Evidence map›Paper›PMID 33987490›Full record

ArticleCanadian journal of pain = Revue canadienne de la douleur2020

Health care providers' experiences and perceptions participating in a chronic pain telementoring education program: A qualitative study.

Jane Zhao, Naima Salemohamed, Jennifer Stinson, Leslie Carlin, Emily Seto, Fiona Webster, Andrea D Furlan

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of pain = Revue canadienne de la douleur, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

10 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. ECHO OEM virtual community of learning for primary care.Occupational medicine (Oxford, England) · 2024
    Observational
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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

7 authors at 4 institutions in 1 country.

Jane ZhaoECHO Ontario Chronic Pain and Opioid Stewardship, Toronto Rehabilitation Institute, Ontario, Toronto, Canada.ORCID https://orcid.org/0000-0002-4143-9031
Naima SalemohamedECHO Ontario Chronic Pain and Opioid Stewardship, Toronto Rehabilitation Institute, Ontario, Toronto, Canada.
Jennifer StinsonDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, University of Toronto, Ontario, Toronto, Canada.
Leslie CarlinECHO Ontario Chronic Pain and Opioid Stewardship, Toronto Rehabilitation Institute, Ontario, Toronto, Canada.
Emily SetoInstitute of Health Policy, Management, and Evaluation, University of Toronto, Ontario, Toronto, Canada.ORCID https://orcid.org/0000-0002-8723-5915
Fiona WebsterDepartment of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-7318-7713
Andrea D FurlanECHO Ontario Chronic Pain and Opioid Stewardship, Toronto Rehabilitation Institute, Ontario, Toronto, Canada.ORCID https://orcid.org/0000-0001-6138-8510
University of Toronto · CAHospital for Sick Children · CAToronto Rehabilitation Institute · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain affects one in five Canadians. Frontline health care providers (HCPs) manage the majority of patients with chronic pain yet receive minimal training to do so. The Extension for Community Healthcare Outcomes (ECHO) model™ is an education intervention aimed at HCPs (not patients) to support and improve care in underserviced communities. ECHO Ontario Chronic Pain and Opioid Stewardship (ECHO PAIN) is an adaptation of the ECHO model where the program goals are to support and improve chronic pain and opioid management in the province of Ontario, Canada.

aimsThis study aimed to investigate the perceptions of HCPs participating in ECHO PAIN.

methodsThirteen HCPs attending ECHO PAIN participated in in-depth semistructured phone interviews. Resulting data were analyzed through a qualitative descriptive lens.

resultsAnalysis uncovered four themes: (1) HCPs' motivation for joining ECHO PAIN, (2) interprofessional collaboration through ECHO PAIN, (3) the use of opioids for pain management, and (4) barriers and facilitators to participation and satisfaction in ECHO PAIN. HCPs joined ECHO PAIN because of their struggles managing their complex patients with chronic pain. HCPs also recognized the importance of interprofessional collaboration in pain management and shared examples of integration of different professional approaches in their clinical teams. Opioids for pain management remained a controversial issue, and ECHO served as an opportunity to decrease this knowledge gap. Finally, HCPs described how time constraints, organizational support, and session structure acted as barriers to their participation and satisfaction in the ECHO PAIN program; technology mediated satisfaction.

conclusionsThis study was the first in Canada to explore the motivations of HCPs in attending a chronic pain telementoring program as well as to examine the interprofessional effects of participation. HCPs increased their knowledge about management of chronic pain and increased their interprofessional approach.

Indexed as

chronic paincontinuing medical educationinterprofessional careopioidspain managementprimary caretelemedicine

Identifiers

PMID33987490
PMCPMC7993934
OpenAlexW3014182092

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.