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Combining  Findings  From  2  Papers  

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Gardner T, Refshauge K, McAuley J, Goodall S, Huebsher M, Smith L. Patient led goal setting in chronic low back pain-what goals are important to the patient and are they aligned to what we measure? Patient Educ Couns 2015.!!

Lalonde L, Choinière M, Martin E, Lévesque L, Hudon E, Bélanger D, Perreault S, Lacasse A, Laliberté MC. Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program. Journal of Pain Research. April 2015. Volume 2015:8 Pages 203-215!

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Patient led goal setting in chronic low back pain:what goals are important to the patient and are they aligned to what we

measure? A customised, patient-led goal setting intervention was implemented facilitated by a physiotherapist, in which participants identified problem areas and developed strategies to address them.

Patient goals were compared to the most commonly used outcome measures in chronic low back pain

Five domains were identified as most important for patients:-  Physical Activity-  Work Place-  Coping Skills-  Relationships-  Sleep / energy

Domains assessed by healthcare professionals:-  Pain (VAS)-  Range of movement-  Disability scale-  Walking test

Conclusion: This study has identified goals important to patients in chronic low back pain, these were varied, and most did not correspond with current clinical measures.

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Priority interventions to improve the management of chronic non-cancer pain in primary care

 A workshop was held to explore the perceptions of key actors regarding the challenges and priority interventions to improve Chronic Non-Cancer Pain (CNCP) management in primary care  

Challenges identified in focus group discussions were related to five dimensions: -  knowledge gap, -  “work in silos”, -  lack of awareness that CNCP represents an important clinical problem, -  difficulties in access to health professionals and services, -  patient empowerment needs.

The following priority interventions were identified: -  interdisciplinary continuing education, -  interdisciplinary treatment approach, -  regional expert leadership, -  creation and definition of care paths, and patient education programs

Conclusion: Barriers to optimal management of CNCP in primary care are numerous. Improving its management cannot be envisioned without considering multifaceted interventions targeting several dimensions of the Chronic Care Model and focusing on both clinicians and patients

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✔ Pa2ent   Rated  Outcomes  must   assess  what’s   relevant   for   the  person  with  pain  to   be   meaningful   –   NOT   just   for   the  provider  

✔ Persons   living   with   pain   are   more  concerned    by  the  impact  of  pain  on  their  life,  than  range    of  mo2on.  Include  QoL  in  pain  management  

✔ Empower   doctors   and   other   healthcare  professionals   with   knowledge   and  understanding   to   be   engaged   in   the  management  of  their  pa2ents  life  with  pain  

✔ Empower  pa2ents  with  knowledge  and  understanding   to   be   engaged   in   the  management  of  their  life  with  pain  

✔ Use   same   pa2ent   relevant   assessment  and  approach  across   the  healthcare   system.  It   is   the   doctor   who   is   another   person,   the  pa2ent  and  the  problems  are  the  same  

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Kim Kristiansen, M.D. Twitter: www.twitter.com/DoloTest Facebook: www.facebook.com/DoloTest https://dk.linkedin.com/pub/kim-kristiansen/16/654/565

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