TY - JOUR
T1 - Improving Emergency Providers' Attitudes Toward Sickle Cell Patients in Pain
AU - Puri Singh, Aditi
AU - Haywood, Carlton
AU - Beach, Mary Catherine
AU - Guidera, Mark
AU - Lanzkron, Sophie
AU - Valenzuela-Araujo, Doris
AU - Rothman, Richard E.
AU - Dugas, Andrea Freyer
N1 - Funding Information:
Dr. Dugas reports a grant from the Blaustein Pain Foundation , during the conduct of the study. Dr. Haywood's effort on the project was supported by a career development award from the NHLBI (No. 1K01HL108832-01 ). The authors declare no conflicts of interest.
Publisher Copyright:
© 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Background Provider biases and negative attitudes are recognized barriers to optimal pain management in sickle cell disease, particularly in the emergency department (ED). Measures This prospective cohort measures preintervention and postintervention providers' attitudes toward patients with sickle pain crises using a validated survey instrument. Intervention ED providers viewed an eight-minute online video that illustrated challenges in sickle cell pain management, perspectives of patients and providers, as well as misconceptions and stereotypes of which to be wary. Outcomes Ninety-six ED providers were enrolled. Negative attitude scoring decreased, with a mean difference-11.5 from baseline, and positive attitudes improved, with a mean difference +10. Endorsement of red-flag behaviors similarly decreased (mean difference-12.8). Results were statistically significant and sustained on repeat testing three months after intervention. Conclusions/Lessons Learned Brief video-based educational interventions can improve emergency providers' attitudes toward patients with sickle pain crises, potentially curtailing pain crises early, improving health outcomes and patient satisfaction scores.
AB - Background Provider biases and negative attitudes are recognized barriers to optimal pain management in sickle cell disease, particularly in the emergency department (ED). Measures This prospective cohort measures preintervention and postintervention providers' attitudes toward patients with sickle pain crises using a validated survey instrument. Intervention ED providers viewed an eight-minute online video that illustrated challenges in sickle cell pain management, perspectives of patients and providers, as well as misconceptions and stereotypes of which to be wary. Outcomes Ninety-six ED providers were enrolled. Negative attitude scoring decreased, with a mean difference-11.5 from baseline, and positive attitudes improved, with a mean difference +10. Endorsement of red-flag behaviors similarly decreased (mean difference-12.8). Results were statistically significant and sustained on repeat testing three months after intervention. Conclusions/Lessons Learned Brief video-based educational interventions can improve emergency providers' attitudes toward patients with sickle pain crises, potentially curtailing pain crises early, improving health outcomes and patient satisfaction scores.
KW - Sickle cell
KW - pain crises
KW - providers' attitudes
KW - video intervention
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U2 - 10.1016/j.jpainsymman.2015.11.004
DO - 10.1016/j.jpainsymman.2015.11.004
M3 - Article
C2 - 26596878
AN - SCOPUS:84960129288
VL - 51
SP - 628-632.e3
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
SN - 0885-3924
IS - 3
ER -