关键词: complementary and integrative health integrative health integrative medicine non-opioid non-pharmacological pain modalities opioid

Mesh : Humans Minnesota Pain Management / methods Complementary Therapies / methods Evidence-Based Medicine Integrative Medicine / methods Chronic Pain / therapy Internet

来  源:   DOI:10.1089/jicm.2023.0031

Abstract:
Objective: The Non-Opioid Pain Alleviation Information Network (NOPAINMN) project was designed to identify, consolidate, and map evidence-based non-opioid and non-pharmacological pain management complementary and integrative health (CIH) modalities for chronic pain management across Minnesota into a searchable and informational website (www.nopainmn.org ). Methods: The Academic Consortium for Integrative Medicine & Health\'s Pain Task Force White Paper identifying evidence-based research of non-pharmacological pain practice (NPPC) was reviewed and referenced. National and state certifying boards and accrediting organizations for NPPC modalities were accessed to identify Minnesota-based NPPC providers\' name, business/health-system affiliation, address, contact information, and credentials. The NOPAINMN website displays these data in a consumer-facing website with searchable fields such as NPPC modality type, and location with varying distances. The website was β-tested by practitioners and stakeholders for optimization. Eight main NPPC modalities and their respective subcategories were identified and mapped: Acupuncture; Integrative Medical Care (Functional medicine consultation and Integrative medicine consultation); Massage Therapy; Mind-Body Therapies (Biofeedback, Clinical Hypnosis, Mindfulness-Based Stress Reduction, and Music Therapy); Movement Therapies (Tai Chi, qigong, and Yoga Therapy); Psychology (Cognitive Behavioral Therapy); Rehabilitative Therapies (Physical and Occupational Therapy); and Spinal Manipulation. Results: All information compiled resulted in 17,155 providers/practitioners. Physical Therapy had the greatest number of reported providers (n = 5224), followed by Occupational Therapy (n = 3792), Psychology (n = 3324), Chiropractic (n = 3033), Acupuncture (n = 591), and Massage Therapy (n = 544). The Resource Map included 56 major health systems, 686 facilities, 2651 solo or private group practices, and 14 academic training schools. With web-based cross-referencing, providers and facilities were affiliated and linked with health systems to produce an interconnected mapping system. β-Testing with patients found that the website was reported as relatively easy to use and informative. Conclusion: The website was created to assist individuals, health care providers, insurance carriers, and health care facilities in finding evidence-based information and resources on NPPC to guide, support, and proactively manage and engage chronic pain patients across Minnesota.
摘要:
目的:非阿片类药物疼痛缓解信息网络(NOPAINMN)项目旨在确定,巩固,并将明尼苏达州慢性疼痛管理的循证非阿片类和非药物疼痛管理补充和综合健康(CIH)模式映射到可搜索和信息网站(www.nopainmn.org)。方法:回顾并引用了中西医结合的疼痛工作组白皮书,以确定非药理学疼痛实践(NPPC)的循证研究。访问了NPPC模式的国家和州认证委员会和认证组织,以确定位于明尼苏达州的NPPC提供商的名称,商业/卫生系统隶属关系,地址,联系信息,和凭据。NOPAINMN网站在面向消费者的网站中显示这些数据,该网站具有可搜索的字段,例如NPPC模态类型,和不同距离的位置。该网站经过了从业人员和利益相关者的β测试,以进行优化。确定并绘制了八个主要的NPPC模式及其各自的子类别:针灸;综合医疗(功能医学咨询和综合医学咨询);按摩疗法;身心疗法(生物反馈,临床催眠,基于正念的减压,和音乐疗法);运动疗法(太极拳,气功,和瑜伽疗法);心理学(认知行为疗法);康复疗法(物理和职业疗法);和脊柱手法。结果:收集的所有信息均导致17,155名提供者/从业人员。物理治疗的提供者数量最多(n=5224),其次是职业治疗(n=3792),心理学(n=3324),脊椎指压疗法(n=3033),针灸(n=591),和按摩疗法(n=544)。资源地图包括56个主要的卫生系统,686个设施,2651个人或私人团体实践,和14所学术培训学校。通过基于Web的交叉引用,提供者和设施与卫生系统有关联和联系,以产生相互关联的制图系统。对患者的β测试发现,据报道该网站相对易于使用且提供信息。结论:该网站的创建是为了帮助个人,卫生保健提供者,保险公司,和卫生保健机构在NPPC上寻找循证信息和资源以指导,支持,并积极管理和吸引明尼苏达州的慢性疼痛患者。
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