The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

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    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    SIT and the co-disciplinary pain clinic

    Clinicians in California described their clinical practice, which uses the simultaneous interview technique (SIT).

    First the details.

    • Goals
      • Evaluate and treat cases of complex, refractory chronic pain
      • Guide patients toward a shift in mind-set, from cure to self-care and preservation or improvement of functionality, despite pain
    • Process
      • 3 healthcare providers were present to meet with the patient — SIT.
        • Anesthesiologist, board certified in pain medicine
        • Behavioral medicine psychologist
        • Physical therapist
      • After the interview and examination, a treatment plan was generated.
      • Treatment options included physical therapy, acupuncture, chiropractic, procedural interventions (including nerve blocks, epidural steroid injections, radiofrequency lesioning, etc), medication adjustment, behavioral medicine follow-up, and referral to other specialized mental healthcare treatments (eg, posttraumatic stress disorder treatment).

    And, the results.

    • Many patients had feelings of not being understood in consultations and high levels of anger toward providers in pain clinics.
    • Patients were generally satisfied with the quality of care they received.
      • Excellent or Very Good regarding with the visit (84%)
      • Quality of care received (90%)
      • Perceived competency of the treatment team (90%)
      • Accuracy of the diagnosis given (90%)
      • Explanation provided about the treatment plan (94%)
      • Understanding the treatment plan provided (92%)
      • Effectiveness of the treatment plan (50%)
    • Similarly, patients endorsed the responses Extremely or Quite a Bit in regard to…
      • Following through with the treatment plan (96%)
      • Perception that the team took their pain seriously (94%)
      • Listened to them (98%)
      • Courteous (100%)

    The bottom line?

    The authors believe, “by providing a different—better—experience at the first visit, providers can encourage patients to restructure their treatment goals and adopt more realistic expectations.”

    The authors tell us, “It is believed that there is a fundamental difference between sequential and simultaneous interviews.” And, their practice is unique in that it’s not only multi- but also co-disciplinary, using SIT.

    8/12/12 22:33 JR

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