NCT04716621

Computerized Decision Support Tool for Pain Management in Primary Care

Pain Management in Primary Care: A Randomized Controlled Trial of a Computerized Decision Support Tool

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 528 (actual)
• Sponsor: MJHS Institute for Innovation in Palliative Care · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Chronic pain is highly prevalent, compromises quality of life, and increases care utilization. Primary care providers are challenged to provide effective treatments, use opioid therapy appropriately, and address the adverse consequences of pain. Technology-enabled decision support tools may provide a means to improve pain management in primary care. The objective of this study was to evaluate a novel electronic health record (EHR)-based decision support tool-plus-education intervention for pain management in primary care.

Detailed description

This randomized, wait-list controlled trial evaluated a novel EHR-based system for pain management among patients with chronic pain in six practices of a Federally Qualified Health Center network in New York.

Conditions

• Chronic Pain

Interventions

Type	Name	Description
OTHER	Early intervention	The Pain Management Support System for Primary Care (PMSS-PC) generated "best practice alerts" and gave clinicians access to a pain assessment template, measures of psychological distress and substance use, guidelines for drug and non-drug therapies, and facilitated referrals. At implementation, clinicians at the practices were offered in-person and virtual education through six webinars on best practices for pain.
OTHER	Delayed intervention	Delayed wait-list control group. The second arm involved three additional sites receiving the PMSS-PC intervention 6 months after the first arm. Initial outcomes from the PMSS-PC Experimental Intervention arm were compared to those of this Wait-list Control arm.

Timeline

• Start date: 2013-11-11
• Primary completion: 2016-04-01
• Completion: 2016-04-01
• First posted: 2021-01-20
• Last updated: 2021-01-22