Behavioral Health Self-Help Interventions Conducted During Chronic Pain Visits in a Primary Care Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/324667
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Quasi-Experimental Study, Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Behavioral Health Self-Help Interventions Conducted During Chronic Pain Visits in a Primary Care Setting
Author(s):
Burk, Bessie
Additional Author Information:
Bessie Burk, DNP, FNP-BC, email: bessieburk@msn.com
Advisors:
Tomlinson, Barbara
Degree:
DNP
Degree Year:
2014
Grantor:
Northern Arizona University
Abstract:

Purpose:

This practice implementation assessed the feasibility and impact of implementing behavioral health self-help interventions during chronic pain management visits in a primary care setting.

 

Data sources:

Time series data collection occurred following the implementation of behavioral health interventions utilizing self-help strategies that included the Gate Control theory of pain control and sleep hygiene. Participants received monthly pain management visits conducted by their usual provider and interventions were performed by a single behavioral health specialist for consistency.

 

Conclusions:

 Mean pain scores were significantly reduced from 5.93 to 4.29 (p=0.000) on a scale of zero to ten, and improvement was sustained over the two month post-intervention phase at the completion of the project. Mean pain assessment guide scores, range of zero (no impact) to fifty (maximum negative impact), significantly decreased from 23.30 to 16.89 (p=0.001).

 

Implications for practice:

This simple, brief behavioral health intervention, integrating Gate Control theory and an individualized plan for self-management, has shown lasting impact on the participant’s ability to control and manage their response to pain outside of the clinic setting. Encouraging engagement and ownership of the individualized self-help activities by the patients is an important and empowering aspect of this intervention. 

Keywords:
pain management; primary care
MeSH:
Pain Management; Primary Health Care; Self Care; Chronic Pain; Behavioral Research; Intervention Studies
Description:
Submitted for publication to the Journal of the American Association of Nurse Practitioners (JAANP). Item initially under embargo to comply with the journal/publisher prior publication and self-archiving requirements. Please direct all questions regarding this item to the author. Contact information is listed above.
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2014-08-11T20:00:17Z
Date of Publication:
2014-08-11

Full metadata record

DC FieldValue Language
dc.contributor.advisorTomlinson, Barbara-
dc.contributor.authorBurk, Bessie-
dc.date.accessioned2014-08-11T20:00:17Z-
dc.date.available2014-08-11T20:00:17Z-
dc.date.issued2014-08-11-
dc.identifier.urihttp://hdl.handle.net/10755/324667-
dc.descriptionSubmitted for publication to the Journal of the American Association of Nurse Practitioners (JAANP). Item initially under embargo to comply with the journal/publisher prior publication and self-archiving requirements. Please direct all questions regarding this item to the author. Contact information is listed above.en_GB
dc.description.abstract<p class="APAHeading2">Purpose:</p> <p>This practice implementation assessed the feasibility and impact of implementing behavioral health self-help interventions during chronic pain management visits in a primary care setting.</p> <p> </p> <p class="APAHeading3">Data sources:</p> <p>Time series data collection occurred following the implementation of behavioral health interventions utilizing self-help strategies that included the Gate Control theory of pain control and sleep hygiene. Participants received monthly pain management visits conducted by their usual provider and interventions were performed by a single behavioral health specialist for consistency.</p> <p> </p> <p class="APAHeading2">Conclusions:</p> <p> Mean pain scores were significantly reduced from 5.93 to 4.29 <em>(p</em>=0.000) on a scale of zero to ten, and improvement was sustained over the two month post-intervention phase at the completion of the project. Mean pain assessment guide scores, range of zero (no impact) to fifty (maximum negative impact), significantly decreased from 23.30 to 16.89 (<em>p</em>=0.001).</p> <p> </p> <p class="APAHeading2">Implications for practice:</p> <p>This simple, brief behavioral health intervention, integrating Gate Control theory and an individualized plan for self-management, has shown lasting impact on the participant’s ability to control and manage their response to pain outside of the clinic setting. Encouraging engagement and ownership of the individualized self-help activities by the patients is an important and empowering aspect of this intervention. </p>en_GB
dc.language.isoen_USen
dc.subjectpain managementen_GB
dc.subjectprimary careen_GB
dc.subject.meshPain Managementen
dc.subject.meshPrimary Health Careen
dc.subject.meshSelf Careen
dc.subject.meshChronic Painen
dc.subject.meshBehavioral Researchen
dc.subject.meshIntervention Studiesen
dc.titleBehavioral Health Self-Help Interventions Conducted During Chronic Pain Visits in a Primary Care Settingen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen_GB
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsBessie Burk, DNP, FNP-BC, email: bessieburk@msn.comen_GB
thesis.degree.year2014en
dc.type.categoryFull-texten_GB
dc.evidence.levelQuasi-Experimental Study, Otheren
dc.research.approachTranslational Research/Evidence-based Practiceen
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