Literature DB >> 25777550

Patient's experience with comorbidity management in primary care: a qualitative study of comorbid pain and obesity.

E Amy Janke1, Michelle L Ramirez1, Brittany Haltzman1, Megan Fritz1, Andrea T Kozak2.   

Abstract

AIM: The aim of this research is to examine perceptions of those with comorbid chronic pain and obesity regarding their experience of comorbidity management in primary care settings.
BACKGROUND: Chronic pain and obesity are common comorbidities frequently managed in primary care settings. Evidence suggests individuals with this comorbidity may be at risk for suboptimal clinical interactions; however, treatment experiences and preferences of those with comorbid chronic pain and obesity have received little attention.
METHODS: Semi-structured interviews conducted with 30 primary care patients with mean body mass index=36.8 and comorbid persistent pain. The constant comparative method was used to analyze data.
FINDINGS: Participants discussed frustration with a perceived lack of information tailored to their needs and a desire for a personalized treatment experience. Participants found available medical approaches unsatisfying and sought a more holistic approach to management. Discussions also focused around the need for providers to initiate efforts at education and motivation enhancement and to show concern for and understanding of the unique difficulties associated with comorbidity. Findings suggest providers should engage in integrated communication regarding weight and pain, targeting this multimorbidity using methods aligned with priorities discussed by patients.

Entities:  

Keywords:  chronic pain; comorbidity; obesity

Mesh:

Year:  2015        PMID: 25777550     DOI: 10.1017/S1463423615000171

Source DB:  PubMed          Journal:  Prim Health Care Res Dev        ISSN: 1463-4236            Impact factor:   1.458


  9 in total

1. 

Authors:  Sean Wharton; David C W Lau; Michael Vallis; Arya M Sharma; Laurent Biertho; Denise Campbell-Scherer; Kristi Adamo; Angela Alberga; Rhonda Bell; Normand Boulé; Elaine Boyling; Jennifer Brown; Betty Calam; Carol Clarke; Lindsay Crowshoe; Dennis Divalentino; Mary Forhan; Yoni Freedhoff; Michel Gagner; Stephen Glazer; Cindy Grand; Michael Green; Margaret Hahn; Raed Hawa; Rita Henderson; Dennis Hong; Pam Hung; Ian Janssen; Kristen Jacklin; Carlene Johnson-Stoklossa; Amy Kemp; Sara Kirk; Jennifer Kuk; Marie-France Langlois; Scott Lear; Ashley McInnes; David Macklin; Leen Naji; Priya Manjoo; Marie-Philippe Morin; Kara Nerenberg; Ian Patton; Sue Pedersen; Leticia Pereira; Helena Piccinini-Vallis; Megha Poddar; Paul Poirier; Denis Prud'homme; Ximena Ramos Salas; Christian Rueda-Clausen; Shelly Russell-Mayhew; Judy Shiau; Diana Sherifali; John Sievenpiper; Sanjeev Sockalingam; Valerie Taylor; Ellen Toth; Laurie Twells; Richard Tytus; Shahebina Walji; Leah Walker; Sonja Wicklum
Journal:  CMAJ       Date:  2020-12-07       Impact factor: 8.262

2.  Obesity in adults: a clinical practice guideline.

Authors:  Sean Wharton; David C W Lau; Michael Vallis; Arya M Sharma; Laurent Biertho; Denise Campbell-Scherer; Kristi Adamo; Angela Alberga; Rhonda Bell; Normand Boulé; Elaine Boyling; Jennifer Brown; Betty Calam; Carol Clarke; Lindsay Crowshoe; Dennis Divalentino; Mary Forhan; Yoni Freedhoff; Michel Gagner; Stephen Glazer; Cindy Grand; Michael Green; Margaret Hahn; Raed Hawa; Rita Henderson; Dennis Hong; Pam Hung; Ian Janssen; Kristen Jacklin; Carlene Johnson-Stoklossa; Amy Kemp; Sara Kirk; Jennifer Kuk; Marie-France Langlois; Scott Lear; Ashley McInnes; David Macklin; Leen Naji; Priya Manjoo; Marie-Philippe Morin; Kara Nerenberg; Ian Patton; Sue Pedersen; Leticia Pereira; Helena Piccinini-Vallis; Megha Poddar; Paul Poirier; Denis Prud'homme; Ximena Ramos Salas; Christian Rueda-Clausen; Shelly Russell-Mayhew; Judy Shiau; Diana Sherifali; John Sievenpiper; Sanjeev Sockalingam; Valerie Taylor; Ellen Toth; Laurie Twells; Richard Tytus; Shahebina Walji; Leah Walker; Sonja Wicklum
Journal:  CMAJ       Date:  2020-08-04       Impact factor: 8.262

Review 3.  Obesity Prevention and Management Strategies in Canada: Shifting Paradigms and Putting People First.

Authors:  Arya M Sharma; Ximena Ramos Salas
Journal:  Curr Obes Rep       Date:  2018-06

4.  The 5As team patient study: patient perspectives on the role of primary care in obesity management.

Authors:  Jacqueline Torti; Thea Luig; Michelle Borowitz; Jeffrey A Johnson; Arya M Sharma; Denise L Campbell-Scherer
Journal:  BMC Fam Pract       Date:  2017-02-08       Impact factor: 2.497

Review 5.  Measuring the burden of treatment for chronic disease: implications of a scoping review of the literature.

Authors:  Adem Sav; Asiyeh Salehi; Frances S Mair; Sara S McMillan
Journal:  BMC Med Res Methodol       Date:  2017-09-12       Impact factor: 4.615

6.  Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course.

Authors:  Thea Luig; Sonja Wicklum; Melanie Heatherington; Albert Vu; Erin Cameron; Doug Klein; Arya M Sharma; Denise L Campbell-Scherer
Journal:  BMC Med Educ       Date:  2020-01-07       Impact factor: 2.463

7.  Barriers to and Facilitators of Physical Activity among Korean Female Adults with Knee Osteoarthritis and Comorbidity: A Qualitative Study.

Authors:  Eunyoung Park; Hyung-Ran Park; Eui-Sung Choi
Journal:  Healthcare (Basel)       Date:  2020-07-23

8.  Assessment and Management of Obesity and Self-Maintenance (AMOS): An Evaluation of a Rural, Regional Multidisciplinary Program.

Authors:  Sarah J Prior; Sharon P Luccisano; Michelle L Kilpatrick; Giuliana O Murfet
Journal:  Int J Environ Res Public Health       Date:  2022-10-08       Impact factor: 4.614

9.  Personalizing obesity assessment and care planning in primary care: patient experience and outcomes in everyday life and health.

Authors:  T Luig; R Anderson; A M Sharma; D L Campbell-Scherer
Journal:  Clin Obes       Date:  2018-09-21
  9 in total

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