TY - JOUR
T1 - Multimodal, integrative therapies for the self-management of chronic pain symptoms
AU - Lee, Courtney
AU - Crawford, Cindy
AU - Swann, Steven
AU - Buckenmaier, Chester C.
AU - Crawford, Paul
AU - Delgado, Roxana
AU - Freilich, Daniel
AU - Hickey, Anita
AU - Jonas, Wayne B.
AU - May, Todd
AU - Petri, Richard P.
AU - Schoomaker, Eric B.
AU - Spevak, Christopher
AU - York, Alexandra
PY - 2014/4
Y1 - 2014/4
N2 - Objectives: Chronic pain management typically consists of prescription medications or provider-based, behavioral, or interventional procedures which are often ineffective, may be costly, and can be associated with undesirable side effects. Because chronic pain affects the whole person (body, mind, and spirit), patient-centered complementary and integrative medicine (CIM) therapies that acknowledge the patients' roles in their own healing processes have the potential to provide more efficient and comprehensive chronic pain management. Active self-care CIM therapies (ACT-CIM) allow for a more diverse, patient-centered treatment of complex symptoms, promote self-management, and are relatively safe and cost-effective. To date, there are no systematic reviews examining the full range of ACT-CIM used for chronic pain symptom management. Methods: A systematic review was conducted, using Samueli Institute's rapid evidence assessment of the literature methodology, to rigorously assess both the quality of the research on ACT-CIM modalities and the evidence for their efficacy and effectiveness in treating chronic pain symptoms. A working group of subject matter experts was also convened to evaluate the overall literature pool and develop recommendations for the use and implementation of these modalities. Results: Following key database searches, 146 randomized controlled trials were included in the review, 26 of which investigated multimodal, integrative therapies, as defined by the authors. Conclusion: This article summarizes the current evidence, quality, and effectiveness of these modalities. Recommendations and next steps to move this field of research forward are also discussed. The entire scope of the review is detailed throughout the current Pain Medicine supplement.
AB - Objectives: Chronic pain management typically consists of prescription medications or provider-based, behavioral, or interventional procedures which are often ineffective, may be costly, and can be associated with undesirable side effects. Because chronic pain affects the whole person (body, mind, and spirit), patient-centered complementary and integrative medicine (CIM) therapies that acknowledge the patients' roles in their own healing processes have the potential to provide more efficient and comprehensive chronic pain management. Active self-care CIM therapies (ACT-CIM) allow for a more diverse, patient-centered treatment of complex symptoms, promote self-management, and are relatively safe and cost-effective. To date, there are no systematic reviews examining the full range of ACT-CIM used for chronic pain symptom management. Methods: A systematic review was conducted, using Samueli Institute's rapid evidence assessment of the literature methodology, to rigorously assess both the quality of the research on ACT-CIM modalities and the evidence for their efficacy and effectiveness in treating chronic pain symptoms. A working group of subject matter experts was also convened to evaluate the overall literature pool and develop recommendations for the use and implementation of these modalities. Results: Following key database searches, 146 randomized controlled trials were included in the review, 26 of which investigated multimodal, integrative therapies, as defined by the authors. Conclusion: This article summarizes the current evidence, quality, and effectiveness of these modalities. Recommendations and next steps to move this field of research forward are also discussed. The entire scope of the review is detailed throughout the current Pain Medicine supplement.
KW - Chronic Pain
KW - Complementary and Integrative Medicine
KW - Multimodal Therapies
KW - Rapid Evidence Assessment of the Literature
KW - Self-Care
KW - Systematic Review
UR - http://www.scopus.com/inward/record.url?scp=84921424992&partnerID=8YFLogxK
U2 - 10.1111/pme.12408
DO - 10.1111/pme.12408
M3 - Review article
C2 - 24734863
AN - SCOPUS:84921424992
SN - 1526-2375
VL - 15
SP - S76-S85
JO - Pain Medicine (United States)
JF - Pain Medicine (United States)
IS - S1
ER -