Behavioral Health Self-Help Interventions Conducted During Chronic Pain Visits in a Primary Care Setting
Repository Posting Date2014-08-11T20:00:17Z
TypeDNP Capstone Project
Level of EvidenceQuasi-Experimental Study, Other
Research ApproachTranslational Research/Evidence-based Practice
Keywordspain management; primary care; Pain Management; Primary Health Care; Self Care; Intervention Studies; Behavioral Research; Chronic Pain
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.
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.
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.
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.
Degree GrantorNorthern Arizona University
Date of Publication2014-08-11
NotesThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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