Chronic pain impacts about 20% of US Adults. Though non-pharmacologic, integrative pain management therapies are now considered first-line treatment by clinical guidelines, these therapies are still rarely covered by health insurance and therefore inaccessible to lower-income individuals. The Integrative Medical Group Visit (IMGV) program was developed to offer low-income, diverse patients with chronic pain an introduction to integrative pain management approaches, through a model that is covered by health insurance under existing billing codes. An initial pragmatic randomized control trial found that IMGV led to significant improvement in mental health related quality of life and lower use of high-cost care. However, there has been little research investigating the implementation of IMGV, and none in Federally-Qualified Health Centers (FQHCs), where the program was initially designed to be implemented. In this study, the investigators test strategies to implement IMGV in FQHCs, including training and coaching clinic staff, and measure the effectiveness of the IMGV on health outcomes for patients with chronic pain.
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Reach: Total Patients Reached
Timeframe: through study completion, a total of up to 3 years
Reach: Race of Patients Reached
Timeframe: through study completion, a total of up to 3 years
Reach: Ethnicity of Patients Reached
Timeframe: through study completion, a total of up to 3 years
Reach: Gender of Patients Reached
Timeframe: through study completion, a total of up to 3 years
Reach: Age of Patients Reached
Timeframe: through study completion, a total of up to 3 years
Adoption
Timeframe: through study completion, a total of up to 3 years
Acceptability: Patients
Timeframe: within 1 month of final IMGV session participation, approximately 10 weeks
Acceptability: Clinic Personnel
Timeframe: within 1 month of final IMGV session participation, approximately 10 weeks
Cost: Patient Perspective
Timeframe: within 1 month of final IMGV session participation, approximately 10 weeks
Cost: Clinic Perspective
Timeframe: within 1 month of final IMGV session participation, approximately 10 weeks
Fidelity
Timeframe: Through completion of IMGV delivery, a total of up to two years
Maintenance: 6 months
Timeframe: Six months after the first IMGV session at clinic
Maintenance: 12 months
Timeframe: Twelve months after the first IMGV session at clinic