHABILITATION INSTITUTE   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c Institute of Clinical and Evaluative Sciences   (Canada)

^d QUEEN S UNIVERSITY   (Canada)

^e HOSPITAL FOR SICK CHILDREN   (Canada)

^f UNIVERSITY OF TORONTO   (Canada)

^g UNIVERSITY OF TORONTO   (Canada)

^h CENTRE FOR ADDICTION AND MENTAL HEALTH   (Canada)

Author keywords

chronic pain management; community based education; continuing medical education; interprofessional medical education; Pain education; primary care education; problem based learning; project echo; quantitative research methods; remote; rural; tele education; tele mentoring; underserved

Indexed keywords

ANALGESIA; COMMUNITY CARE; EDUCATION; FEMALE; GENERAL PRACTITIONER; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HUMAN; MEDICAL EDUCATION; ONTARIO; ORGANIZATION AND MANAGEMENT; PRIMARY HEALTH CARE; PROCEDURES; QUESTIONNAIRE;

COMMUNITY HEALTH SERVICES; EDUCATION, MEDICAL, CONTINUING; FEMALE; HEALTH PERSONNEL; HUMANS; MEDICALLY UNDERSERVED AREA; ONTARIO; PAIN MANAGEMENT; PHYSICIANS, PRIMARY CARE; PRIMARY HEALTH CARE; SURVEYS AND QUESTIONNAIRES;

EID: 85049847179     PISSN: 1357633X     EISSN: 17581109     Source Type: Journal    
DOI: 10.1177/1357633X18782090     Document Type: Article

References (36)

1. Moulin DE, Clark AJ, Speechley M, Chronic pain in Canada-prevalence, treatment, impact and the role of opioid analgesia. Pain Res Manag 2002; 7: 179–184.
2. Schopflocher D, Taenzer P, Jovey R. The prevalence of chronic pain in Canada. Pain Res Manag 2011; 16: 445–450.
3. Johannes CB, Le TK, Zhou X, The prevalence of chronic pain in United States adults: results of an Internet-based survey. J Pain 2010; 11: 1230–1239.
4. Vos T, Flaxman AD, Naghavi M, Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2163–2196.
5. Lynch ME. The need for a Canadian pain strategy. Pain Res Manag 2011; 16: 77–80.
6. Andrew R, Derry S, Taylor RS, The costs and consequences of adequately managed chronic non-cancer pain and chronic neuropathic pain. Pain Pract 2014; 14: 79–94.
7. Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain—United States, 2016. JAMA 2016; 315: 1624–1645.
8. Watt-Watson J, Murinson BB. Current challenges in pain education. Pain Manag 2013; 3: 351–357.
9. Watt-Watson J, McGillion M, Hunter J, A survey of prelicensure pain curricula in health science faculties in Canadian universities. Pain Res Manag 2009; 14: 439–444.
10. Gomes T, Juurlink D, Moineddin R, Geographical variation in opioid prescribing and opioid-related mortality in Ontario. Healthc Q 2011; 14: 22–24.
11. Chou R, Turner JA, Devine EB, The effectiveness and risks of long-term opioid therapy for chronic pain: A systematic review for a National Institutes of Health Pathways to Prevention Workshop. Ann Intern Med 2015; 162: 276–286.
12. Lalonde L, Leroux-Lapointe V, Choinière M, Knowledge, attitudes and beliefs about chronic noncancer pain in primary care: a Canadian survey of physicians and pharmacists. Pain Res Manag 2014; 19: 241–250.
13. Allen MJ, Asbridge MM, Macdougall PC, Self-reported practices in opioid management of chronic noncancer pain: a survey of Canadian family physicians. Pain Res Manag 2013; 18: 177–184.
14. Katzman JG, Comerci G, Boyle JF, Innovative telementoring for pain management: Project ECHO pain. J Contin Educ Health Prof 2014; 34: 68–75.
15. Shelley BM, Katzman JG, Comerci GD, Jr, ECHO pain curriculum: Balancing mandated continuing education with the needs of rural health care practitioners. J Contin Educ Health Prof 2017; 37: 190–194.
16. Frank JW, Carey EP, Fagan KM, Evaluation of a telementoring intervention for pain management in the Veterans Health Administration. Pain Med 2015; 16: 1090–1100.
17. Arora S, Kalishman S, Thornton K, Expanding access to hepatitis C virus treatment—Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care. Hepatology 2010; 52: 1124–1133.
18. Arora S, Thornton K, Komaromy M, Demonopolizing medical knowledge. Acad Med 2014; 89: 30–32.
19. Komaromy M, Duhigg D, Metcalf A, Project ECHO (Extension for Community Healthcare Outcomes): a new model for educating primary care providers about treatment of substance use disorders. Subst Abus 2016; 37: 20–24.
20. Dubin RE, Flannery J, Taenzer P, ECHO Ontario chronic pain & opioid stewardship: Providing access and building capacity for primary care providers in underserviced, rural, and remote communities. Stud Health Technol Inform 2015; 209: 15–22.
21. Gordon DB, Loeser JD, Tauben D, Development of the KnowPain-12 pain management knowledge survey. Clin J Pain 2014; 30: 521–527.
22. El-Masri MM, Fox-Wasylyshyn SM. Missing data: an introductory conceptual overview for the novice researcher. Can J Nurs Res 2005; 37: 156–171.
23. Raymond MR. Missing data in Evaluation Research. Eval Health Prof 1986; 9: 395–420.
24. Cohen J. Statistical power analysis for the behavioral sciences, (revised ed.). New York: Academic Press, 1977.
25. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 1977; 84: 191–215.
26. Bandura A, Adams NE, Beyer J. Cognitive processes mediating behavioral change. J Pers Soc Psychol 1977; 35: 125–139.
27. Hughes A, Galbraith D, White D. Perceived competence: a common core for self-efficacy and self-concept? J Pers Assess 2011; 93: 278–289.
28. Arora S, Thornton K, Murata G, Outcomes of treatment for hepatitis C virus infection by primary care providers. New Engl J Med 2011; 364: 2199–2207.
29. Sockalingam S, Arena A, Serhal E, et al. Building provincial mental health capacity in primary care: An evaluation of a project ECHO mental health program. Acad Psychiatry. 2018; 42(4): 451–457.
30. Marciano S, Haddad L, Plazzotta F, Implementation of the ECHO(R) telementoring model for the treatment of patients with hepatitis C. J Med Virol 2017; 89: 660–664.
31. Thistlethwaite JE, Davies D, Ekeocha S, The effectiveness of case-based learning in health professional education. A BEME systematic review: BEME Guide No. 23. Med Teach 2012; 34: e421–e444.
32. Scallan E, Davis S, Thomas F, Supporting peer learning networks for case-based learning in public health: Experience of the Rocky Mountain Public Health Training Center with the ECHO training model. Pedagogy Health Promot 2017; 3: 52S–58S.
33. Carlin L, Zhao J, Dubin R, Project ECHO telementoring intervention for managing chronic pain in primary care: Insights from a qualitative study. Pain Med 2017; 19: 1140–1146.
34. Ball S, Wilson B, Ober S, SCAN-ECHO for pain management: Implementing a regional telementoring training for primary care providers. Pain Med 2017; 19: 262–268.
35. Zhou C, Crawford A, Serhal E, The impact of project ECHO on participant and patient outcomes: a systematic review. Acad Med 2016; 91: 1439–1461.
36. Stommel M and Wills C. Clinical research: Concepts and principles for advanced practice nurses. Lippincott Williams & Wilkins, 2004