Abstract

Purpose: This practice implementation assessed the feasibility and impact of implementing behavioral health self-help interventions during chronic pain management visits in a primary care setting.

Data sources: Time series data collection occurred following the implementation of behavioral health interventions utilizing self-help strategies that included the Gate Control theory of pain control and sleep hygiene. Participants received monthly pain management visits conducted by their usual provider and interventions were performed by a single behavioral health specialist for consistency.

Conclusions: Mean pain scores were significantly reduced from 5.93 to 4.29 (p=0.000) on a scale of zero to ten, and improvement was sustained over the two month post-intervention phase at the completion of the project. Mean pain assessment guide scores, range of zero (no impact) to fifty (maximum negative impact), significantly decreased from 23.30 to 16.89 (p=0.001).

Implications for practice: This simple, brief behavioral health intervention, integrating Gate Control theory and an individualized plan for self-management, has shown lasting impact on the participant's ability to control and manage their response to pain outside of the clinic setting. Encouraging engagement and ownership of the individualized self-help activities by the patients is an important and empowering aspect of this intervention.

Authors

Bessie Burk

Author Details

Bessie Burk, DNP, FNP-BC, email: bessieburk@msn.com

Sigma Membership

Unknown

Lead Author Affiliation

Northern Arizona University, Flagstaff, Arizona, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Pain Management, Primary Care, Self Care, Nursing Interventions

Advisor

Tomlinson, Barbara

Degree

DNP

Degree Grantor

Northern Arizona University

Degree Year

2014

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Full Text of Presentation

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