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Needs Assessment for Practice Change in Chronic Lower Back Pain Management
|Title:||Needs Assessment for Practice Change in Chronic Lower Back Pain Management|
|Contributors:||Daub, Katharyn (instructor)|
Hensley, Patricia (instructor)
|Keywords:||Chronic lower back pain|
|Date Issued:||23 Mar 2020|
|Abstract:||Problem: Treatment of chronic lower back pain is challenging and results in a significant
economic burden of direct and indirect costs. Health care delivery that is aimed to treat acute
diseases does not always address the needs of individuals experiencing chronic conditions.
Aims/Objectives: Assess the current management of chronic lower back pain by utilizing quality
improvement surveys and provide improvement recommendations based on the results of the
surveys. Design: Project design and methods were guided by the use of the Chronic Care Model
(CCM). Participants: A convenience sample of 50 chronic lower back pain patients and one
pain management physician. Setting: A private practice pain management clinic with two
locations on the island of O’ahu in Hawai’i. Data Collection: Paper and pen surveys were used
for descriptive and quantitative analysis of likert-scale and demographic survey answers.
Surveys used for data collected included the Patient Assessment of Chronic Illness Care
(PACIC) and the Assessment of Chronic Illness Care (ACIC). Results: The PACIC results
indicated a need for improvement in follow-up/coordination of care. The ACIC results indicated
a need for improvement in decision support for clinicians. Recommendations: Improving
communication between interdisciplinary team members and providers associated with chronic
lower back pain management would improve both the follow-up/coordination of care and
decision support for clinicians.
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|Appears in Collections:||
DNP Practice Inquiry Projects|
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