ArticleCanadian journal of pain = Revue canadienne de la douleur2020
Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report.
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 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Psychological therapies for temporomandibular disorders (TMDs).The Cochrane database of systematic reviews · 2022Pooled it
- Evaluation of an Internet-Delivered Multidisciplinary Pain Acceptance and Commitment Therapy (IMPACT) Program for Individuals Living with Chronic Pain: A Feasibility and Pilot Study.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Implementation and Effectiveness of the Power Over Pain Portal for Patients Awaiting a Tertiary Care Consultation for Chronic Pain: Protocol for a Pilot, Prospective, Cohort, Mixed Methods Study.JMIR research protocols · 2025Article
- Clinical and engagement efficacy of a virtual musculoskeletal integrated practice unit in health system employees: aggregate and comparative results from two employers.Frontiers in rehabilitation sciences · 2025Article
- Longitudinal multisite study of the chronobiological control of chronic pain: the CircaHealth CircaPain study protocol.BMJ open · 2024Article
- Provider perceptions of the anticipated benefits, barriers, and facilitators associated with implementing a stepped care model for the delivery of addiction and mental health services in New Brunswick: a mixed-methods observational implementation study.International journal of mental health systems · 2023Article
- Feasibility of a multidisciplinary Transitional Pain Service in spine surgery patients to minimise opioid use and improve perioperative outcomes: a quality improvement study.BMJ open quality · 2023Article
- A formal evaluation of The Ottawa Hospital Pain Clinic orientation session: A quality improvement project.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk.Children (Basel, Switzerland) · 2022Article
- Do pain management apps use evidence-based psychological components? A systematic review of app content and quality.Canadian journal of pain = Revue canadienne de la douleur · 2022Review
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- Cluster analysis of Canadian Armed Forces veterans living with chronic pain: Life After Service Studies 2016.Canadian journal of pain = Revue canadienne de la douleur · 2021Article
- COVID-19 Pandemic Impact and Response in Canadian Pediatric Chronic Pain Care: A National Survey of Medical Directors and Pain Professionals.Canadian journal of pain = Revue canadienne de la douleur · 2021Article
- mHealth for pediatric chronic pain: state of the art and future directions.Expert review of neurotherapeutics · 2020Review
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Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to multidisciplinary pain management treatment in Canada is limited, with wait times up to 4 years. Stepped care approaches to mental health treatment have led to substantial reduction and elimination of wait times and may be applicable to chronic pain settings. There is no unifying framework for stepped care chronic pain programs. A systematic review of the efficacy of stepped care in chronic pain management conducted by the Canadian Agency for Drugs and Technologies reported varied results that may be due to heterogeneous stepped care models across facilities.
aimWe propose a unifying framework for multidisciplinary stepped care chronic pain programs and present its application at The Ottawa Hospital Pain Clinic. The Ottawa Hospital stepped care framework is an eight-tiered approach that allows patients the opportunity to decide collaboratively with a health care professional which treatment program will best suit their needs for the management of chronic pain. As levels of stepped care increase, the time and resource commitment to each step will also increase. Treatment is stepped up or down, depending on patient needs.
methodThis is a descriptive case study.
resultsImplementing the interprofessional model of care with the stepped care program has eliminated wait times for access to The Ottawa Hospital Pain Clinic Interprofessional Chronic Pain Management Program and has improved communication between professions of the interprofessional team, resulting in better care for patients.
conclusionMore research is needed to further develop and evaluate the clinical efficacy of stepped care to manage chronic pain.
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Registered trials
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