Patient Satisfaction With Treatment for Chronic Pain

Hirsh, Adam T.; Atchison, James W.; Berger, Jerry J.; Waxenberg, Lori B.; Lafayette-Lucey, Ann; Bulcourf, Bernard B.; Robinson, Michael E.

doi:10.1097/01.ajp.0000113057.92184.90

Cited by 143 publications

(121 citation statements)

References 23 publications

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“…[20][21][22] A few studies have examined satisfaction among families undergoing prenatal diagnosis, but none have linked satisfaction or dissatisfaction with specific aspects of care. This study adds to our knowledge by identifying aspects of care that are key in determining satisfaction and could be targeted to optimize family satisfaction with care: expressions of empathy from provider, continuity of care, communication, valuing the fetus and developing care plans.…”

Section: Discussionmentioning

confidence: 99%

The health-care experiences of families given the prenatal diagnosis of trisomy 18

Walker

Miller²,

Dalton

2007

J Perinatol

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Objective: The objective of this study was to examine parent-reported experiences in the health care system after receiving the prenatal diagnosis of trisomy 18 and to identify factors that contribute to satisfaction with care.Study Design: Nineteen families who received the diagnosis between 2002 and 2005 were given semistructured telephone interviews. Of the 19 families, 11 continued the pregnancy while the remaining 8 chose induced abortion. Classical content analysis was utilized to identify themes among subject responses. Result:We identified several specific aspects of care as key in either being highly satisfied or dissatisfied: expressions of empathy from provider, continuity of care, communication, valuing the fetus and participation in medical decision-making.Conclusions: Aspects of care that were identified as reasons for dissatisfaction are potentially modifiable by training, education or teambased approaches. Further studies are necessary to determine how we can improve the quality of services during prenatal diagnosis.

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Section: Discussionmentioning

confidence: 99%

The health-care experiences of families given the prenatal diagnosis of trisomy 18

Walker

Miller²,

Dalton

2007

J Perinatol

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“…Specific aspects of the provider-patient encounter appear to predict satisfaction and adherence among patients with chronic pain [44,45]. Patients who report receiving clear information about pain and treatment are more likely to be satisfied both with the care they received and the improvement in their symptoms, and, in turn, are also more likely to be adherent to treatment recommendations [44].…”

Section: Patient-centered Pain Carementioning

confidence: 99%

“…Patients who report receiving clear information about pain and treatment are more likely to be satisfied both with the care they received and the improvement in their symptoms, and, in turn, are also more likely to be adherent to treatment recommendations [44]. In a review paper, Street and colleagues [46] examined underlying proximal and intermediate variables linking the provider-patient communication process to health outcomes.…”

Section: Patient-centered Pain Carementioning

confidence: 99%

Providers' roles in enhancing patients' adherence to pain self management

Dorflinger

Kerns

Auerbach

2012

Behav. Med. Pract. Policy Res.

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Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patientprovider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided. KEYWORDSChronic pain, Self management, Doctor-patient communication, Patient-centered care, Adherence Pain is one of the most common presenting problems in medical settings [1], and the majority of pain treatment tends to be carried out in the primary care context [2]. Pain that persists beyond 3 months and that does not remit with typical treatments for acute pain, such as rest, non-steroidal anti-inflammatory drugs, and heat or ice, is considered chronic pain. It is estimated that more than 100 million Americans have chronic pain [3], and prevalence in other countries varies from about 10-50 % of the general population [4]. Not only is chronic pain a prevalent health issue but it also significantly impacts quality of life [5][6][7][8] and the costs of care, and lost productivity are estimated to total almost $635 billion each year [3].Pain guidelines have recommended selfmanagement strategies in the treatment of chronic pain [9,10]. Self management differs from other treatments such as surgery and medication in that it emphasizes the patient's own control over his/her pain experience rather than relying on external factors to treat pain symptoms. At its most rudimentary level, self management consists of basic methods such as distraction, physical activity, and ice or heat to manage pain. Many patients use these practices on their own or are able to easily implement them after receiving reassurance and encouragement from their providers. Other patients may benefit from additional self-management techniques, such as those emphasized in cognitivebehavioral treatment for chronic pain, that aim to modify the thoughts and behaviors that contribute to the maintenance and exacerbation of pain. Such self-management skills include time-based pacing, relaxation, stress management, and identifying and modifying catastrophic ...

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“…Post-manipulation pain has been demonstrated to be inversely related to treatment satisfaction, 32 and greater treatment satisfaction results in greater compliance with treatment recommendations. 33 Future studies may wish to examine if reductions in post-cervical manipulation pain, attributable to topical menthol, last longer than 30 min. Finally, future researchers need to determine if these reductions in pain following cervical manipulation attributable to topical menthol facilitate greater compliance with treatment recommendations.…”

Section: Recommendationsmentioning

confidence: 99%

Topical Menthol Gel Versus a Placebo Gel on Postmanipulation Pain and Range of Motion in Patients With Mechanical Neck Pain

Topp

Solem

Etnoyer-Slaski³

et al. 2017

JPHR

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Purpose: The purpose of this study is to determine whether patients with mechanical neck pain who received topical menthol gel application to their neck before cervical manipulation experienced a reduction in pain and an increase in neck range of motion following cervical manipulation. Methods: Patients (mean age, 35 years) with nonradicular mechanical neck pain were randomly assigned to a control (n = 31) or a treatment (n = 29) group. Five minutes before cervical manipulation, controls received topical placebo gel application to their neck, whereas the treatment received topical application of a mentholcontaining gel (Biofreeze ® ). Participants rated their neck pain on a 10-point scale before application of the get (Pre) and at 1 min (T1), 10 min (T2), 20 min (T3), and 30 min (T4) after cervical manipulation. Six measures of neck range of motion were assessed before the topical applications of gel and at T1 and T4. Repeatedmeasures ANCOVA was performed to compare the pain and neck range of motion following manipulation while controlling for premeasures. Results: There were no significant differences between the groups' pain or range of motion assessed at Pre. The treatment group reported significantly (P < .05) reduced pain at T2, T3, T4 compared to T1, while the control group did not experience significant change in their pain compared to T1. Neither study group rated a change in neck range of motion during the study. Conclusion: Topical menthol application before manipulation may reduce neck pain, but it has no measurable effect on neck range of motion following cervical manipulation among patients with mechanical neck pain.Keywords: Neck pain; manipulation; topical menthol Key Points After cervical manipulation, topical menthol (Biofreeze) applied to the neck reduced post-manipulation soreness in patients with mechanical neck pain, but it did not change the cervical range of motion.

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Patient Satisfaction With Treatment for Chronic Pain

Cited by 143 publications

References 23 publications

The health-care experiences of families given the prenatal diagnosis of trisomy 18

The health-care experiences of families given the prenatal diagnosis of trisomy 18

Providers' roles in enhancing patients' adherence to pain self management

Topical Menthol Gel Versus a Placebo Gel on Postmanipulation Pain and Range of Motion in Patients With Mechanical Neck Pain

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