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. 2014 Jul;3(4):20-6.
doi: 10.7453/gahmj.2014.011.

Medical group visits: a feasibility study to manage patients with chronic pain in an underserved urban clinic

Paula Gardiner  1 , Danielle Dresner  1 , Katherine Gergen Barnett  1 , Ekaterina Sadikova  1 , Robert Saper  1
Affiliations

Medical group visits: a feasibility study to manage patients with chronic pain in an underserved urban clinic

Paula Gardiner et al. Glob Adv Health Med. 2014 Jul.

Abstract

Background: Chronic pain affects millions of racially diverse Americans. Evidence suggests that group medical visits are effective for treating chronic pain; similarly, a number of studies demonstrate the effectiveness of certain evidence-based complementary therapies in managing pain.

Objectives: The primary goal of this study is to evaluate the feasibility of the integrative medical group visit (IMGV) care model in an inner-city racially diverse outpatient clinic. IMGV combines patient-centered, non-pharmacologic strategies and principles of mindfulness-based stress-reduction with a group medical visit to reduce pain and associated symptoms.

Methods: We surveyed patients pre and post an 8-session IMGV program to evaluate changes in pain in the last week (0-10 point scale) and comorbid symptoms including depression (Patient Health Questionaire-8 [PHQ-8]), perceived stress, and sleep quality. We also recorded referrals to the program, patients screened for eligibility, total enrollment, loss to follow-up, and attendance.

Results: Seventy patients joined IMGV, and of these, 65 (93%) enrolled in the study. Over the course of 12 months, 7 groups met (median 9 patients/group; range 8-13 participants). Mean difference in pain level for all patients between baseline and 8 weeks was 0.7 (SD=2.0, P=.005). Mean difference in PHQ-8 depression score for patients with baseline score ≥5 was 2.6 (SD=4.6, P<.001). Statistically significant improvements were also seen in sleep quality and perceived stress.

Conclusion: A group visits program combining conventional and integrative medicine for predominantly racially diverse patients is feasible.

Keywords: Group medical visit; chronic pain; integrative medical group visits; mindfulness-based stress reduction; patient-centered non-pharmacologic strategies.

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Figures

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Figure
Boston Medical Center Integrative Medical Group Visits: the merger of three paradigms.
See this image and copyright information in PMC

References

    1. Relieving pain in America: a blueprint for transforming prevention, care, education and research. Institute of Medicine. 2011. http://www.nap.edu/catalog.php?record_id=13172 AccessedJune18, 2013
    1. Green CR, Anderson KO, Baker TAet al. The unequal burden of pain: confronting racial and ethnic disparities in pain. Pain Med. 2003; 4(3): 277–94 - PubMed
    1. Upshur CC, Luckmann RS, Savageau JA.Primary care provider concerns about management of chronic pain in community clinic populations. J Gen Intern Med. 2006; 21(6): 652–5 - PMC - PubMed
    1. Gaynor CH, Vincent C, Safranek Set al. FPIN's clinical inquiries. Group medical visits for the management of chronic pain. Am Fam Physician. 2007; 76(11): 1704–5 - PubMed
    1. Jaber R, Braksmajer A, Trilling JS.Group visits: a qualitative review of current research. J Am Board Fam Med. 2006; 19(3): 276–290 - PubMed

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