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Accepted (AM)Open Access (License Unspecified), Open
Journal article
A Care Management Intervention for Noncardiac Chest Pain: Treatment Development and Feasibility Assessment
Primary care companion for CNS disorders, v 24(2)
19 Apr 2022
PMID: 35452569
Abstract
Noncardiac chest pain is common and can cause distress, impair quality of life, and lead to recurrent evaluation. It is often multifactorial in etiology and influenced by psychological factors. The objective of this study was to describe the development, implementation, and preliminary feasibility of an 8-week multicomponent care management intervention.
Participants with noncardiac chest pain were recruited from primary care clinics, ambulatory cardiac stress testing, and the emergency department (ED) at an urban academic hospital from March 2019 to November 2019. The care management team consisted of a nurse, cardiologist, and psychiatrist. Following a 1-time consultation visit with the cardiologist and nurse, evaluation and treatment recommendations were conveyed to the participant's primary care physician. The nurse completed 8 weekly phone calls with the participant to provide support, introduce therapeutic principles, and assist with care coordination under the supervision of a psychiatrist. Intervention feasibility was assessed on 7 domains. To examine preliminary efficacy, the number of ED visits was recorded, and participants completed pre-post measures of psychological health and health-related quality of life and Likert scales of chest pain symptom severity, frequency, and impact.
The intervention was developed and implemented in 3 patients who completed 100% of the consultation visits and a mean of 95.8% of study phone calls. There were no adverse events or ED visits. Mean scores for chest pain severity, chest pain frequency, chest pain impact, depression, anxiety, and somatization all improved. No other trends were observed.
The findings suggest that a care management intervention may be feasible with potential to improve chest pain symptoms and psychological outcomes. A larger, randomized trial is needed to explore the efficacy of this intervention.
ClinicalTrials.gov identifier: NCT04904198.
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1 citations in Scopus
Details
- Title
- A Care Management Intervention for Noncardiac Chest Pain: Treatment Development and Feasibility Assessment
- Creators
- Elizabeth N Madva - Harvard UniversityChristopher M Celano - Harvard UniversitySonia Kim - Massachusetts General HospitalMargaret Bell - Massachusetts General HospitalAzar Radfar - Massachusetts General HospitalNasrien E Ibrahim - Inova Heart and Vascular Institute, Falls Church, Virginia.Tawseef Dar - Massachusetts General HospitalAriana Albanese - Drexel UniversityAhmed Tawakol - Harvard UniversityJeff C Huffman - Harvard UniversitySeung-Lae Kim - Decision Sciences (and Management Information Systems)
- Publication Details
- Primary care companion for CNS disorders, v 24(2)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Decision Sciences (and Management Information Systems)
- Scopus ID
- 2-s2.0-85129778484
- Other Identifier
- 991019173577004721