PATINA: Pain Management Training in Native American Communities

PATINA：美国原住民社区的疼痛管理培训

基本信息

批准号：
7910812
负责人：
Ardith Z Doorenbos
金额：
$ 29.92万
依托单位：
TALARIA, INC.
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-12 至 2011-08-23
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7910812
关键词：
Acute Pain Address Adult Alaska Alaska Native American American Indian and Alaska Native American Indians Area Award Behavioral Books Breathing Caring Chronic Clinic Cognitive Cognitive Therapy Communities Community Hospitals Competence Continuing Education Data Discipline of Nursing Educational process of instructing Effectiveness Elderly Equipment Evaluation Exercise Feedback Focus Groups Frequencies Guided imagery Health Personnel Informatics Internet Joints Learning Malignant Neoplasms Medical Medicine Minority Multimedia Muscle relaxation phase Native Americans Online Systems Outcome Measure Pain Pain management Patients Pharmaceutical Preparations Pharmacological Treatment Pharmacology Phase Provider Psychology Public Health Questionnaires Randomized Controlled Trials Research Rural Rural Community Rural Health Rural Hospitals Societies Solutions Specificity Techniques Testing Training Washington addiction base cognitive training cost design follow-up improved innovation interest non-cancer pain preference primary outcome prototype public health relevance research and development rural area skills symposium telehealth tribal health usability

项目摘要

DESCRIPTION (provided by applicant): Pain is the primary reason that people seek medical care. Unfortunately, under-treatment of pain is well- documented in cancer (Cohen et al, 2003; Deandrea et al., 2008) and other medical conditions (Boulanger et al., 2007; Hadjistavropoulos et al., 2006). While medication continues to be the first line of defense against pain, empirical support for the effectiveness of cognitive-behavioral pain management (CBPM) techniques continues to grow. Used alone or in conjunction with pharmacological treatment, CBPM techniques such as diaphragmatic breathing, progressive muscle relaxation, and guided imagery have been shown to significantly reduce both cancer- and non-cancer-related pain. Currently, however, a lack of cultural adaptation and provider training are barriers to the more wide-spread use of these treatments, especially in rural and tribal clinics that treat American Indians (AIs) and Alaska Natives (ANs). Research indicates that cultural appropriateness is important to the acceptability of cognitive behavioral interventions vis-a-vis minority patients. Therefore, this Fast-Track application proposes to create an internet-delivered, culturally- tailored multimedia training to teach empirically-supported CBPM techniques to providers serving rural communities and AI/ANs, so that these providers, in turn, can teach these techniques to their patients. The proposed product, PATINA (Pain Management Training in Native American Communities), is innovative in its web- and internet-based approach to training CBPM techniques, in its cultural specificity, and in its use of telehealth to conduct formative and evaluative research in rural hospital and tribal clinic settings. Primary customers will be rural healthcare providers and those treating AI/AN patients. Continuing education units will be awarded for completing the training. Combining the best features of books and classes, web-based training is low cost, convenient, and offers interactivity, feedback and practice opportunities. PUBLIC HEALTH RELEVANCE: Cognitive-behavioral pain management (CBPM) techniques are strongly endorsed by several national organizations as an important component of a comprehensive pain management approach. However, lack of access to provider training is a major barrier to their more wide-spread use, especially in rural areas and clinics that serve American Indians and Alaska Natives. This proposal seeks to improve public health by creating an internet-delivered, culturally-tailored multimedia training to teach CBPM techniques to providers serving rural areas and American Indians and Alaska Natives, so that these providers can teach these techniques to their patients.

描述（由申请人提供）：疼痛是人们寻求医疗服务的主要原因。不幸的是，疼痛的治疗不足已在癌症中得到充分记录（Cohen等，2003； Deandrea等，2008）和其他医疗状况（Boulanger等，2007; Hadjistavropoulos等，2006）。尽管药物仍然是防御疼痛的第一道防线，但对认知行为疼痛管理（CBPM）技术有效性的经验支持仍在继续增长。单独使用或与药理治疗一起使用，CBPM技术（例如diaphragmatic呼吸，进行性肌肉放松和指导图像）已被证明可显着减轻癌症和非癌症相关的疼痛。但是，目前，缺乏文化适应和提供者培训是对这些治疗方法更广泛使用的障碍，尤其是在治疗美国印第安人（AIS）和阿拉斯加原住民（ANS）的农村和部落诊所中。研究表明，文化适当性对于少数族裔患者的认知行为干预措施的可接受性很重要。因此，这项快速轨道应用程序提议创建一种由互联网提供的，具有文化量身定制的多媒体培训，以向为农村社区和AI/ANS的提供商提供经验支持的CBPM技术，以便这些提供者可以向患者教授这些技术。拟议的产品PATINA（美国原住民社区的疼痛管理培训）在其基于网络和互联网的培训CBPM技术的方法中具有创新性，其文化特异性以及使用远程医疗在农村医院和部落诊所环境中进行形成性和评估性研究。主要客户将是农村医疗保健提供者和治疗AI/A/A的患者。继续教育单位将因完成培训而获得授予。将书籍和课程的最佳功能结合在一起，基于网络的培训是低成本，方便的，并提供互动，反馈和练习机会。公共卫生相关性：认知行为疼痛管理（CBPM）技术得到了多个国家组织的强烈认可，这是一种全面的疼痛管理方法的重要组成部分。但是，缺乏获得提供者培训的机会是其更广泛使用的主要障碍，尤其是在为美国印第安人和阿拉斯加原住民服务的农村地区和诊所中。该提案旨在通过创建互联网，文化定制的多媒体培训来改善公共卫生，以向服务于农村地区，美洲印第安人和阿拉斯加原住民的提供者教授CBPM技术，以便这些提供者可以向患者教授这些技术。