Understanding Pain after Dental Procedures

项目总结/摘要 疼痛是一种常见的，不受欢迎的后果看牙医。第五种是疼痛。 许多人将其描述为不良事件（AE）。后效果最常用的局部 麻醉剂减少，牙科患者必须依靠自己和自己对疼痛的理解 牙科手术后的管理。这导致过度依赖处方阿片类药物，因为 一旦病人离开诊所，就没有办法主动跟踪他们的疼痛。了解有效/适当的疼痛 在进行牙科治疗时，我们需要检查哪些牙科程序引起的患者所经历的疼痛程度。 这样的清单将使供应商能够预测和更好地管理他们的病人的术后疼痛。 创新的移动的应用程序和互联健康技术，可实时跟踪 患者的症状，功能状态和生活质量，为医疗保健专业人员提供数据， 以前不可用，并促进了患者参与，共同决策和遵守 治疗计划。我们建议探索一种创新的解决方案，以监测和管理牙痛， 实施移动的电话技术，以监测病人在手术后的关键急性期的疼痛。 我们认为，通过使用移动的电话跟踪患者报告的结果（PRO）， 最佳的疼痛体验将被容易地识别。这项研究将证明，PRO提供了可操作的 数据这项研究也可以作为在牙科实践中实施新的健康信息技术（mHealth）的模型， 提高患者参与度。 这项观察性研究将在NDPBRN（牙科实践为基础的研究网络）进行 我们认为，这些网站是发展这种实用和集中的术后疼痛的理想选择。 管理研究我们将招募50名NDPBRN实践和4050名患者，他们将收到推送通知 通过短信使用FollowApp.Care在他们的移动的手机在指定的时间间隔， 他们的牙科手术这种创新的方法，实施现有的和测试的mHealth系统， 技术（FollowApp.Care）应用到NDPBRN的真实牙科诊所环境中， 以及牙科手术后的其他并发症。通过患者使用他们的移动的手机，我们希望 及时准确地确定牙科手术的具体疼痛程度。 在研究的UG 3阶段（第1-2年），我们将在UG 3-Aim 1和 UG 3-目标2制定研究实施的设计特征和工作流程。在UH 3阶段 (Yr 3-6）我们将在UH 3-Aim 1中进行试点测试程序，以简化NDPBRN中的数据收集和工作流程 牙科诊所在UH 3- Aim 2中，我们将按手术类型评估术后疼痛强度;在UH 3-Aim 3中，我们 将评估提供者和患者术后管理策略，在UH 3-Aim 4中，我们将评估患者的 以及医疗服务提供者对移动医疗技术的接受程度。

Project Summary/Abstract Pain is a common, and unwelcome aftermath of seeing the dentist. Indeed, pain has been deemed the fifth vital sign and many describe it as an adverse event (AE). After the effects of the most commonly-used local anesthetic diminishes, dental patients must rely on themselves and their own understanding for pain management following dental procedures. This has led to an over-reliance on prescribed opioids as there are no means to actively track patients' pain once they leave the clinic. To understand effective/appropriate pain management, we need to examine the pain levels experienced by patients caused by which dental procedures. Such an inventory will allow providers to anticipate and better manage their patients' post-operative pain. Innovative mobile applications and connected health technologies that allow real-time tracking of patients' symptoms, functional status and quality of life, provide healthcare professionals with data that were previously unavailable, and have fostered patient engagement, shared decision-making and adherence to treatment plans. We propose to explore an innovative solution to dental pain monitoring and management by implementing mobile phone technology to monitor patients' pain during the critical acute post-operative phase. We believe that by tracking patient reported outcomes (PROs) using mobile phones, patients with sub- optimal pain experiences will be easily identified. This study will demonstrate that PROs provide actionable data. This study can also serve as a model for implementing new health IT (mHealth) within dental practices to improve patient engagement. This observational study will be conducted at NDPBRN (Dental Practice-based Research Network) sites, which we believe are ideal for the development of this practical and focused post-operative pain management study. We will recruit 50 NDPBRN practices and 4050 patients who will receive push notifications through text messages using FollowApp.Care on their mobile phones at designated time intervals following their dental procedure. This innovative approach of implementing an existing and tested mHealth system technology (FollowApp.Care) into the real-world dental office setting of the NDPBRN will actively track pain and other complications following dental procedures. By patients using their mobile phones, we expect to promptly and precisely identify specific levels of pain for surgical dental procedures. During the UG3 phase of the study (Yr 1-2) we will develop all study materials in UG3-Aim1, and in UG3-Aim 2 develop the design features and workflow for implementation of the study. During the UH3 phase (Yr 3-6) we will in UH3-Aim1, pilot test procedures to streamline data collection and workflow in the NDPBRN dental office. In UH3- Aim 2 we will assess post-operative pain intensity by procedure type; in UH3-Aim 3 we will assess provider and patient post-op management strategies and in UH3-Aim 4, we will evaluate patients' and providers' acceptance of the mHealth technology.