Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Apr 30:8:203-15.
doi: 10.2147/JPR.S78177. eCollection 2015.

Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program

Lyne Lalonde  1 , Manon Choinière  2 , Elisabeth Martin  3 , Lise Lévesque  3 , Eveline Hudon  4 , Danielle Bélanger  5 , Sylvie Perreault  6 , Anaïs Lacasse  7 , Marie-Claude Laliberté  8
Affiliations

Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program

Lyne Lalonde et al. J Pain Res. .

Abstract

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.

Keywords: chronic pain; community-based participatory research; health service accessibility; patient-centered care; primary health care.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Workshop schedule and descriptions of activities. Abbreviations: min, minutes; CNCP, chronic non-cancer pain.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Boulanger A, Clark AJ, Squire P, Cui E, Horbay GL. Chronic pain in Canada: have we improved our management of chronic noncancer pain? Pain Res Manag. 2007;12(1):39–47. - PMC - PubMed
    1. Reed C, Hong J, Novick D, Lenox-Smith A, Happich M. Health care costs before and after diagnosis of depression in patients with unexplained pain: a retrospective cohort study using the United Kingdom General Practice Research Database. Clinicoecon Outcomes Res. 2013;5:37–47. - PMC - PubMed
    1. Watson L, Baird J, Hosel V, Peveler R. The effect of concurrent pain on the management of patients with depression: an analysis of NHS healthcare resource utilisation using the GPRD database. Int J Clin Pract. 2009;63(5):698–706. - PubMed
    1. Gureje O, Von Korff M, Simon GE, Gater R. Persistent pain and well-being: a World Health Organization Study in Primary Care. JAMA. 1998;280(2):147–151. - PubMed
    1. Rashiq S, Dick BD. Factors associated with chronic noncancer pain in the Canadian population. Pain Res Manag. 2009;14(6):454–460. - PMC - PubMed