Table 5.
Patient and Provider Suggestions on Future Improvements to the Pain Profile
| Patients | N (%) | Qualitative Feedback |
| Comfortable Answering Questions on Other Topicsa |
[I would like to have the option to] . . . rank in order which treatments you would like to try with 1 being your first choice and 10+ being your least favorite choice – Patient [I would like to see additional questions on] history of addiction in self or family. I feel like this question would help answer why some patients avoid pain medications – Patient |
|
| Experience with Prescribed Opioids | 136 (79.5) | |
| Substance Use Disorders | 137 (80.1) | |
| Mental Health | 139 (81.3) | |
| Providers | N (%) | Qualitative Feedback |
| Improvements to Access and Usability |
[Adding a] flag or badge [in the EMR] to indicate it has been completed that does not require specifically searching for the Pain Profile would be helpful. – Provider If the primary complaint is pain related, it should be the first tab to open up in a patient’s [EMR] chart. – Provider I think it is helpful but could use some further enhancements. [Proposed additions could] include the duration of use for individuals taking chronic opioids; information about mental health history, substance use history, PTSD and adverse childhood event screening tools, and family history of pain/addiction. – Provider |
|
| Different location within EMR | 7 (21.9) | |
| Shorter questionnaire | 3 (9.4) | |
| Clinical decision aid to guide management | 2 (6.3) | |
| Automated short summary of responses | 1 (3.1) | |
| Proposed Additions to the Pain Profile | ||
| Depression/anxiety screener | 29 (90.6) | |
| Opioid misuse screener | 19 (59.4) | |
| Other psychological health measures | 12 (37.5) | |
| Information on access barriers | 10 (31.3) | |
| Information on addiction experience | 8 (25) | |
| None of these | 3 (9.4) | |
| Other | 3 (9.4) | |
| Interest in Notification, Yes | 11 (34.4) | |
| Interest in Decision Aid, Yes | 17 (53.1) | |
| Type of Decision Aid Content | ||
| Non-pharmacologic treatment and referral resources | 13 (40.6) | |
| Suggesting pharmacologic treatments | 12 (37.5) | |
| Summarizing treatment history | 9 (28.1) | |
| Summarizing pain regions | 7 (21.9) | |
| Other | 2 (6.3) |
Notes: aScale 1–5 (1 = “least comfortable;” 5 = “most comfortable”). Not comfortable: 1|2|3’, comfortable: 4|5’.