Evidence map›Paper›PMID 32958306›Full record

ArticlePatient education and counseling2021

Mixed Methods Study of Patient and Primary Care Provider Perceptions of Chronic Pain Treatment.

Karen L Roper, Jarred Jones, Courtney Rowland, Neena Thomas-Eapen, Roberto Cardarelli

Abstract read
In one paragraph

Article in Patient education and counseling, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Karen L RoperDepartment of Family and Community Medicine, University of Kentucky College of Medicine. Lexington, Kentucky, USA. Electronic address: karen.roper@uky.edu.
Jarred JonesDepartment of Family and Community Medicine, University of Kentucky College of Medicine. Lexington, Kentucky, USA.
Courtney RowlandDepartment of Family and Community Medicine, University of Kentucky College of Medicine. Lexington, Kentucky, USA.
Neena Thomas-EapenDepartment of Family and Community Medicine, University of Kentucky College of Medicine. Lexington, Kentucky, USA.
Roberto CardarelliDepartment of Family and Community Medicine, University of Kentucky College of Medicine. Lexington, Kentucky, USA.

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
NCATS NIH HHS UL1 TR001998
6 · The paper itself

Abstract

objectiveA mixed-method study involving patient focus groups and survey of primary care providers (PCPs) sought to compare perspectives about chronic pain (CP) and its treatment. Our goal was to identify needs and barriers for facilitating patient-centered care.

methodsTwo focus groups of CP patients from a single academic medical center explored interactions with PCPs and their understandings, experiences, and expectations of CP treatment. They were also asked their opinions about self-assessment/communication tools. We compared themes with survey data from two PCP research networks.

resultsCP patients understand opioid risks and fear PCP judgement and condescension, while sensing PCP fear and avoidance of opioid prescribing. PCPs are dissatisfied with their ability to provide optimal CP care, despite feeling that patients are generally satisfied with their clinic visits. Evaluation tools, especially assessment of functional activities, are favorably viewed by all, but deemed time prohibitive.

conclusionPatients' understanding of opioid risks, desire for attention on functional goals and behavioral treatment may be greater than PCPs perceive. Such gaps in understanding and attitudes, if recognized, could support high-quality communication and interventional strategies. PRACTICE IMPLICATIONS: These findings guide patient-PCP communication toward alignment of treatment goals and enhanced coordination of care.

Indexed as

Chronic PainAnalgesics, OpioidHealth PersonnelHumansPerceptionPractice Patterns, Physicians'Analgesics, OpioidAttitude of Health PersonnelAttitudesChronic PainChronic Pain/therapyClinical Decision-MakingCommunication BarriersDecisions about careDoctor-patient CommunicationHealth KnowledgeMixed Methods ResearchOpioidsPain ManagementPatient Reported Outcome MeasuresPatient SatisfactionPhysician-Patient RelationsPracticePrimary CareProvider-patient relationship

Identifiers

PMID32958306
PMCPMC7921200

What OpenQuestion holds

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Registered trials

None linked

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.