An interventional study of Early intervention and Delayed intervention in Chronic Pain, sponsored by MJHS Institute for Innovation in Palliative Care. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-22.
Sponsored by MJHS Institute for Innovation in Palliative Care · Not applicable, Interventional, and Health services research
Chronic pain is highly prevalent, compromises quality of life, and increases care utilization. Primary care providers are challenged to provide effective treatments, use opioid therapy appropriately, and address the adverse consequences of pain. Technology-enabled decision support tools may provide a means to improve pain management in primary care.
The objective of this study was to evaluate a novel electronic health record (EHR)-based decision support tool-plus-education intervention for pain management in primary care.
This randomized, wait-list controlled trial evaluated a novel EHR-based system for pain management among patients with chronic pain in six practices of a Federally Qualified Health Center network in New York.
2,930 studies on the registry are indexed under Chronic Pain; 699 are open to participants now.
This study's enrollment of 528 is above the median of 60 across 2,160 interventional studies indexed under Chronic Pain.
Browse Chronic Pain studies →MJHS Institute for Innovation in Palliative Care is the lead sponsor of 3 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
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Three sites received the Pain Management Support System for Primary Care (PMSS-PC) integrated into the Electronic Health Record.
Other: Early intervention
Delayed wait-list control group. Three additional sites received the intervention 6 months after the first arm.
Other: Delayed intervention
The Pain Management Support System for Primary Care (PMSS-PC) generated "best practice alerts" and gave clinicians access to a pain assessment template, measures of psychological distress and substance use, guidelines for drug and non-drug therapies, and facilitated referrals. At implementation, clinicians at the practices were offered in-person and virtual education through six webinars on best practices for pain.
Delayed wait-list control group. The second arm involved three additional sites receiving the PMSS-PC intervention 6 months after the first arm. Initial outcomes from the PMSS-PC Experimental Intervention arm were compared to those of this Wait-list Control arm.
Worst Pain Intensity
Worst pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe worst pain intensity.
Time frame: From baseline to 6 months following intervention implementation
Average Pain Intensity
Average pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe average pain intensity.
Time frame: From baseline to 6 months following intervention implementation
Pain Interference with Function
Pain interference T-score, measured on the PROMIS Pain Interference Short Form. Higher scores indicate more pain interference with function.
Time frame: From baseline to 6 months following intervention implementation
Worst Pain Intensity
Worst pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe worst pain intensity.
Time frame: From 6 to 12 months following intervention implementation
Average Pain Intensity
Average pain intensity score on the Brief Pain Inventory-Short Form. Scores range from 0-10, with higher scores indicating more severe average pain intensity.
Time frame: From 6 to 12 months following intervention implementation
Pain Interference with Function
Pain interference T-score, measured on the PROMIS Pain Interference Short Form. Higher scores indicate more pain interference with function.
Time frame: From 6 to 12 months following intervention implementation
Uptake of the PMSS-PC intervention tool
Use of the PMSS-PC decision support tool by primary care providers
Time frame: From baseline to 12 months following intervention implementation
No study locations are listed for this record.
This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.
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MJHS Institute for Innovation in Palliative Care