Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study.

Eucker, Stephanie A; Foley, Shawna; Peskoe, Sarah; Gordee, Alexander; Risoli, Thomas; Morales, Frances; George, Steven Z

Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study.

dc.contributor.author	Eucker, Stephanie A
dc.contributor.author	Foley, Shawna
dc.contributor.author	Peskoe, Sarah
dc.contributor.author	Gordee, Alexander
dc.contributor.author	Risoli, Thomas
dc.contributor.author	Morales, Frances
dc.contributor.author	George, Steven Z
dc.date.accessioned	2022-09-02T13:22:16Z
dc.date.available	2022-09-02T13:22:16Z
dc.date.issued	2022-09
dc.date.updated	2022-09-02T13:22:15Z
dc.description.abstract	Objectives Pain is an individual experience that should incorporate patient-centered care. This study seeks to incorporate patient perspectives toward expanding nonpharmacologic treatment options for pain from the emergency department (ED). Methods In this cross-sectional study of adult patients in ED with musculoskeletal neck, back, or extremity pain, patient-reported outcomes were collected including willingness to try and prior use of various nonpharmacologic pain treatments, sociodemographics, clinical characteristics, functional outcomes, psychological distress, and nonmusculoskeletal symptoms. Least absolute shrinkage and selection operator regression identified variables associated with (1) willingness to try and (2) having previously tried nonpharmacologic treatments. Results Responses were analyzed from 206 adults, with a mean age of 45.4 (SD 16.4) years. The majority (90.3%) of patients in ED were willing to try at least one form of nonpharmacologic pain treatment, with 70.4%, 81.6%, and 70.9% willing to try respective subcategories of active (eg, exercise), passive (eg, heat), and psychosocial (eg, prayer) modalities. Only 56.3% of patients had previously tried any, with 35.0%, 52.4%, and 41.3% having tried active, passive, and psychosocial modalities, respectively. Patient-level factors associated with willingness included pain in upper back, more severe pain-related symptoms, and functional impairments. The factor most consistently associated with treatment use was health care provider encouragement to do so. Conclusions Patients in ED report high willingness to try nonpharmacologic treatments for pain. Higher pain severity and interference may indicate greater willingness, while health care provider encouragement correlated with treatment use. These findings may inform future strategies to increase the introduction of nonpharmacologic treatments from the ED.
dc.identifier	PAINREPORTS-D-22-0038
dc.identifier.issn	2471-2531
dc.identifier.issn	2471-2531
dc.identifier.uri	https://hdl.handle.net/10161/25666
dc.language	eng
dc.publisher	Ovid Technologies (Wolters Kluwer Health)
dc.relation.ispartof	Pain reports
dc.relation.isversionof	10.1097/pr9.0000000000001027
dc.subject	Emergency medicine
dc.subject	Musculoskeletal pain
dc.subject	Nonpharmacologic treatment
dc.subject	Patient-centered outcomes
dc.title	Willingness to use nonpharmacologic treatments for musculoskeletal pain in the emergency department: a cross-sectional study.
dc.type	Journal article
duke.contributor.orcid	Eucker, Stephanie A\|0000-0001-9986-5773
duke.contributor.orcid	Gordee, Alexander\|0000-0001-9205-2948
duke.contributor.orcid	George, Steven Z\|0000-0003-4988-9421
pubs.begin-page	e1027
pubs.issue	5
pubs.organisational-group	Duke
pubs.organisational-group	School of Medicine
pubs.organisational-group	Clinical Science Departments
pubs.organisational-group	Institutes and Centers
pubs.organisational-group	Orthopaedic Surgery
pubs.organisational-group	Duke Clinical Research Institute
pubs.publication-status	Accepted
pubs.volume	7