THE EVOLUTION OF OUTPATIENT CHRONIC PAIN MANAGEMENT PROGRAMS: A MAPPING REVIEW
Gutekunst, Kathryne Thompson, Sadie Sawtell, Andrew McCormack, Michael Ong, Marilyn
Gutekunst, Kathryne
Thompson, Sadie
Sawtell, Andrew
McCormack, Michael
Ong, Marilyn
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Abstract
Objective/Background: Multidisciplinary chronic pain management programs (PMPs) are regarded as the gold standard for people with chronic, noncancer pain. However, no consensus exists in the literature regarding the optimal content of PMPs. This study aims to amalgamate and describe outpatient PMPs between 2011-2020. Methods: Design: Systematic mapping review. Data Sources: CINAHL, OVIDMedline, PsychInfo, PEDro and Cochrane. Literature: Multidisciplinary PMPs for adults with chronic pain. Data extracted: Publication country, participants, providers, program content, approach, format, duration. Data synthesized: descriptively. Results: Publications: n=53; USA (21%), Australia (15%), and Canada (13%). Programs: n=51. Participants: n=10,182. Providers (% of publications): Physical therapists (94%), and Psychologists (83%), Medical practitioners (77%) were the most prevalent clinicians present. Program content (% of programs): Education (94%), Psychological therapy (90%), and Exercise/physical therapy (80%). Integrative therapies increased in prevalence from 2016-2020. Discussion/Conclusion: Content and format of PMPs evolved over time, specifically regarding medication education, general exercise, and integrative therapies demonstrated between 2016-2020. Implications: This investigation fills a void in the literature by establishing the standard components of PMP’s across the past decade and identifying changes in the care models in outpatient clinics. This mapping review provides an outline for future research.
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Graduate
Date
2021-01-01