Literature DB >> 29601219

An examination of the perceived impact of a continuing interprofessional education experience on opiate prescribing practices.

Roberto Cardarelli1, William Elder1, Sarah Weatherford1, Karen L Roper1, Dana King2, Charlotte Workman3, Kathryn Stewart1,4, Chong Kim5, William Betz6.   

Abstract

Chronic pain is increasingly recognized as a public health problem. We assessed the effectiveness of a multi-modal, interprofessional educational approach aimed at empowering healthcare professionals to make deliberative changes, especially in opiate prescribing practices. Education activities included enduring webcasts, regional interprofessional roundtable events, and state-level conference presentations within targeted Kentucky and West Virginia regions of the United States. Over 1,000 participants accessed the various activities. For the live events, the largest groups reached included nurses (38.1%), nurse practitioners (31.2%), and physicians (22.1%). In addition to our reach, higher levels of educational effectiveness were measured, specifically, learner's intentions to change practice patterns, confidence in meeting patient's needs, and knowledge of pain management guidelines. The majority of the conference (58%) and roundtable (69%) participants stated they intend to make a practice change in one or more areas of chronic pain patient management in post-event evaluation. Differences in pre- and post-activity responses on the measures of confidence and knowledge, with additional comparison to a control population who were not in attendance, were analyzed using non-parametric tests of significance. While neither activity produced significant changes in confidence from pre-activity, participants were more confident post-activity than their control group peers. There were significant changes in knowledge for both live event and webcast participants. Impactful chronic pain continuing the education that emphasizes collaborative care is greatly needed; these results show that the approaches taken here can impact learner's knowledge and confidence, and hold potential for creating change in how opioid prescribing is managed.

Entities:  

Keywords:  Chronic pain; Interprofessional education; Organization learning and change; Pain management; Program planning/curriculum development

Mesh:

Substances:

Year:  2018        PMID: 29601219      PMCID: PMC6165705          DOI: 10.1080/13561820.2018.1452725

Source DB:  PubMed          Journal:  J Interprof Care        ISSN: 1356-1820            Impact factor:   2.338


  34 in total

1.  A framework for enhancing continuing medical education for rural physicians: A summary of the literature.

Authors:  Vernon Curran; Leslie Rourke; Pamela Snow
Journal:  Med Teach       Date:  2010       Impact factor: 3.650

2.  Ambulatory diagnosis and treatment of nonmalignant pain in the United States, 2000-2010.

Authors:  Matthew Daubresse; Hsien-Yen Chang; Yuping Yu; Shilpa Viswanathan; Nilay D Shah; Randall S Stafford; Stefan P Kruszewski; G Caleb Alexander
Journal:  Med Care       Date:  2013-10       Impact factor: 2.983

3.  A questionnaire to evaluate the knowledge and attitudes of health care providers on pain.

Authors:  M Elisabetta Zanolin; Marco Visentin; Leonardo Trentin; Luisa Saiani; Anna Brugnolli; Mario Grassi
Journal:  J Pain Symptom Manage       Date:  2007-06       Impact factor: 3.612

Review 4.  Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines.

Authors:  Dave Davis; Robert Galbraith
Journal:  Chest       Date:  2009-03       Impact factor: 9.410

5.  Assessing levels of knowledge on the principles of pain management during post-graduate education of physicians in Poland.

Authors:  Krzysztof Brzeziński; Jerzy Zagórski; Lech Panasiuk; Małgorzata Brzezińska
Journal:  Ann Agric Environ Med       Date:  2012       Impact factor: 1.447

6.  Opioids for chronic nonmalignant pain. Attitudes and practices of primary care physicians in the UCSF/Stanford Collaborative Research Network. University of California, San Francisco.

Authors:  M Potter; S Schafer; E Gonzalez-Mendez; K Gjeltema; A Lopez; J Wu; R Pedrin; M Cozen; R Wilson; D Thom; M Croughan-Minihane
Journal:  J Fam Pract       Date:  2001-02       Impact factor: 0.493

7.  Family medicine physicians' views of how to improve chronic pain management.

Authors:  Linda Garufi Clark; Carole C Upshur
Journal:  J Am Board Fam Med       Date:  2007 Sep-Oct       Impact factor: 2.657

8.  Achieving desired results and improved outcomes: integrating planning and assessment throughout learning activities.

Authors:  Donald E Moore; Joseph S Green; Harry A Gallis
Journal:  J Contin Educ Health Prof       Date:  2009       Impact factor: 1.355

9.  Interprofessional education: a concept analysis.

Authors:  Maria Olenick; Lois Ryan Allen; Raymond A Smego
Journal:  Adv Med Educ Pract       Date:  2010-11-25

10.  Provider confidence in opioid prescribing and chronic pain management: results of the Opioid Therapy Provider Survey.

Authors:  Amy Cs Pearson; Rajat N Moman; Susan M Moeschler; Jason S Eldrige; W Michael Hooten
Journal:  J Pain Res       Date:  2017-06-07       Impact factor: 3.133

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  3 in total

1.  Managing Acute Pain and Opioid Risks Following Wisdom Teeth Extraction: An Illustrative Case.

Authors:  Jennifer Pruskowski; Julie Childers; Paul A Moore; Michael A Zemaitis; Richard E Bauer; Denise J Deverts; D Michael Elnicki; Steven C Levine; Robert Kaufman; Michael P Dziabiak; Heiko Spallek; Debra K Weiner; Zsuzsa Horvath
Journal:  MedEdPORTAL       Date:  2019-11-22

Review 2.  Evaluations of Continuing Health Provider Education Focused on Opioid Prescribing: A Scoping Review.

Authors:  Abhimanyu Sud; Graziella R Molska; Fabio Salamanca-Buentello
Journal:  Acad Med       Date:  2022-02-01       Impact factor: 7.840

3.  Evidence for state, community and systems-level prevention strategies to address the opioid crisis.

Authors:  Tamara M Haegerich; Christopher M Jones; Pierre-Olivier Cote; Amber Robinson; Lindsey Ross
Journal:  Drug Alcohol Depend       Date:  2019-09-19       Impact factor: 4.852

  3 in total

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