Chronic Pain Care Network (NSCPCCN)
Primary Purpose
Chronic Pain
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Network Access
Sponsored by
About this trial
This is an interventional health services research trial for Chronic Pain focused on measuring Improvement of patient care as measured by self-rated health and improve physician satisfaction with chronic pain management
Eligibility Criteria
Inclusion Criteria:
- Primary Care Physicians in Nova Scotia DHA 1
Exclusion Criteria:
- Primary Care Physicians outside of Nova Scotia DHA 1
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Access to Pain Specialist
Arm Description
Network
Outcomes
Primary Outcome Measures
The primary outcome for patients will be an improvement in self-rated health.
The primary outcome for physicians will be an improvement in satisfaction in ability to manage chronic pain conditions.
Secondary Outcome Measures
Full Information
NCT ID
NCT00909493
First Posted
April 16, 2009
Last Updated
October 31, 2011
Sponsor
Nova Scotia Health Authority
Collaborators
Canadian Anesthesiologists' Society
1. Study Identification
Unique Protocol Identification Number
NCT00909493
Brief Title
Chronic Pain Care Network
Acronym
NSCPCCN
Official Title
Nova Scotia Chronic Pain Collaborative Care Network: A Pilot Study
Study Type
Interventional
2. Study Status
Record Verification Date
October 2011
Overall Recruitment Status
Completed
Study Start Date
June 2008 (undefined)
Primary Completion Date
May 2009 (Actual)
Study Completion Date
May 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Nova Scotia Health Authority
Collaborators
Canadian Anesthesiologists' Society
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The proposed Nova Scotia Chronic Pain Collaborative Care Network (NSCPCCN) is a professional development partnership between family physicians and chronic pain and addiction specialists designed to build capacity in the health care system and provide improved pain management to patients. The NSCPCCN will provide community physicians with access to chronic pain and addiction specialists to assist in the management of patients with chronic pain. The current project is designed as a pilot project to determine the feasibility of a this program on a large scale. In order to determine the effect of implementation of a mentor- mentee network in the primary care setting, a pilot project will be undertaken. The study will assess the impact of the NSCPCCN on treatment of chronic pain and opiate management in two communities in Nova Scotia prior to a proposed province wide rollout of the program.
Detailed Description
Chronic pain is recognized as a world-wide problem. Gureje et al (1) demonstrated that 21% of patients presenting for primary care reported persistent pain and were four times more likely to have a depressive disorder than those without pain. One third of patients with persistent pain had a moderate to severe work role impairment (1). Canadian studies have demonstrated that up to 30% of the population suffers from chronic pain (2, 3). By extrapolation it may be expected that between 20-30% of persons living in Nova Scotia suffer from chronic pain.
Chronic pain is associated with significant morbidity and mortality. It is also associated with increased rates of depression, poorer self related health and increased risk of suicidality (2-4). Poor self-rated health has been demonstrated to be a predictor of increased morbidity and mortality (5-7). Tang and Crane (4) demonstrated that persons with chronic pain have a risk of death by suicide twice that of controls and that the lifetime prevalence of suicide attempts was 5-14%. Chronic pain impairs sleep (8) and may be related to abnormal immune function (9-11). As well, there is morbidity and mortality associated with medications used in the treatment of chronic pain. Although opiate medications form a significant part of the pain management armamentarium they are also associated with serious morbidity including sedation, respiratory depression, death and addiction. Death rates from these medications have risen dramatically (12) in recent years. Ives et al (13) report a 32% incidence of opiate misuse in an academic pain management unit. Cicero et al (14) reported that prescription opiate misuse is more common in rural, suburban and small urban areas, similar to the geographic background of Nova Scotia, and concluded that regionally specific risk minimization strategies should be developed.
The proposed Nova Scotia Chronic Pain Collaborative Care Network (NSCPCCN) is a professional development partnership between family physicians and chronic pain and addiction specialists designed to build capacity in the health care system and provide improved pain management to patients. The NSCPCCN will provide community physicians with access to chronic pain and addiction specialists to assist in the management of patients with chronic pain. The current project is designed as a pilot project to determine the feasibility of this program on a large scale. In order to determine the effect of implementation of a mentor- mentee network in the primary care setting, a pilot project will be undertaken to determine the feasibility and logistics of the NSCPCCN.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pain
Keywords
Improvement of patient care as measured by self-rated health and improve physician satisfaction with chronic pain management
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Access to Pain Specialist
Arm Type
Experimental
Arm Description
Network
Intervention Type
Other
Intervention Name(s)
Network Access
Intervention Description
Primary Care Physicians in this treatment group will have access to a pain specialist at the Pain Management Unit.
Primary Outcome Measure Information:
Title
The primary outcome for patients will be an improvement in self-rated health.
Time Frame
9 months
Title
The primary outcome for physicians will be an improvement in satisfaction in ability to manage chronic pain conditions.
Time Frame
9 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Primary Care Physicians in Nova Scotia DHA 1
Exclusion Criteria:
Primary Care Physicians outside of Nova Scotia DHA 1
12. IPD Sharing Statement
Learn more about this trial
Chronic Pain Care Network
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