ArticleJournal of pain research2016
Improving pain care through implementation of the Stepped Care Model at a multisite community health center.
Article in Journal of pain research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- The Effect of Opioid Stewardship Interventions on Key Outcomes: A Systematic Review.Journal of patient safety · 2020Pooled it
- Professional-Facing Digital Health Technology for the Care of Patients With Chronic Pain: Scoping Review.Journal of medical Internet research · 2025Article
- Article
- Use of implementation mapping in the planning of a hybrid type 1 pragmatic clinical trial: the BeatPain Utah study.Implementation science communications · 2024Article
- Improvement in medical students' knowledge on chronic pain assessment through integrative learning approaches: a randomized controlled trial.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Article
- Impact of a Vendor-Developed Opioid Clinical Decision Support Intervention on Adherence to Prescribing Guidelines, Opioid Prescribing, and Rates of Opioid-Related Encounters.Applied clinical informatics · 2022Article
- Review
- Clinical leaders and providers' perspectives on delivering medications for the treatment of opioid use disorder in Veteran Affairs' facilities.Addiction science & clinical practice · 2021Article
- Barriers and Facilitators to the Prevention of Chronic Pain in the Subacute Phase After Cardiac Surgery.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021Article
- mHealth for pediatric chronic pain: state of the art and future directions.Expert review of neurotherapeutics · 2020Review
- The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature.Implementation science : IS · 2020Review
- Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report.Canadian journal of pain = Revue canadienne de la douleur · 2020Article
- Study protocol for evaluating Six Building Blocks for opioid management implementation in primary care practices.Implementation science communications · 2020Article
- Mixed-Methods Study Identifying Key Intervention Targets to Improve Participation in Daily Living Activities in Primary Sjögren's Syndrome Patients.Arthritis care & research · 2018Article
- Addressing the Needs of Patients With Chronic Pain.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2018Article
- Article
- Multidisciplinary Approach for Managing Complex Pain and Addiction in Primary Care: A Qualitative Study.Annals of family medicineReview
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTreating pain in primary care is challenging. Primary care providers (PCPs) receive limited training in pain care and express low confidence in their knowledge and ability to manage pain effectively. Models to improve pain outcomes have been developed, but not formally implemented in safety net practices where pain is particularly common. This study evaluated the impact of implementing the Stepped Care Model for Pain Management (SCM-PM) at a large, multisite Federally Qualified Health Center.
methodsThe Promoting Action on Research Implementation in Health Services framework guided the implementation of the SCM-PM. The multicomponent intervention included: education on pain care, new protocols for pain assessment and management, implementation of an opioid management dashboard, telehealth consultations, and enhanced onsite specialty resources. Participants included 25 PCPs and their patients with chronic pain (3,357 preintervention and 4,385 postintervention) cared for at Community Health Center, Inc. Data were collected from the electronic health record and supplemented by chart reviews. Surveys were administered to PCPs to assess knowledge, attitudes, and confidence.
resultsProviders' pain knowledge scores increased to an average of 11% from baseline; self-rated confidence in ability to manage pain also increased. Use of opioid treatment agreements and urine drug screens increased significantly by 27.3% and 22.6%, respectively. Significant improvements were also noted in documentation of pain, pain treatment, and pain follow-up. Referrals to behavioral health providers for patients with pain increased by 5.96% (
conclusionImplementation of the SCM-PM resulted in clinically significant improvements in several quality of pain care outcomes. These findings, if sustained, may translate into improved patient outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.