Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
1188 participants
INTERVENTIONAL
2023-03-17
2027-09-30
Brief Summary
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Detailed Description
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After the completion of informed consent, practitioners will be sent their first set of surveys (Baseline).
1 week before the first day of the practitioner's course, they will be sent a second set of surveys (Time 0).
6 months after course completion, practitioners will be sent their next set of surveys (Follow Up 1).
6 months after the distribution of Follow Up Survey 1, practitioners will be sent their next set of surveys (Follow Up 2).
6 months after the distribution of Follow Up Survey 2, practitioners will be sent their next set of surveys (Follow Up 3).
6 months after the distribution of Follow Up Survey 3, practitioners will be sent their final set of surveys (Follow Up 4).
Patient procedures:
After the completion of informed consent, patients will be sent their first set of surveys (Baseline).
1 week before the first day of the patient's practitioner's course, they will be sent a second set of surveys (Time 0).
6 months after their practitioner's course completion, patients will be sent their next set of surveys (Follow Up 1).
6 months after the distribution of Follow Up Survey 1, patients will be sent their next set of surveys (Follow Up 2).
6 months after the distribution of Follow Up Survey 2, patients will be sent their next set of surveys (Follow Up 3).
6 months after the distribution of Follow Up Survey 3, patients will be sent their final set of surveys (Follow Up 4).
Practitioner measures:
* Demographics
* HC-PAIRS
* Mini Z \& Burnout
* PABS-PT
* Skills Comparison
* Multi-Disc Perspective Questionnaire
* CPPP (for MDs/DOs)
* Know Pain-12
Patient measures:
* Demographics
* Medication information
* PEG-3
* PCS
* PROMIS 8A
* PROMIS Global Health
* PROMIS Pain Interference
* GAD-7
* PHQ-8
* Secondary measures abstracted from state prescribing records
Practitioner interventions:
4PCP training course
Patient interventions:
No direct interventions, but concepts practitioners learn from the 4PCP curriculum may change the way the practitioner continues care with the patient.
Conditions
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Study Design
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NA
SINGLE_GROUP
OTHER
NONE
Study Groups
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4PCP Course (for practitioners only)
All enrolled practitioners will be assigned to take the 4PCP course as the intervention. Patients will not be assigned to the course and will only be completing surveys before and after their practitioner completes 4PCP.
4PCP Course
4PCP is a training framework for the management of chronic pain and gives practitioners lasting knowledge on how to better care for chronic pain patients.
Interventions
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4PCP Course
4PCP is a training framework for the management of chronic pain and gives practitioners lasting knowledge on how to better care for chronic pain patients.
Eligibility Criteria
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Inclusion Criteria
* Part of a practice that has their own identifiable patient population including patients with chronic pain
* Able to fully answer questionnaires
* Able to attend 4PCP course
* English speaking
Patient inclusion:
* Age 14-80
* Self-report of chronic non-malignant pain \> 3 months
* No foreseeable or planned surgeries for chronic pain
* Has attended at least 2 established visits in the enrolled practitioner's practice
* English speaking
Practitioner exclusion:
* Pain specialists
* Unable to fully answer questionnaires
* Unable to attend the 4PCP course
* Non-English speaking
Patient exclusion:
* Unable to answer questionnaires (e.g. stroke, dementia, developmental delay, etc.)
* Followed in a specialty pain clinic (PCP not managing pain care)
* Sickle cell disease
* Prisoners
* Non-English speaking
14 Years
80 Years
ALL
No
Sponsors
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Medical College of Wisconsin
OTHER
Case Western Reserve University
OTHER
SSM Health
OTHER
Wisconsin Research and Education Network
NETWORK
Agency for Healthcare Research and Quality (AHRQ)
FED
Virginia Commonwealth University
OTHER
Responsible Party
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Principal Investigators
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Thomas Chelimsky, M.D.
Role: PRINCIPAL_INVESTIGATOR
VCU
Locations
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Case Western Reserve University
Cleveland, Ohio, United States
Virginia Commonwealth University
Richmond, Virginia, United States
Wisconsin Research and Education Network (WREN)
Madison, Wisconsin, United States
SSM Health
Madison, Wisconsin, United States
Countries
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Central Contacts
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Facility Contacts
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References
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Chelimsky TC, Fischer RL, Levin JB, Cheren MI, Marsh SK, Janata JW. The primary practice physician program for chronic pain ((c) 4PCP): outcomes of a primary physician-pain specialist collaboration for community-based training and support. Clin J Pain. 2013 Dec;29(12):1036-43. doi: 10.1097/AJP.0b013e3182851584.
Why the US Should Develop a Primary Medical Specialty in Pain Medicine. American Board of Pain Medicine [Web]; Available from: http://abpm.org/uploads/files/talking%20points%20-%20federal%20approach%20needed%20final.pdf
Okumura MJ, Heisler M, Davis MM, Cabana MD, Demonner S, Kerr EA. Comfort of general internists and general pediatricians in providing care for young adults with chronic illnesses of childhood. J Gen Intern Med. 2008 Oct;23(10):1621-7. doi: 10.1007/s11606-008-0716-8. Epub 2008 Jul 26.
Aydede M, Shriver A. Recently introduced definition of "nociplastic pain" by the International Association for the Study of Pain needs better formulation. Pain. 2018 Jun;159(6):1176-1177. doi: 10.1097/j.pain.0000000000001184. No abstract available.
Other Identifiers
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HM20025110
Identifier Type: -
Identifier Source: org_study_id
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