Interpreting Urine Drug Test Results in the Context of Chronic Opioid Analgesic Therapy and Poppy Seed Consumption
Jamie Lewis, MD, Karlee De Monnin, BS, Jonathan Smith, BS, Evan Lewis, Marian Wilson, PhD, MPH, RN
Pain Medicine, pnab082, https://doi.org/10.1093/pm/pnab082
Published: 12 March 2021
Program Evaluation of a Home Exercise Program for Chronic Back Pain in the Outpatient Setting
Xiang Jing, DNP and Jamie Lewis, MD
Research indicates many different interventions are potentially therapeutic in managing chronic back pain. While home exercise programs may be cost-effective for individuals, little has been published on the subject of how best to combine functional and psychologic instruments to measure structured exercise programs in an outpatient setting. This DNP project conducted a program evaluation of a pilot project which reviewed the efficacy of a home exercise program for people with chronic back pain. The project was approved by a multi-disciplinary team at a private spine and pain specialty practice. Participants were recruited from patients at this practice, 14 of whom completed this three-month pilot project with no reported adverse events. The program measured participants’ exercise pattern changes, back functional improvement, and compliance to the change of routine through the use of three validated questionnaires: Fear-Avoidance Beliefs Questionnaires (FABQ), Low Back Pain Disability Questionnaire (OSWESTRY), Exercise Self Efficacy Scale (ESES). The program evaluation provided valuable information on how a HEP may further adapt these measurement tools to provide relevant data in a fast-paced outpatient pain management setting.
Pain Medication and Cannabis — Paused due to COVID-19
Goalistics Chronic Pain Program
Northwest Spine and Pain Medicine partnered with Washington State University on a research program looking at efficacy of Goalistics Online Pain Program combined with health coaching at treating chronic pain. Validating the effectiveness of Goalistics Chronic Pain Program and other online modalities helps to increase the scope of treatment options readily available to those suffering from chronic pain.
Building Efficacy for Successful Opioid Tapering
It can be challenging to decrease or discontinue opioid pain medication. Northwest Spine and Pain Medicine partnered with Goalistics, LLC to evaluate a new tool to help patients who are undergoing medically supervised opioid tapering. The development and testing of the Building Efficacy for Successful Tapering (BEST) Program is funded by a grant from the National Institute on Drug Abuse. The online BEST Program was designed to:
- Teach pain patients about different methods of pain management that don’t involve pain medication
- Help them to build their own custom list of “pain reducers”
- Allow them to track and test the effectiveness of each method
- Identify the best strategies for them
Two studies were conducted. The first study is a review of the BEST program by patients who are currently undergoing opioid tapering. Their feedback will help ensure that the BEST Program is user-friendly and beneficial to future program users. The second study is a pilot randomized controlled trial to examine the efficacy of the program.
Cannabis use is related to self-efficacy but not sleep or pain symptoms: A survey of adults prescribed opioids for pain or opioid use disorders.
Engagement in online pain self-management improves pain in adults on medication-assisted behavioral treatment for opioid use disorder
Citation: Marian Wilson, Myles Finlay, Michael Orr , Celestina Barbosa-Leiker, Naghmana Sherazi, Mary Lee A Roberts, Matthew Layton, John M Roll (2018). Engagement in online pain self-management improves pain in adults on medication-assisted behavioral treatment for opioid use disorders [abstract]. PubMed.gov Nov;86:130-137
Coaching to increase engagement in online pain self-management program
Citation: Bigand, T., Roberts. M., Lewis, J., Wilson, M. (2019). Coaching to increase engagement in online pain self-management program [abstract]. Pain Management Nursing, 20(2),96.