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Canadian Journal of Pain
Revue canadienne de la douleur
Volume 4, 2020 - Issue 1
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Research Article

Health care providers’ experiences and perceptions participating in a chronic pain telementoring education program: A qualitative study

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Pages 111-121 | Received 10 Oct 2019, Accepted 26 Mar 2020, Published online: 01 Jun 2020

References

  • GBD Disease Injury Incidence Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet. 2017;390(10100):1211–59. doi:10.1016/S0140-6736(17)32154-2.
  • Schopflocher D, Taenzer P, Jovey R. The prevalence of chronic pain in Canada. Pain Res Manag. 2011;16(6):445–50. doi:10.1155/2011/876306.
  • Phillips CJ, Schopflocher D. The economics of chronic pain, in chronic pain: A health policy perspective. Rashiq S, Schopflocher D, Taenzer P, Jonsson E, et al. Editors. Edmonton (AB): Institute of Health Economics (IHE); 2008. p. 41–50.
  • Rapoport J, Jacobs P, Bell NR, Klarenbach S. Refining the measurement of the economic burden of chronic diseases in Canada. Chronic Dis Can. 2004;25:13–21.
  • Peng P. The known knowns and known unknowns of chronic pain. Can J Anaesth. 2016;63(4):386–91. doi:10.1007/s12630-015-0579-5.
  • Lynch ME, Campbell F, Clark AJ, Dunbar MJ, Goldstein D, Peng P, Stinson J, Tupper H. A systematic review of the effect of waiting for treatment for chronic pain. Pain. 2008;136(1–2):97–116. doi:10.1016/j.pain.2007.06.018.
  • Dubin RE Cross-Canada check-up 2010: a survey of family medicine residency training in chronic noncancer pain (CNCP) and addiction. In Canadian Pain Society Annual Conference. 2011. Niagara Falls, ON.
  • Watt-Watson J, McGillion M, Hunter J, Choiniere M, Clark AJ, Dewar A, Johnston C, Lynch M, Morley-Forster P, Moulin D, et al. A survey of prelicensure pain curricula in health science faculties in Canadian universities. Pain Res Manag. 2009;14(6):439–44. doi:10.1155/2009/307932.
  • Gomes T, Juurlink DN. Opioid and use overdose: what we’ve learned in Ontario. Healthc Q. 2016;18(4):8–11. doi:10.12927/hcq.2016.24568.
  • Gomes T, Mamdani MM, Dhalla IA, Cornish S, Paterson JM, Juurlink DN. The burden of premature opioid-related mortality. Addiction. 2014;109(9):1482–88. doi:10.1111/add.12598.
  • Dhalla IA, Mamdani MM, Sivilotti MLA, Kopp A, Qureshi O, Juurlink DN. Prescribing of opioid analgesics and related mortality before and after the introduction of long-acting oxycodone. CMAJ. 2009;181(12):891–96. doi:10.1503/cmaj.090784.
  • Board INC, Narcotic Drugs: Estimated World Requirements for 2019 - Statistics for 2017, in Narcotic Drugs - Technical Report, U.N. Publications, Editor; 2019. New York (NY). p. 494.
  • Gomes T, Mamdani MM, Paterson JM, Dhalla IA, Juurlink DN. Trends in high-dose opioid prescribing in Canada. Can Fam Physician. 2014;60:826–32.
  • Health Quality Ontario. 9 Million prescriptions: what we know about the growing use of prescription opioids in Ontario. Ontario HQ, Editor. Toronto (ON): Queen’s Printer for Ontario. 2017. p. 1–27.
  • ECHO, P. ECHO hubs and superhubs: global. 2019 Jan 1 [accessed 2019 Jan 30]. https://echo.unm.edu/locations-2/echo-hubs-superhubs-global/.
  • Arora S, Kalishman SG, Thornton KA, Komaromy MS, Katzman JG, Struminger BB, Rayburn WF. Project ECHO: A telementoring network model for continuing professional development. J Contin Educ Health Prof. 2017;37(4):239–44. doi:10.1097/CEH.0000000000000172.
  • Canadian Institutes of Health Research. Funding decisions database - project title: evaluation of the Extension for Community Healthcare Outcomes (ECHO) model for pain and opioid stewardship in Ontario. 2019 [accessed 2019 Jul 23]. http://webapps.cihr-irsc.gc.ca/decisions/p/project_details.html?applId=298681&lang=en.
  • Dubin RE, Flannery J, Taenzer P, Smith A, Smith K, Fabico R, Zhao J, Cameron L, Chmelnitsky D, Williams R, et al. ECHO Ontario chronic pain & opioid stewardship: providing access and building capacity for primary care providers in underserviced, rural, and remote communities. Stud Health Technol Inform. 2015;209:15–22.
  • Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334–40. doi:10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G.
  • Colorafi KJ, Evans B. Qualitative descriptive methods in health science research. HERD. 2016;9(4):16–25. doi:10.1177/1937586715614171.
  • Sandelowski M. What’s in a name? Qualitative description revisited. Res Nurs Health. 2010;33(1):77–84. doi:10.1002/nur.20362.
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. doi:10.1093/intqhc/mzm042.
  • Guest G, Bunce A, Johnson L. How many interviews are enough?: An experiment with data saturation and variability. Field Methods. 2006;18(1):59–82. doi:10.1177/1525822X05279903.
  • O’Reilly M, Parker N. ‘Unsatisfactory saturation’: a critical exploration of the notion of saturated sample sizes in qualitative research. Qual Res. 2013;13(2):190–97. doi:10.1177/1468794112446106.
  • Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88. doi:10.1177/1049732305276687.
  • Anderson D, Zlateva I, Davis B, Bifulco L, Giannotti T, Coman E, Spegman D. Improving pain care with project ECHO in community health centers. Pain Med. 2017;18(10):1882–89. doi:10.1093/pm/pnx187.
  • Ball S, Wilson B, Ober S, Mchaourab A. SCAN-ECHO for pain management: implementing a regional telementoring training for primary care providers. Pain Med. 2018;19(2):262–68. doi:10.1093/pm/pnx122.
  • Katzman JG, Fore C, Bhatt S, Greenberg N, Griffin Salvador J, Comerci GC, Camarata C, Marr L, Monette R, Arora S, et al. Evaluation of American Indian health service training in pain management and opioid substance use disorder. Am J Public Health. 2016;106(8):1427–29. doi:10.2105/AJPH.2016.303193.
  • Sockalingam S, Arena A, Serhal E, Mohri L, Alloo J, Crawford A. Building provincial mental health capacity in primary care: an evaluation of a project ECHO mental health program. Acad Psychiatry. 2018;42(4):451–57. doi:10.1007/s40596-017-0735-z.
  • Tofighi B, Isaacs N, Byrnes-Enoch H, Lakew R, Lee JD, Berry C, Schatz D. Expanding treatment for opioid use disorder in publicly funded primary care clinics: exploratory evaluation of the NYC health+hospitals buprenorphine ECHO program. J Subst Abuse Treat. 2019;106:1–3. doi:10.1016/j.jsat.2019.08.003.
  • Carlin L, Zhao J, Dubin R, Taenzer P, Sidrak H, Furlan A. Project ECHO telementoring intervention for managing chronic pain in primary care: insights from a qualitative study. Pain Med. 2018;19(6):1140–46. doi:10.1093/pm/pnx233.
  • Furlan AD, Zhao J, Voth J, Hassan S, Dubin R, Stinson JN, Jaglal S, Fabico R, Smith AJ, Taenzer P, et al. Evaluation of an innovative tele-education intervention in chronic pain management for primary care clinicians practicing in underserved areas. J Telemed Telecare. 2019;25(8):484–92. doi:10.1177/1357633X18782090.
  • Diaz S, Zhao J, Cronin S, Jaglal S, Bombardier C, Furlan AD. Changes in opioid prescribing behaviors among family physicians who participated in a weekly tele-mentoring program. J Clin Med. 2020;9(1):14. doi:10.3390/jcm9010014.
  • Mailis-Gagnon A, Yegneswaran B, Lakha SF, Nicholson K, Steiman AJ, Ng D, Papagapiou M, Umana M, Cohodarevic T, Zurowski M, et al. Pain characteristics and demographics of patients attending a university-affiliated pain clinic in Toronto, Ontario. Pain Res Manag. 2007;12(2):93–99. doi:10.1155/2007/658762.
  • Gourlay DL, Heit HA, Almahrezi A. Universal precautions in pain medicine: a rational approach to the treatment of chronic pain. Pain Med. 2005;6(2):107–12. doi:10.1111/j.1526-4637.2005.05031.x.
  • Gourlay DL, Heit HA. Universal precautions revisited: managing the inherited pain patient. Pain Med. 2009;10(Suppl 2):S115–23. doi:10.1111/j.1526-4637.2009.00671.x.
  • Mann EG, Johnson A, VanDenKerkhof EG. Frequency and characteristics of healthcare visits associated with chronic pain: results from a population-based Canadian study. Can J Anaesth. 2016;63(4):411–41. doi:10.1007/s12630-015-0578-6.
  • Wasan AD, Wootton J, Jamison RN. Dealing with difficult patients in your pain practice. Reg Anesth Pain Med. 2005;30(2):184–92. doi:10.1097/00115550-200503000-00009.
  • Finley CR, Chan DS, Garrison S, Korownyk C, Kolber MR, Campbell S, Eurich DT, Lindblad AJ, Vandermeer B, Allan GM, et al. What are the most common conditions in primary care? Systematic review. Can Fam Physician. 2018;64(11):832–40.
  • Matthias MS, Parpart AL, Nyland KA, Huffman MA, Stubbs DL, Sargent C, Bair MJ. The patient-provider relationship in chronic pain care: providers’ perspectives. Pain Med. 2010;11(11):1688–97. doi:10.1111/j.1526-4637.2010.00980.x.
  • Bergman AA, Matthias MS, Coffing JM, Krebs EE. Contrasting tensions between patients and PCPs in chronic pain management: a qualitative study. Pain Med. 2013;14(11):1689–97. doi:10.1111/pme.12172.
  • Dobscha SK, Corson K, Flores JA, Tansill EC, Gerrity MS. Veterans affairs primary care clinicians‘ attitudes toward chronic pain and correlates of opioid prescribing rates. Pain Med. 2008;9(5):564–71. doi:10.1111/j.1526-4637.2007.00330.x.
  • Ericsson KA. Deliberate practice and acquisition of expert performance: a general overview. Acad Emerg Med. 2008;15(11):988–94. doi:10.1111/j.1553-2712.2008.00227.x.
  • Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215. doi:10.1037/0033-295X.84.2.191.
  • Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol. 2001;52:1–26. doi:10.1146/annurev.psych.52.1.1.
  • Lave J, Wenger E. Situated learning: legitimate peripheral participation. New York: Cambridge University Press; 1991.
  • Tilley E, Hamilton-Jones M, McNabb A. Nurse practitioners’ safe prescribing of controlled substances and the impact on nursing education in Ontario. J Nursing Reg. 2019;9(4):42–47. doi:10.1016/S2155-8256(19)30015-8.
  • Crowley-Matoka M, Saha S, Dobscha SK, Burgess DJ. Problems of quality and equity in pain management: exploring the role of biomedical culture. Pain Med. 2009;10(7):1312–24. doi:10.1111/j.1526-4637.2009.00716.x.
  • Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50. doi:10.1186/1748-5908-4-50.