330695
Feasibility of Integrative Medical Group Visits to treat Chronic Pain in Underserved Latinos
Monday, November 2, 2015
: 3:45 p.m. - 4:00 p.m.
Purpose
Disparities exist in access to treatment options to improve chronic pain in underserved Spanish speaking patients. The Integrative Medical Group Visits (IMGV) model combines a medical group visit with mindfulness stress based reduction (MBSR), nutrition information and evidenced based complementary therapies. We aim to test the feasibility of the intervention to reduce pain and improve function in Spanish speaking patients with chronic pain.
Methods:
This is a clincal Feasibility study ( N=30). We will recruit and screen 120 patients from East Boston Neighborhood Health Clinic and the outpatient Family Medicine Clinic at Boston Medical Center. Inclusion criteria: Spanish speaking patients, ages 18 and older, who have chronic pain pain for the past 12 weeks. Exclusion criteria: pregnancy, psychosis, suicidal ideation or active substance abuse disorder. The IMGV intervention consist of once a week group visits for 2-2.5 hours long, for a total of 9 weeks. Data will be collected on group atendance (9 sessions total), health care utilization, sociodemographic variables and patient-centered outcomes: PROMIS 29 questionnaire (pain level, pain interference, physical and emotional function) at baseline, and at 9 weeks. Mixed analysis will include descriptive statistics and t-test (baseline and at 9 weeks) as well as qualitative analysis from focus groups at the end of the study.
Results:
Results will be presented at the APHA annual meeting on 30 patients who joined the study over the course of 4 months. Mean difference in pain level for all patients between baseline and 9 weeks will be reported as well as the measurements for the PROMIS 29 such as emotional distress and sleep quality. Results will also include data from focus group at the end of the intervention, which will help us to understand how feasible this model is on the proposed population and/or recomendations for improvement.
Conclusion:
This IMGV model may be feasible to be used in low income Latino patients with chronic pain.
Learning Areas:
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Learning Objectives:
Assess the feasibility of the Integrative Medical Group Visits (IMGV)model in treating chronic pain and improving quality of life in underserved Spanish Speaking patients.
Describe what the IMGV model is about and identify the key components of it.
Evaluate the implementation of this IMGV model from a culturally sensitive perspective.
Keyword(s): Alternative and Complementary Health, Underserved Populations
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have been the principal investigator of a PCORI funded grants focusing on chronic pain.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
