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Contemp Clin Trials ; 54: 25-35, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-27979754

RESUMEN

BACKGROUND: Given the public health crisis of opioid overprescribing for pain, there is a need for evidence-based non pharmacological treatment options that effectively reduce pain and depression. We aim to examine the effectiveness of the Integrative Medical Group Visits (IMGV) model in reducing chronic pain and depressive symptoms, as well as increasing pain self-management. METHODS: This paper details the study design and implementation of an ongoing randomized controlled trial of the IMGV model as compared to primary care visits. The research aims to determine if the IMGV model is effective in achieving: a) a reduction in self-reported pain and depressive symptoms and 2) an improvement in the self-management of pain, through increasing pain self-efficacy and reducing use of self-reported pain medication. We intend to recruit 154 participants to be randomized in our intervention, the IMGV model (n=77) and to usual care (n=77). CONCLUSIONS: Usual care of chronic pain through pharmacological treatment has mixed evidence of efficacy and may not improve quality of life or functional status. We aim to conduct a randomized controlled trial to evaluate the effectiveness of the IMGV model as compared to usual care in reducing self-reported pain and depressive symptoms as well as increasing pain management skills.


Asunto(s)
Dolor Crónico/terapia , Atención a la Salud/métodos , Trastorno Depresivo/terapia , Atención Primaria de Salud/métodos , Poblaciones Vulnerables , Analgésicos/uso terapéutico , Dolor Crónico/complicaciones , Dolor Crónico/psicología , Investigación sobre la Eficacia Comparativa , Trastorno Depresivo/complicaciones , Trastorno Depresivo/psicología , Medicina Basada en la Evidencia , Procesos de Grupo , Educación en Salud , Accesibilidad a los Servicios de Salud , Humanos , Medicina Integrativa , Atención Plena , Autoeficacia , Automanejo , Apoyo Social
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