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Chronic Pain Care Network (NSCPCCN)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00909493
First Posted: May 28, 2009
Last Update Posted: November 2, 2011
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
Canadian Anesthesiologists' Society
Information provided by (Responsible Party):
Peter MacDougall, Capital District Health Authority, Canada
  Purpose
The proposed Nova Scotia Chronic Pain Collaborative Care Network (NSCPCCN) is a professional development partnership between family physicians and chronic pain and addiction specialists designed to build capacity in the health care system and provide improved pain management to patients. The NSCPCCN will provide community physicians with access to chronic pain and addiction specialists to assist in the management of patients with chronic pain. The current project is designed as a pilot project to determine the feasibility of a this program on a large scale. In order to determine the effect of implementation of a mentor- mentee network in the primary care setting, a pilot project will be undertaken. The study will assess the impact of the NSCPCCN on treatment of chronic pain and opiate management in two communities in Nova Scotia prior to a proposed province wide rollout of the program.

Condition Intervention
Chronic Pain Other: Network Access

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Nova Scotia Chronic Pain Collaborative Care Network: A Pilot Study

Resource links provided by NLM:


Further study details as provided by Peter MacDougall, Capital District Health Authority, Canada:

Primary Outcome Measures:
  • The primary outcome for patients will be an improvement in self-rated health. [ Time Frame: 9 months ]
  • The primary outcome for physicians will be an improvement in satisfaction in ability to manage chronic pain conditions. [ Time Frame: 9 months ]

Enrollment: 20
Study Start Date: June 2008
Study Completion Date: May 2010
Primary Completion Date: May 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Access to Pain Specialist
Network
Other: Network Access
Primary Care Physicians in this treatment group will have access to a pain specialist at the Pain Management Unit.

Detailed Description:

Chronic pain is recognized as a world-wide problem. Gureje et al (1) demonstrated that 21% of patients presenting for primary care reported persistent pain and were four times more likely to have a depressive disorder than those without pain. One third of patients with persistent pain had a moderate to severe work role impairment (1). Canadian studies have demonstrated that up to 30% of the population suffers from chronic pain (2, 3). By extrapolation it may be expected that between 20-30% of persons living in Nova Scotia suffer from chronic pain.

Chronic pain is associated with significant morbidity and mortality. It is also associated with increased rates of depression, poorer self related health and increased risk of suicidality (2-4). Poor self-rated health has been demonstrated to be a predictor of increased morbidity and mortality (5-7). Tang and Crane (4) demonstrated that persons with chronic pain have a risk of death by suicide twice that of controls and that the lifetime prevalence of suicide attempts was 5-14%. Chronic pain impairs sleep (8) and may be related to abnormal immune function (9-11). As well, there is morbidity and mortality associated with medications used in the treatment of chronic pain. Although opiate medications form a significant part of the pain management armamentarium they are also associated with serious morbidity including sedation, respiratory depression, death and addiction. Death rates from these medications have risen dramatically (12) in recent years. Ives et al (13) report a 32% incidence of opiate misuse in an academic pain management unit. Cicero et al (14) reported that prescription opiate misuse is more common in rural, suburban and small urban areas, similar to the geographic background of Nova Scotia, and concluded that regionally specific risk minimization strategies should be developed.

The proposed Nova Scotia Chronic Pain Collaborative Care Network (NSCPCCN) is a professional development partnership between family physicians and chronic pain and addiction specialists designed to build capacity in the health care system and provide improved pain management to patients. The NSCPCCN will provide community physicians with access to chronic pain and addiction specialists to assist in the management of patients with chronic pain. The current project is designed as a pilot project to determine the feasibility of this program on a large scale. In order to determine the effect of implementation of a mentor- mentee network in the primary care setting, a pilot project will be undertaken to determine the feasibility and logistics of the NSCPCCN.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   19 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Primary Care Physicians in Nova Scotia DHA 1

Exclusion Criteria:

  • Primary Care Physicians outside of Nova Scotia DHA 1
  Contacts and Locations
No Contacts or Locations Provided
  More Information

Responsible Party: Peter MacDougall, MD FRCPC, Capital District Health Authority, Canada
ClinicalTrials.gov Identifier: NCT00909493     History of Changes
Other Study ID Numbers: CDHA-RS/2008-006
First Submitted: April 16, 2009
First Posted: May 28, 2009
Last Update Posted: November 2, 2011
Last Verified: October 2011

Keywords provided by Peter MacDougall, Capital District Health Authority, Canada:
Improvement of patient care as measured by self-rated health and improve physician satisfaction with chronic pain management

Additional relevant MeSH terms:
Chronic Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms