Provider Perceived Facilitators and Barriers to Identifying, Perceiving, and Seeking Healthcare for Chronic Pain After TBI : A Qualitative NIDILRR and VA TBI Model Systems Collaborative Project
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved..
OBJECTIVE: Identify determinants to chronic pain healthcare for persons with traumatic brain injury (TBI) informed by an Access to Care Framework. Findings related to the Access Framework's core domains of identifying a need, perceptions of the need, and seeking healthcare are reported.
SETTING: Community.
PARTICIPANTS: Healthcare providers (n = 63) with 2 or more years of experience treating persons with TBI interviewed between October 2020 and November 2021.
DESIGN: Descriptive, qualitative study.
MAIN MEASURES: Semi-structured interviews with open-ended questions of chronic pain management for persons with TBI. Informed by the Access Framework, responses were coded by and categorized within the domains of identifying healthcare needs, perceptions of needs, and factors related to healthcare seeking from the supply and demand perspective.
RESULTS: For the overall sample, 14 facilitators and 6 barriers were endorsed by more than 20% of the provider cohort. Top facilitators included on-site availability of needed resources and treatments (94%), adequate time and provider capability to ensure patient comprehension of diagnosis and treatment plans (83%), and establishing patient motivation and buy-in with the treatment plan (75%). Barriers most endorsed included policies impacting access (46%), wait times for services (41%), and patient uncertainty regarding telehealth commonly due to cognitive and physical challenges (37%). Unique determinants are reported across civilian versus Department of Veterans Affairs (VA) healthcare systems and different provider types.
CONCLUSION: This is the first evidence-based study to inform policy and planning to improve access to high-quality chronic pain treatments for persons with TBI. Results will inform future interventions at the systems, patient, and policy levels of healthcare that can be tailored to healthcare settings (VA, Civilian) and types of providers (rehabilitation therapists, psychologists, and medical). Evidence-informed interventions may help minimize healthcare disparities experienced by persons with TBI and facilitate access to high-quality, evidence-informed chronic pain care.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
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| Enthalten in: |
The Journal of head trauma rehabilitation - 39(2024), 1 vom: 03. Jan., Seite E1-E14 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nakase-Richardson, Risa [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 05.01.2024 Date Revised 06.01.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/HTR.0000000000000922 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM36658345X |
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| 100 | 1 | |a Nakase-Richardson, Risa |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Provider Perceived Facilitators and Barriers to Identifying, Perceiving, and Seeking Healthcare for Chronic Pain After TBI |b A Qualitative NIDILRR and VA TBI Model Systems Collaborative Project |
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| 500 | |a Date Completed 05.01.2024 | ||
| 500 | |a Date Revised 06.01.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: Identify determinants to chronic pain healthcare for persons with traumatic brain injury (TBI) informed by an Access to Care Framework. Findings related to the Access Framework's core domains of identifying a need, perceptions of the need, and seeking healthcare are reported | ||
| 520 | |a SETTING: Community | ||
| 520 | |a PARTICIPANTS: Healthcare providers (n = 63) with 2 or more years of experience treating persons with TBI interviewed between October 2020 and November 2021 | ||
| 520 | |a DESIGN: Descriptive, qualitative study | ||
| 520 | |a MAIN MEASURES: Semi-structured interviews with open-ended questions of chronic pain management for persons with TBI. Informed by the Access Framework, responses were coded by and categorized within the domains of identifying healthcare needs, perceptions of needs, and factors related to healthcare seeking from the supply and demand perspective | ||
| 520 | |a RESULTS: For the overall sample, 14 facilitators and 6 barriers were endorsed by more than 20% of the provider cohort. Top facilitators included on-site availability of needed resources and treatments (94%), adequate time and provider capability to ensure patient comprehension of diagnosis and treatment plans (83%), and establishing patient motivation and buy-in with the treatment plan (75%). Barriers most endorsed included policies impacting access (46%), wait times for services (41%), and patient uncertainty regarding telehealth commonly due to cognitive and physical challenges (37%). Unique determinants are reported across civilian versus Department of Veterans Affairs (VA) healthcare systems and different provider types | ||
| 520 | |a CONCLUSION: This is the first evidence-based study to inform policy and planning to improve access to high-quality chronic pain treatments for persons with TBI. Results will inform future interventions at the systems, patient, and policy levels of healthcare that can be tailored to healthcare settings (VA, Civilian) and types of providers (rehabilitation therapists, psychologists, and medical). Evidence-informed interventions may help minimize healthcare disparities experienced by persons with TBI and facilitate access to high-quality, evidence-informed chronic pain care | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Agtarap, Stephanie D |e verfasserin |4 aut | |
| 700 | 1 | |a Martin, Aaron M |e verfasserin |4 aut | |
| 700 | 1 | |a Ching, Deveney |e verfasserin |4 aut | |
| 700 | 1 | |a O'Connor, Danielle R |e verfasserin |4 aut | |
| 700 | 1 | |a Tweed, Amanda |e verfasserin |4 aut | |
| 700 | 1 | |a Haun, Jolie N |e verfasserin |4 aut | |
| 700 | 1 | |a Hanks, Robin A |e verfasserin |4 aut | |
| 700 | 1 | |a Bergquist, Thomas F |e verfasserin |4 aut | |
| 700 | 1 | |a Hammond, Flora M |e verfasserin |4 aut | |
| 700 | 1 | |a Zafonte, Ross D |e verfasserin |4 aut | |
| 700 | 1 | |a Hoffman, Jeanne M |e verfasserin |4 aut | |
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