F45.41 R52.1 R52.2 F45.4
Conditions
Interventions
Group 1: Videoconference
Group 2: written, digital recommendation
Sponsors
Interdisziplinäres Schmerzzentrum sowie Institut für Allgemeinmedizin (Prof.A.Maun) der Uniklinik Freiburg sind gemeinsam verantwortlich als Projektleiter*in, finanziert und in Auftrag gegeben wurde die Studie durch das Land BaWü
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Inclusion criteria for physicians to participate in the interview: - Working in a practice or MVZ as a general practitioner or other specialist in Baden-Württemberg. Inclusion criteria for physicians to participate in the digital cooperation: - Practice is in the catchment area of the ISZ Freiburg, location in South Baden (within a radius of max. approx. 80 km) - General practice or specialist practice in Baden-Württtemberg - KV admission - Internet-capable terminal device (computer/laptop) in the consulting room. Inclusion criteria Patients for participation in the interview: - older than 18 years - Chronic pain disorder, i.e. more than 3 months of persistent or recurrent pain - or presence of a disease with a high risk of chronicity, e.g. CRPS (complex regional pain syndrome) or post-zoster neuralgia or tumor-related pain - sufficient knowledge of German. Inclusion criteria Patients for participation in the digital cooperation: - see above and additionally - Access to an internet-enabled device (computer, smartphone, tablet)
Exclusion criteria
Exclusion criteria: Exclusion criteria for physicians to participate in the interview: - Working outside of Baden-Württemberg. Exclusion criteria GPs and specialists in private practice from other specialties for participation in digital cooperation: - Practice is located outside the catchment area of the ISZ, outside South Baden - located abroad - No registered office - no Internet-capable terminal device (computer/laptop) in the consulting room. Exclusion criteria for patients to participate in the interview: - younger than 18 years - unable to give consent, e.g. due to a dementia illness - presence of an acute psychiatric illness (e.g. schizotypal disorder or acute psychosis) - insufficient knowledge of German - aphasia Additional exclusion criteria Patients for participation in digital cooperation: - no access to an internet-enabled device computer, tablet or smartphone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Evaluation of the technical and temporal feasibility of a digital cooperation from the digital registration to the implementation of the joint video consultation • Evaluation of the subjective satisfaction with the treatment cooperation during the telemedical measure in terms of satisfaction in communication, care and technical quality of everyone involved in the study (GPs, other resident specialists, patients, psychologists, physiotherapists , social counselors) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures: Survey time points: t0 Registration t1 day of digital cooperation t2 registration for second consultation ( if applicable) t3 survey 3 months after registration 1. changes between the survey time points t0 (base-line at the time of registration) and t2 (registration for second consultation) as well as t3 (survey 3 months after registration ): - the pain localization - the subjective pain intensity (NAS scale) - the following psychometric data o the assessment of health-related quality of life (VR-12) o the general well-being (FW7) o the depression, anxiety and stress scale without confounding somatic factors (DASS) - the medication intake ( compare medication schedule at time t0 and t3, if necessary t2) - the therapy measures taken (recording of therapy components e.g. psychotherapy, physiotherapy etc. at t0 and t3 and if necessary t2) - the impairments in everyday life (ability to walk, need for help with care, degree of disability) - the social situation ( ability to work, pension) 2. analysis of the outpatient care situation of patients with chronic pain and pain diseases with a high risk of chronicity on the basis of a. Interview data of patients with chronic pain as well as Interview data of physicians in private practice - previous experiences with pain medical care - Wishes for the future care of chronic pain patients b. Survey data from the registration questionnaires/registration documents of the outpatient physicians as well as the patients and the final evaluation (P1) of the outpatient physicians - Distance of the practices to the nearest supraregional pain center (distance in km as well as travel time in min) - Demographic data (gender, age) as well as qualification of the participating physicians (specialist title, additional qualifications) - Previous satisfaction with pain medicine care - Inclusion and exclusion criteria of the patients (ability to give consent, presence of acute mental illness | — |
Countries
Germany
Contacts
Public ContactVera Fleig
Institut für Allgemeinmedizin
Outcome results
None listed