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  1. Article ; Online: Changes in Pain Medicine Training Programs Associated With COVID-19: Survey Results.

    Kohan, Lynn / Durbhakula, Shravani / Zaidi, Munfarid / Phillips, Christopher R / Rowan, Cody C / Brenner, Gary J / Cohen, Steven P

    Anesthesia and analgesia

    2020  Volume 132, Issue 3, Page(s) 605–615

    Abstract: ... to the COVID pandemic. The initial survey was hosted by Qualtrics Inc and disseminated by the Association ... in particular, will change after COVID-19, with greater emphasis on telemedicine, virtual education, and greater ... infections, and census data.: Results: Among 107 surveys distributed, 70 (65%) programs responded. Twenty ...

    Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic is a public health crisis of unprecedented proportions that has altered the practice of medicine. The pandemic has required pain clinics to transition from in-person visits to telemedicine, postpone procedures, and cancel face-to-face educational sessions. There are no data on how fellowship programs have adapted.
    Methods: A 17-question survey was developed covering topics including changes in education, clinical care, and psychological stress due to the COVID pandemic. The initial survey was hosted by Qualtrics Inc and disseminated by the Association of Pain Program Directors on April 10, 2020, to program directors at Accreditation Council for Graduate Medical Education (ACGME)-accredited fellowships. Results are reported descriptively and stratified by COVID infection rate, which was calculated from Centers for Disease Control and Prevention data on state infections, and census data.
    Results: Among 107 surveys distributed, 70 (65%) programs responded. Twenty-nine programs were located in states in the upper tertile for per capita infection rates, 17 in the middle third, and 23 in the lowest tertile. Nearly all programs (93%) reported a decreased workload, with 11 (16%) reporting a dramatic decrease (only urgent or emergent cases). Just more than half of programs had either already deployed (14%) or credentialed (39%) fellows to provide nonpain care. Higher state infection rates were significantly associated with reduced clinical demand (Rs = 0.31, 95% confidence interval [CI], 0.08-0.51; P = .011) and redeployment of fellows to nonpain areas (Rs = 0.30, 95% CI, 0.07-0.50; P = .013). Larger program size but not infection rate was associated with increased perceived anxiety level of trainees.
    Conclusions: We found a shift to online alternatives for clinical care and education, with correlations between per capita infection rates, and clinical care demands and redeployment, but not with overall trainee anxiety levels. It is likely that medicine in general, and pain medicine in particular, will change after COVID-19, with greater emphasis on telemedicine, virtual education, and greater national and international cooperation. Physicians should be prepared for these changes.
    MeSH term(s) Accreditation ; Anesthesiologists ; Anesthesiology/education ; Anesthesiology/methods ; Anxiety ; COVID-19 ; Education, Medical, Graduate/methods ; Fellowships and Scholarships ; Humans ; Pain Management/methods ; Pandemics ; Stress, Psychological ; Surveys and Questionnaires ; Telemedicine
    Keywords covid19
    Language English
    Publishing date 2020-11-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000005314
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Changes in Pain Medicine Training Programs Associated with COVID-19: Survey Results

    Kohan, Lynn / Durbhakula, Shravani / Zaidi, Munfarid / Phillips, Cdr Christopher R / Rowan, Cody C / Brenner, Gary J / Cohen, Steven P

    Abstract: ... levels. It is likely that medicine in general, and pain medicine in particular, will change after COVID ... changes in education, clinical care, and psychological stress due to the COVID pandemic. The survey was ... infections, and census data. RESULTS: Among 107 surveys distributed, 70 (65%) programs responded. Twenty-nine ...

    Abstract BACKGROUND: The COVID-19 pandemic is a public health crisis of unprecedented proportions that has altered the practice of medicine. The pandemic has required pain clinics to transition in-person visits to telemedicine, postpone procedures and cancel face-to-face educational sessions. There are no data on how fellowship programs have adapted. METHODS: A 17-question survey was developed covering topics including changes in education, clinical care, and psychological stress due to the COVID pandemic. The survey was hosted by Qualtrics Inc. and disseminated by the Association of Pain Program Directors on April 10, 2020 to program directors at ACGME-accredited fellowships. Results are reported descriptively and stratified by COVID infection rate, which was calculated from Centers for Disease Control and Prevention data on state infections, and census data. RESULTS: Among 107 surveys distributed, 70 (65%) programs responded. Twenty-nine programs were located in states in the upper tertile for per capita infection rates, 17 in the middle third, and 23 in the lowest tertile. Nearly all programs (93%) reported a decreased workload, with 11 (16%) reporting a dramatic decrease (only urgent or emergent cases). Just over half of programs had either already deployed (14%) or credentialed (39%) fellows to provide non-pain care. Higher state infection rates were significantly associated with reduced clinical demand (Rs = 0.31, 95% CI [0.08, 0.51], P = .011) and redeployment of fellows to non-pain areas (Rs = 0.30, 95% CI [0.07, 0.50], P = .013). Larger program size but not infection rate was associated with increased perceived anxiety level of trainees. CONCLUSIONS: We found a shift to online alternatives for clinical care and education, with correlations between per capita infection rates, and clinical care demands and redeployment, but not with overall trainee anxiety levels. It is likely that medicine in general, and pain medicine in particular, will change after COVID-19, with greater emphasis on telemedicine, virtual education, and greater national and international cooperation. Physicians should be prepared for these changes.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #921015
    Database COVID19

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  3. Article: Feasibility and Acceptability of a Community-Based Modified Mindfulness-Based Stress Reduction Program for the Under- and Unemployed.

    Wasson, Rachel S / Luberto, Christina M / Murthi, Meera / McDonald, Susan Blocksom / Pallerla, Harini / Novak, Brenna K / Cotton, Sian

    Global advances in health and medicine

    2020  Volume 9, Page(s) 2164956120973636

    Abstract: ... a mixed-methods approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression ... present pilot data on preliminary results.: Methods: The modified MBSR program was implemented in two ... and sleep disturbance were assessed pre-post the modified MBSR program.: Results: Thirty-three ...

    Abstract Background: Mindfulness-Based Stress Reduction (MBSR) often improves health outcomes, though literature primarily focuses on middle-class, employed individuals. With an estimated average of six million unemployed over the past year, and the recent uptick in unemployment due to the COVID-19 pandemic, it is important to identify methods to mitigate and reduce the negative health outcomes often associated with under- and unemployment.
    Objectives: We aimed to 1) outline the process of partnering with a community organization to implement a modified MBSR program for under- and unemployed individuals, and 2) present pilot data on preliminary results.
    Methods: The modified MBSR program was implemented in two phases within a job training program for under- and unemployed individuals. In Phase I, group one received an eight-week program. Based on feedback, the MBSR program was reduced to six weeks and implemented for groups two and three (Phase II). Feasibility and acceptability were evaluated utilizing a mixed-methods approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and sleep disturbance were assessed pre-post the modified MBSR program.
    Results: Thirty-three participants completed the program with twenty-nine post-survey responses. The modified MBSR program was feasible and acceptable as evidenced by the enrollment rate (96%), retention rate (72%), and qualitative feedback. Fifty-percent of participants self-reported weekly home practice compliance. Perceived stress and mindfulness demonstrated significant moderate improvements (
    Conclusion: The modified MBSR program was feasible and acceptable to the organization and participants. Small to moderate improvements in mental health and pain interference outcomes were observed. Research using larger sample sizes and randomized designs is warranted.
    Keywords covid19
    Language English
    Publishing date 2020-11-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2709002-4
    ISSN 2164-9561 ; 2164-957X
    ISSN (online) 2164-9561
    ISSN 2164-957X
    DOI 10.1177/2164956120973636
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Feasibility and Acceptability of a Community-Based Modified Mindfulness-Based Stress Reduction Program for the Under- and Unemployed

    Rachel S. Wasson MA / Christina M. Luberto PhD / Meera Murthi PhD / Susan Blocksom McDonald MA / Harini Pallerla MS / Brenna K. Novak BS / Sian Cotton PhD

    Global Advances in Health and Medicine, Vol

    2020  Volume 9

    Abstract: ... approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and ... interference results suggested small non-significant effect size improvements ( d = .27, p = .19; d = .23, p ... data on preliminary results. Methods The modified MBSR program was implemented in two phases ...

    Abstract Background Mindfulness-Based Stress Reduction (MBSR) often improves health outcomes, though literature primarily focuses on middle-class, employed individuals. With an estimated average of six million unemployed over the past year, and the recent uptick in unemployment due to the COVID-19 pandemic, it is important to identify methods to mitigate and reduce the negative health outcomes often associated with under- and unemployment. Objectives We aimed to 1) outline the process of partnering with a community organization to implement a modified MBSR program for under- and unemployed individuals, and 2) present pilot data on preliminary results. Methods The modified MBSR program was implemented in two phases within a job training program for under- and unemployed individuals. In Phase I, group one received an eight-week program. Based on feedback, the MBSR program was reduced to six weeks and implemented for groups two and three (Phase II). Feasibility and acceptability were evaluated utilizing a mixed-methods approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and sleep disturbance were assessed pre-post the modified MBSR program. Results Thirty-three participants completed the program with twenty-nine post-survey responses. The modified MBSR program was feasible and acceptable as evidenced by the enrollment rate (96%), retention rate (72%), and qualitative feedback. Fifty-percent of participants self-reported weekly home practice compliance. Perceived stress and mindfulness demonstrated significant moderate improvements ( d = .69, p = .005; d = .46, p = .001). Depression, anxiety, and pain interference results suggested small non-significant effect size improvements ( d = .27, p = .19; d = .23, p = .31; d = .25, p = .07). Effects on fatigue and sleep disturbance were negligible. Conclusion The modified MBSR program was feasible and acceptable to the organization and participants. Small to moderate improvements in mental health and pain interference outcomes were observed. Research using larger sample sizes and randomized designs is warranted.
    Keywords Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Subject code 150 ; 796
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Feasibility and Acceptability of a Community-Based Modified Mindfulness-Based Stress Reduction Program for the Under- and Unemployed

    Wasson, Rachel S. / Luberto, Christina M. / Murthi, Meera / McDonald, Susan Blocksom / Pallerla, Harini / Novak, Brenna K. / Cotton, Sian

    Global Advances in Health and Medicine

    2020  Volume 9, Page(s) 216495612097363

    Abstract: ... approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and ... interference results suggested small non-significant effect size improvements ( d = .27, p = .19; d = .23, p ... data on preliminary results. Methods The modified MBSR program was implemented in two phases ...

    Abstract Background Mindfulness-Based Stress Reduction (MBSR) often improves health outcomes, though literature primarily focuses on middle-class, employed individuals. With an estimated average of six million unemployed over the past year, and the recent uptick in unemployment due to the COVID-19 pandemic, it is important to identify methods to mitigate and reduce the negative health outcomes often associated with under- and unemployment. Objectives We aimed to 1) outline the process of partnering with a community organization to implement a modified MBSR program for under- and unemployed individuals, and 2) present pilot data on preliminary results. Methods The modified MBSR program was implemented in two phases within a job training program for under- and unemployed individuals. In Phase I, group one received an eight-week program. Based on feedback, the MBSR program was reduced to six weeks and implemented for groups two and three (Phase II). Feasibility and acceptability were evaluated utilizing a mixed-methods approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and sleep disturbance were assessed pre-post the modified MBSR program. Results Thirty-three participants completed the program with twenty-nine post-survey responses. The modified MBSR program was feasible and acceptable as evidenced by the enrollment rate (96%), retention rate (72%), and qualitative feedback. Fifty-percent of participants self-reported weekly home practice compliance. Perceived stress and mindfulness demonstrated significant moderate improvements ( d = .69, p = .005; d = .46, p = .001). Depression, anxiety, and pain interference results suggested small non-significant effect size improvements ( d = .27, p = .19; d = .23, p = .31; d = .25, p = .07). Effects on fatigue and sleep disturbance were negligible. Conclusion The modified MBSR program was feasible and acceptable to the organization and participants. Small to moderate improvements in mental health and pain interference outcomes were observed. Research using larger sample sizes and randomized designs is warranted.
    Keywords covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2709002-4
    ISSN 2164-9561 ; 2164-957X
    ISSN (online) 2164-9561
    ISSN 2164-957X
    DOI 10.1177/2164956120973636
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  6. Article: Feasibility and Acceptability of a Community-Based Modified Mindfulness-Based Stress Reduction Program for the Under- and Unemployed

    Wasson, R. S. / Luberto, C. M. / Murthi, M. / McDonald, S. B. / Pallerla, H. / Novak, B. K. / Cotton, S.

    Global Advances In Health and Medicine

    Abstract: ... approach Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and ... results suggested small non-significant effect size improvements (d = 27, p = 19;d = 23, p = 31;d = 25, p ... data on preliminary results Methods: The modified MBSR program was implemented in two phases ...

    Abstract Background: Mindfulness-Based Stress Reduction (MBSR) often improves health outcomes, though literature primarily focuses on middle-class, employed individuals With an estimated average of six million unemployed over the past year, and the recent uptick in unemployment due to the COVID-19 pandemic, it is important to identify methods to mitigate and reduce the negative health outcomes often associated with under- and unemployment Objectives: We aimed to 1) outline the process of partnering with a community organization to implement a modified MBSR program for under- and unemployed individuals, and 2) present pilot data on preliminary results Methods: The modified MBSR program was implemented in two phases within a job training program for under- and unemployed individuals In Phase I, group one received an eight-week program Based on feedback, the MBSR program was reduced to six weeks and implemented for groups two and three (Phase II) Feasibility and acceptability were evaluated utilizing a mixed-methods approach Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and sleep disturbance were assessed pre-post the modified MBSR program Results: Thirty-three participants completed the program with twenty-nine post-survey responses The modified MBSR program was feasible and acceptable as evidenced by the enrollment rate (96%), retention rate (72%), and qualitative feedback Fifty-percent of participants self-reported weekly home practice compliance Perceived stress and mindfulness demonstrated significant moderate improvements (d = 69, p = 005;d = 46, p = 001) Depression, anxiety, and pain interference results suggested small non-significant effect size improvements (d = 27, p = 19;d = 23, p = 31;d = 25, p = 07) Effects on fatigue and sleep disturbance were negligible Conclusion: The modified MBSR program was feasible and acceptable to the organization and participants Small to moderate improvements in mental health and pain interference outcomes were observed Research using larger sample sizes and randomized designs is warranted
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #922659
    Database COVID19

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