A program evaluation of Arkansas Improving Multidisciplinary Pain Care and Treatment (AR-IMPACT)

Corey J. Hayes, PharmD, PhD, MPH; Heather R. Morgan, BS; Michael A. Cucciare, PhD; Masil George, MD; Johnathan H. Goree, MD; Teresa J. Hudson, PharmD, PhD; Shona L. Ray-Griffith, MD; Leah Tobey, PT, DPT; Mary Bollinger, PhD; KaSheena Winston, MS; Amanda Praseuth, BS; G. Richard Smith, MD

doi:10.5055/jom.2021.0633

Authors

Corey J. Hayes, PharmD, PhD, MPH
Heather R. Morgan, BS
Michael A. Cucciare, PhD
Masil George, MD
Johnathan H. Goree, MD
Teresa J. Hudson, PharmD, PhD
Shona L. Ray-Griffith, MD
Leah Tobey, PT, DPT
Mary Bollinger, PhD
KaSheena Winston, MS
Amanda Praseuth, BS
G. Richard Smith, MD

DOI:

https://doi.org/10.5055/jom.2021.0633

Keywords:

opioids, pain management, interdisciplinary, interprofessional health care

Abstract

Objective: Arkansas Improving Multidisciplinary Pain Care and Treatment (AR-IMPACT) is an interprofessional team that delivers televideo case conferences to help providers optimize treatment of pain using nonopioid, evidence-based therapies. This article assesses AR-IMPACT using the RE-AIM (reach, efficacy, adoption, implementation, maintenance) framework.

Design: A cross-sectional study.

Setting: Large, academic medical center.

Participants: Healthcare providers.

Interventions: Televideo case conferences.

Main outcome measures: Reach was evaluated by the number of participants, professions represented, and counties/states in which providers resided. Efficacy was assessed via a participant evaluation survey. Adoption was evaluated by calculating the number of repeat participants and soliciting information on barriers to adoption of conference recommendations in clinical practice using the participant evaluation survey. Implementation was evaluated by calculating the time and cost burden of the program.

Results: Reach was widespread; continuing education (CE) credits have been claimed by 395 providers in 54 of the 75 counties in Arkansas and 18 states outside Arkansas. For efficacy, the majority of providers noted increases in their knowledge due to AR-IMPACT (89.6 percent). Like reach, adoption was also extensive; approximately 42 percent of AR-IMPACT participants attended more than one conference, and close to 56 percent of participants noted no barriers to adopting the changes discussed in the conferences. With implementation, the time requirements for developing a case conference ranged from 2 to 4 hours, and the cost per CE credit was $137, which is on par with other programs.

Conclusions: AR-IMPACT was successful, particularly in reach and efficacy. Entities that implement programs similar to AR-IMPACT will likely experience extensive uptake by providers.

Author Biographies

Corey J. Hayes, PharmD, PhD, MPH

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, Arkansas; Department of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Heather R. Morgan, BS

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Michael A. Cucciare, PhD

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, Arkansas; Veterans Affairs South Central Mental Illness Research, Education, and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas

Masil George, MD

Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Johnathan H. Goree, MD

Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Teresa J. Hudson, PharmD, PhD

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, Arkansas

Shona L. Ray-Griffith, MD

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Leah Tobey, PT, DPT

Rehabilitation Services, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Mary Bollinger, PhD

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, Arkansas

KaSheena Winston, MS

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Amanda Praseuth, BS

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas

G. Richard Smith, MD

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas

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