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首页> 外文期刊>The journal of alternative and complementary medicine: research on paradigm, practice, and policy >The Latino Integrative Medical Group Visit as a Model for Pain Reduction in Underserved Spanish Speakers
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The Latino Integrative Medical Group Visit as a Model for Pain Reduction in Underserved Spanish Speakers

机译：拉丁裔综合医疗组访问作为缺乏西班牙语演讲者的疼痛减少的模型

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Objectives: Chronic pain is a common problem in the United States, one for which there is a dearth of effective treatments. Nonpharmacological options are a promising alternative, especially for Spanish-speaking Latinos. This pilot study would like to assess the feasibility of an adapted Integrative Medical Group Visit (IMGV) curriculum for a Spanish-speaking Latino chronic pain population. Design and Intervention: We translated and adapted the curriculum of the IMGV for a Spanish-speaking Latino chronic pain population. We then tested the feasibility of using this model with two pilot groups ( N ?=?19) using a pre–postdesign. Subjects: This intervention was targeted for underserved Spanish-speaking Latino patients with chronic pain. Settings/Location: This study took place at a safety net academic teaching hospital, the Boston Medical Center, and at a community health center located in a majority Latino neighborhood, the East Boston Neighborhood Health Clinic. Outcome measures: We used the validated Spanish translations of the Patient-Reported Outcomes Measurement Information System (PROMIS-29) (short version), Personal Health Questionnaire (PHQ-8), and Perceived Stress Scale (PSS-10). We also gathered qualitative information through focus groups and in-depth interviews. Results: Using PROMIS measures, there was a statistically significant reduction in pain interference ( p ?=?0.01), fatigue ( p ?=?0.01), and depression ( p ?=?0.01). Qualitative data also indicated the participants felt they benefited from the visits and having care in Spanish was unique. Conclusions: This model offers a promising nonpharmacological option for Spanish-speaking patients with chronic pain and could offer an alternative for addressing disparities for this population.
机译：目的：慢性疼痛是美国的常见问题，其中有一个有效治疗的缺乏。非武装选择是一个有前途的替代方案，特别是对于讲西班牙语的拉美裔。该试点研究希望评估适应的综合医疗群体访问（IMGV）课程的可行性，用于西班牙语的拉丁裔慢性疼痛人口。设计和干预：我们翻译并调整了IMGV的课程，用于讲西班牙语的拉丁裔慢性疼痛人口。然后，我们使用Preplign测试了使用两个导频组（n？= 39）使用此模型的可行性。主题：这种干预针对缺乏讲西班牙语的拉丁裔患者的慢性疼痛。设置/位置：本研究在安全净学术教学医院，波士顿医疗中心以及位于大多数拉丁裔社区的社区保健中心，东波士顿邻里健康诊所。结果措施：我们使用了患者报告的结果测量信息系统（PROMIS-29）（简称），个人健康问卷（PHQ-8）和感知压力量表（PSS-10）的经过验证的西班牙语翻译。我们还通过焦点小组和深入访谈收集定性信息。结果：使用促销措施，疼痛干扰有统计显着降低（p？= 0.01），疲劳（p？= 0.01）和抑郁（p？= 0.01）。定性数据也表示，参与者认为他们受益于访问，并在西班牙语中进行关心是独一无二的。结论：该模型为慢性疼痛的患者提供了一个有前途的非药物选择，可以为解决这群人群提供替代方案。

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