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dc.contributor.authorWhite Ren_US
dc.contributor.authorHayes Cen_US
dc.contributor.authorBoyes AWen_US
dc.contributor.authorFitzgerald Sen_US
dc.contributor.authorRajappa Hen_US
dc.contributor.authorPaul CLen_US
dc.identifier.citation2(1) > Whiteen_US
dc.description.abstractBackground. Local chronic non-cancer pain guidance recommends that general practitioners should consider opioid deprescribing and referral to multidisciplinary healthcare providers for behaviourally based treatments . We designed a training package called AIMM (Assess, Inform, Manage and Monitor) to reinforce this stewardship. Aim. To identify whether participation in AIMM training effectively aligned clinicians' attitudes with local guidance for treating chronic non-cancer pain . Design and setting. In 2014-15, the AIMM training was tested using a pre-post-test non-randomised design at two sites in NSW, Australia. The primary outcome measure was an 11-item, study-specific, pain attitude questionnaire (PAQ). Method. Step one of AIMM training involved online completion of the PAQ and review of a specialist pain website. Step two involved attendance at two face-to-face, two-hour interactive workshops led by pain experts who addressed opioid deprescribing and switching to broader care. A repeat PAQ survey was completed at the conclusion of the second workshop. Results. Nineteen participants attended the workshops, including general practitioners (n = 7), nurses (n = 5), exercise physiologists (n = 2), a dietitian (n = 1), community pharmacists (n = 2) and psychologists (n = 2). Significant shifts in six attitudes occurred, including prescribing less pain medication, greater emphasis on social reconnection, increasing planned activity and adopting anti-inflammatory nutrition (p < .05). Responses to the item regarding expectations of a positive recovery was not aligned with local guidance and no significant attitudinal change was found. Four other attitudes were aligned with local guidance at baseline and did not change during the study. Conclusions. Online information and face-to-face training can achieve a change in healthcare provider attitudes towards non-pharmacological treatment of chronic non-cancer pain . Further work is needed to assess whether attitudinal changes are maintained and translate into behavioural change.en_US
dc.subjectChronic Painen_US
dc.subjectMedical Educationen_US
dc.subjectPrimary Healthcareen_US
dc.titleTraining primary care providers in opioid deprescribing and chronic pain management based on local guidance: a pre–post study of attitude change.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleHealth Education in Practice: Journal of Research for Professional Learningen_US
dc.description.affiliatesUniversity of Newcastleen_US
dc.type.studyortrialClinical Trialen_US
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
Appears in Collections:Scholarly and Clinical
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