PMID- 31819604
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220411
IS  - 1178-7090 (Print)
IS  - 1178-7090 (Electronic)
IS  - 1178-7090 (Linking)
VI  - 12
DP  - 2019
TI  - Determinants Of Patient Experience With Low Back Pain Interdisciplinary Care: A 
      Pre-Post Interventional Study.
PG  - 3203-3213
LID - 10.2147/JPR.S207989 [doi]
AB  - BACKGROUND AND PURPOSE: Measuring patients' experiences of health services has 
      become an essential part of quality of care reporting and a means for identifying 
      opportunities for improvement. This study aimed to evaluate change in patient 
      experience in an interdisciplinary primary care program and to estimate the 
      impact on patient experience of sociodemographic, function, pain and general 
      health status, resource utilization, and process variables. PATIENTS AND METHODS: 
      A 6-month interdisciplinary care program for individuals with low back pain (LBP) 
      was implemented at four primary care settings and evaluated using an 
      observational pre/post study design. The change in patient experience was 
      evaluated using the Patient Assessment of Chronic Illness Care questionnaire 
      (PACIC) completed at baseline and 6 months post-intervention (n=132). Descriptive 
      and multivariable analyses were performed using SAS version 9.3. RESULTS: The 
      average patient age was 57 (SD: 14) years of age and the majority were female 
      (53%). The mean overall PACIC score was 2.6 (SD: 1.1) at baseline and 3.6 (SD: 
      0.9) at 6 months. The experience of care improved for 62% of the participants 
      based on the minimal clinically important difference (MCID). No significant 
      determinants of overall PACIC change score were identified in the multivariable 
      regression models. CONCLUSION: The lack of association of hypothesized 
      determinants requires further examination of the properties of the PACIC and with 
      a larger sample. Future investigation is needed on the relationship between 
      improved patient experience and outcomes.
CI  - (c) 2019 Gogovor et al.
FAU - Gogovor, Amede
AU  - Gogovor A
AUID- ORCID: 0000-0001-5988-0442
AD  - Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada.
AD  - Centre for Outcomes Research and Evaluation, McGill University Health Centre, 
      Montreal, Quebec, Canada.
FAU - Visca, Regina
AU  - Visca R
AD  - RUIS McGill Centre of Expertise in Chronic Pain, Montreal, Quebec, Canada.
AD  - Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
FAU - Ware, Mark A
AU  - Ware MA
AUID- ORCID: 0000-0002-1286-1719
AD  - Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
AD  - Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, 
      Quebec, Canada.
FAU - Valois, Marie-France
AU  - Valois MF
AD  - Department of Medicine, McGill University, Montreal, Quebec, Canada.
FAU - Bartlett, Gillian
AU  - Bartlett G
AD  - Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
FAU - Hunt, Matthew
AU  - Hunt M
AD  - School of Physical and Occupational Therapy, Faculty of Medicine, McGill 
      University, Montreal, Quebec, Canada.
FAU - Ahmed, Sara
AU  - Ahmed S
AD  - Centre for Outcomes Research and Evaluation, McGill University Health Centre, 
      Montreal, Quebec, Canada.
AD  - Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
AD  - School of Physical and Occupational Therapy, Faculty of Medicine, McGill 
      University, Montreal, Quebec, Canada.
LA  - eng
PT  - Journal Article
DEP - 20191127
PL  - New Zealand
TA  - J Pain Res
JT  - Journal of pain research
JID - 101540514
PMC - PMC6885562
OTO - NOTNLM
OT  - PACIC
OT  - low back pain
OT  - patient care team
OT  - patient experience
OT  - primary health care
COIS- Dr Mark Ware reports grants from Pfizer during the conduct of the study, and 
      personal fees from Canopy Growth outside the submitted work. The authors report 
      no other conflicts of interest in this work.
EDAT- 2019/12/11 06:00
MHDA- 2019/12/11 06:01
PMCR- 2019/11/27
CRDT- 2019/12/11 06:00
PHST- 2019/03/08 00:00 [received]
PHST- 2019/09/04 00:00 [accepted]
PHST- 2019/12/11 06:00 [entrez]
PHST- 2019/12/11 06:00 [pubmed]
PHST- 2019/12/11 06:01 [medline]
PHST- 2019/11/27 00:00 [pmc-release]
AID - 207989 [pii]
AID - 10.2147/JPR.S207989 [doi]
PST - epublish
SO  - J Pain Res. 2019 Nov 27;12:3203-3213. doi: 10.2147/JPR.S207989. eCollection 2019.