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    Design of the integrative medical group visits randomized control trial for underserved patients with chronic pain and depression

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    Authors
    Gardiner, Paula
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Center for Integrated Primary Care
    Document Type
    Journal Article
    Publication Date
    2017-03-01
    Keywords
    Integrative medicine
    Medical group visits
    Mindfulness
    Mindfulness based stress reduction
    Shared medical appointments
    eHealth
    Alternative and Complementary Medicine
    Behavioral Medicine
    Health Information Technology
    Health Psychology
    Integrative Medicine
    Mental and Social Health
    Movement and Mind-Body Therapies
    Pain Management
    Primary Care
    Psychiatry and Psychology
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    Link to Full Text
    https://doi.org/10.1016/j.cct.2016.12.013
    Abstract
    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.
    Source

    Contemp Clin Trials. 2017 Mar;54:25-35. doi: 10.1016/j.cct.2016.12.013. Epub 2016 Dec 13. Link to article on publisher's site

    DOI
    10.1016/j.cct.2016.12.013
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/26790
    PubMed ID
    27979754
    Notes

    At the time of publication, Paula Gardiner was not yet affiliated with the University of Massachusetts Medical School.

    Full author list omitted for brevity. For the full list of authors, see article.

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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.cct.2016.12.013
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