Journal article
Group cognitive behavioral therapy to improve the quality of care to opioid‐treated patients with chronic noncancer pain: A practice improvement project
Journal of the American Association of Nurse Practitioners, Vol.25(7), pp.368-376
07/2013
DOI: 10.1111/j.1745-7599.2012.00800.x
PMID: 24170620
Abstract
Purpose
To enhance outcomes of patients with chronic noncancer pain (CNCP) treated with opioids in a primary care setting by implementing an evidence‐based quality improvement project.
Data sources
The project consisted of the implementation of a 6‐week cognitive behavioral therapy (CBT) program. Twenty‐two patients with CNCP completed the program. Impact of the project was evaluated by comparing pre‐ and postintervention participant self‐reports of mood on the Beck Depression Inventory and functional status on the Brief Pain Inventory and Short Form‐36. Patient perception of treatment benefit was also measured using the Patient Global Impression of Change. Qualitative provider perceptions of the program were also collected. Paired t‐test statistics were used to analyze the data.
Conclusions
Mood (including negative attitude, performance difficulty, and physical complaints), and patient impression of treatment benefit improved significantly after CBT was added. Primary care providers reported that the CBT supported their overall management of these complex patients.
Implications for practice
The addition of a CBT program improved selected outcomes in this self‐selected sample of patients with CNCP treated with opioids.
Details
- Title: Subtitle
- Group cognitive behavioral therapy to improve the quality of care to opioid‐treated patients with chronic noncancer pain: A practice improvement project
- Creators
- Stacey K Whitten - Community Based Outreach ClinicJulie Stanik-Hutt - The Johns Hopkins Hospital
- Resource Type
- Journal article
- Publication Details
- Journal of the American Association of Nurse Practitioners, Vol.25(7), pp.368-376
- DOI
- 10.1111/j.1745-7599.2012.00800.x
- PMID
- 24170620
- ISSN
- 2327-6886
- eISSN
- 2327-6924
- Number of pages
- 9
- Language
- English
- Date published
- 07/2013
- Academic Unit
- Nursing
- Record Identifier
- 9984064151702771
Metrics
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