COVID-19 Impact on Pain management: Highlighting, Explaining, and Realigning services (CIPHER)

COVID-19 对疼痛管理的影响:突出显示、解释和重新调整服务 (CIPHER)

基本信息

  • 批准号:
    10412749
  • 负责人:
  • 金额:
    --
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-04-01 至 2025-03-31
  • 项目状态:
    未结题

项目摘要

Background: The COVID-19 pandemic severely disrupted healthcare. These changes are likely to have especially profound implications for Veterans obtaining regular care for chronic conditions, such as chronic pain—particularly when Veterans are obtaining nonpharmacologic treatments, which often require regular, in- person visits. Although virtual care delivery in VA increased dramatically in response to the pandemic and is unlikely to diminish, it is unclear what services Veterans with pain have received via virtual delivery and how Veterans have been affected by these shifts. The goal of this project is to understand changes in VA chronic pain care after COVID-19 and their associated impacts—and use these data to develop strategies to optimize delivery of VA pain services in a post-COVID-19 environment. Significance: This project addresses priorities in HSR&D's Targeted Solicitation on Opioid Safety and Opioid Use Disorder. Specifically, this project is responsive to priority area E, “examination of the impact of the COVID-19 public health emergency on the effective treatment of chronic pain, including effects on access to care, medication and treatment modalities, patient function and satisfaction.” Despite the clear impact on care delivery exerted by the COVID-19 pandemic, little is known about how these changes and disruptions have affected Veterans and their chronic pain care, including their ability to access care after the onset of the pandemic. These concerns are reflected in our pilot data, which indicate that Veterans have felt the impact of service disruptions on their pain management. Innovation and Impact: The effects of the COVID-19 pandemic are not yet well-understood. This project takes a mixed-methods approach to examine changes in chronic pain care since the onset of the pandemic, working with an expert stakeholder panel at each stage of the research to ensure results and recommendations are disseminated rapidly to maximize impact. Specific Aims: Aim 1 (quantitative): Describe changes in pain management visits for Veterans with chronic low- back pain (cLBP) following the onset of the COVID-19 pandemic. Aim 2 (qualitative): Explain differential patterns of receipt of services identified in Aim 1 and perceived impacts. Aim 3: Share findings throughout the project, including final, integrated findings from Aims 1 and 2, and develop short- and long-term strategies to optimize delivery of pain care for Veterans in a post-COVID-19 environment. Methodology: This study uses an embedded mixed-methods design. In Aim 1 a retrospective cohort of Veterans receiving care for cLBP will be established. Receipt of guideline-recommended, nonpharmacological pain management services, including changes in service receipt following the onset of COVID-19, will be examined. Veteran and facility factors associated with differential changes will be tested. Once the first phase of Aim 1 analyses is complete, qualitative sampling for Aim 2 will begin. Thus, consistent with an embedded design, most Aim 1 and Aim 2 activities will take place concurrently. Qualitative interviews with clinicians, administrators, and Veterans will be conducted to better understand how they experienced pandemic-related changes, including any effects on their current practice/service delivery, and to identify positive changes made since the pandemic that could serve as examples for other facilities. In Aim 3 we will work with our stakeholder advisory panel, led by the VA Office of Pain Management, to develop comprehensive recommendations to guide VA on policies to optimize delivery of pain management services in a post-COVID-19 environment. Next Steps: Findings will be directly applied to VA care, as directed by the CIPHER stakeholder panel (led by the VA National Pain Management Office). Future research will examine implementation strategies aimed at supporting VA-wide implementation.
背景:COVID-19大流行严重扰乱了医疗保健。这些变化很可能会发生

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Marianne Matthias其他文献

Marianne Matthias的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Marianne Matthias', 18)}}的其他基金

HSR&D Research Career Scientist Award
高铁
  • 批准号:
    10698477
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
COVID-19 Impact on Pain management: Highlighting, Explaining, and Realigning services (CIPHER)
COVID-19 对疼痛管理的影响:突出显示、解释和重新调整服务 (CIPHER)
  • 批准号:
    10673419
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
COVID-19 Impact on Pain management: Highlighting, Explaining, and Realigning services (CIPHER)
COVID-19 对疼痛管理的影响:突出显示、解释和重新调整服务 (CIPHER)
  • 批准号:
    10595645
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
Options for Pain Management using Nonpharmacological Strategies (OPTIONS)
使用非药物策略的疼痛管理选项(选项)
  • 批准号:
    10534972
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
Equity Using Interventions for Pain and Depression (EQUIPD)
公平使用疼痛和抑郁干预措施 (EQUIPD)
  • 批准号:
    10595133
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以增强关系并公平地治疗疼痛(合作)
  • 批准号:
    9502687
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以加强关系并公平地治疗疼痛(合作)
  • 批准号:
    10159110
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以加强关系并公平地治疗疼痛(合作)
  • 批准号:
    10213832
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以加强关系并公平地治疗疼痛(合作)
  • 批准号:
    9927912
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Evaluation of peer Coach-Led Intervention to improve Pain Symptoms (ECLIPSE)
对同伴教练主导的改善疼痛症状干预的评估 (ECLIPSE)
  • 批准号:
    9145524
  • 财政年份:
    2015
  • 资助金额:
    --
  • 项目类别:

相似海外基金

EAGER: Toward a Decentralized Cross-administrator Zone Management System: Policy and Technology
EAGER:走向去中心化的跨管理员区域管理系统:政策和技术
  • 批准号:
    2331936
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
COLLABORATIVE RESEARCH: Social Influence in Eyewitness Identification Procedures: Do Blind Administrator Behaviors Magnify the Effects of Suspect Bias?
合作研究:目击者识别程序中的社会影响:盲目的管理员行为是否会放大嫌疑人偏见的影响?
  • 批准号:
    2043230
  • 财政年份:
    2021
  • 资助金额:
    --
  • 项目类别:
    Continuing Grant
COLLABORATIVE RESEARCH: Social Influence in Eyewitness Identification Procedures: Do Blind Administrator Behaviors Magnify the Effects of Suspect Bias?
合作研究:目击者识别程序中的社会影响:盲目的管理员行为是否会放大嫌疑人偏见的影响?
  • 批准号:
    2043334
  • 财政年份:
    2021
  • 资助金额:
    --
  • 项目类别:
    Continuing Grant
Making of the base for patient safety management skill of visiting nurse administrator by the web conference system
利用网络会议系统构建出诊护士管理者患者安全管理技能基础
  • 批准号:
    19K10768
  • 财政年份:
    2019
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Development of the nursing administrator training program to improve leadership behavior focused on emotional intelligence
制定护理管理人员培训计划,以改善以情商为重点的领导行为
  • 批准号:
    18K17464
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Early-Career Scientists
Automated Network Management that Dynamically Reflects Administrator Intent
动态反映管理员意图的自动化网络管理
  • 批准号:
    18K18038
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Early-Career Scientists
Administrator support perceived as useful for professional growth by novice psychiatric home-visit nursing staff
新手精神科家访护理人员认为管理员支持对专业成长有用
  • 批准号:
    17H07005
  • 财政年份:
    2017
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Research Activity Start-up
The Facts and Problems on Management of Public Museums: Validation of Designated Administrator System
公共博物馆管理的事实与问题:指定管理员制度的验证
  • 批准号:
    17K01212
  • 财政年份:
    2017
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
A Study on Transformation of the School Administrator Preparation and Evaluation System in the United States
美国学校管理人员培养与评价体系转型研究
  • 批准号:
    26780449
  • 财政年份:
    2014
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Young Scientists (B)
The Family Court's Supervision of Property Administrator
家庭法院对财产管理人的监督
  • 批准号:
    26380108
  • 财政年份:
    2014
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了