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Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study.

Publication ,  Journal Article
Eucker, SA; Foley, S; Peskoe, S; Gordee, A; Risoli, T; Morales, F; George, SZ
Published in: Pain Rep
2022

OBJECTIVES: Pain is an individual experience that should incorporate patient-centered care. This study seeks to incorporate patient perspectives toward expanding nonpharmacologic treatment options for pain from the emergency department (ED). METHODS: In this cross-sectional study of adult patients in ED with musculoskeletal neck, back, or extremity pain, patient-reported outcomes were collected including willingness to try and prior use of various nonpharmacologic pain treatments, sociodemographics, clinical characteristics, functional outcomes, psychological distress, and nonmusculoskeletal symptoms. Least absolute shrinkage and selection operator regression identified variables associated with (1) willingness to try and (2) having previously tried nonpharmacologic treatments. RESULTS: Responses were analyzed from 206 adults, with a mean age of 45.4 (SD 16.4) years. The majority (90.3%) of patients in ED were willing to try at least one form of nonpharmacologic pain treatment, with 70.4%, 81.6%, and 70.9% willing to try respective subcategories of active (eg, exercise), passive (eg, heat), and psychosocial (eg, prayer) modalities. Only 56.3% of patients had previously tried any, with 35.0%, 52.4%, and 41.3% having tried active, passive, and psychosocial modalities, respectively. Patient-level factors associated with willingness included pain in upper back, more severe pain-related symptoms, and functional impairments. The factor most consistently associated with treatment use was health care provider encouragement to do so. CONCLUSIONS: Patients in ED report high willingness to try nonpharmacologic treatments for pain. Higher pain severity and interference may indicate greater willingness, while health care provider encouragement correlated with treatment use. These findings may inform future strategies to increase the introduction of nonpharmacologic treatments from the ED.

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Published In

Pain Rep

DOI

EISSN

2471-2531

Publication Date

2022

Volume

7

Issue

5

Start / End Page

e1027

Location

United States

Related Subject Headings

  • 3214 Pharmacology and pharmaceutical sciences
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Eucker, S. A., Foley, S., Peskoe, S., Gordee, A., Risoli, T., Morales, F., & George, S. Z. (2022). Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study. Pain Rep, 7(5), e1027. https://doi.org/10.1097/PR9.0000000000001027
Eucker, Stephanie A., Shawna Foley, Sarah Peskoe, Alexander Gordee, Thomas Risoli, Frances Morales, and Steven Z. George. “Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study.Pain Rep 7, no. 5 (2022): e1027. https://doi.org/10.1097/PR9.0000000000001027.
Eucker SA, Foley S, Peskoe S, Gordee A, Risoli T, Morales F, et al. Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study. Pain Rep. 2022;7(5):e1027.
Eucker, Stephanie A., et al. “Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study.Pain Rep, vol. 7, no. 5, 2022, p. e1027. Pubmed, doi:10.1097/PR9.0000000000001027.
Eucker SA, Foley S, Peskoe S, Gordee A, Risoli T, Morales F, George SZ. Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study. Pain Rep. 2022;7(5):e1027.

Published In

Pain Rep

DOI

EISSN

2471-2531

Publication Date

2022

Volume

7

Issue

5

Start / End Page

e1027

Location

United States

Related Subject Headings

  • 3214 Pharmacology and pharmaceutical sciences
  • 3209 Neurosciences
  • 3202 Clinical sciences