Background & Aims
From birth to death, everyone will experience pain. Pain affects people daily with disability and mortality and relief is a human right. Pain is inadequately treated due to a variety of barriers. Inadequately treated pain has major physiological, psychological, economic, and social consequences for patients, their families, and society[1]. Essential Pain Management (EPM) [2] is a cost-effective program to improve pain knowledge and management. The study aim to evaluate EPM course impact on health care providers (HCP) knowledge skills to manage pain.
Methods
After ethic comite approval (CERS 2023-11-268) we conducted prospective study to evaluate the impact of EPM course in eigtht regions of Burkina Faso. We analyse results indicators (skills score). Sociodemographic, multiple-choice questionnaires skills tests, end of course evaluation themes questionnaires based on Delphi Walls’ were administrated to HCP who attended to the first EPM program implemented in Burina Faso. 233 participants from 15 facilities and 8 regions attended. A pre- and post-course questionnaires were completed to analyze impact of course on knowledge and competency score. Difference score between pre test and post, and change in individual groups, and difference in gain between recognition, analyse and treatment. Data analyzed by R Studio with p a value 0.01.
Results
The mean age was 38 ± 8.17 years. Sex ratio was 0.9. Majority were nurses (60%), average length of professional experience was 9 ±7.8 years. Pain management competency rate improved from 6% before course to 23% after course (p = 0.0003). The course increase pain recognise skills 4 times, pain analysis 2 times and treatment 3 times (p < 0.01). Global score was 29.6 ± 7.7 in pre test , 36.3 ± 4.7 in post test with confiance interval 6.6[5.6-7.6], cohen s test at 1.06, T value 13.14 p = 0,0001. Recognise score increase from 3 ± 1.9 to 3.6 ± 10.5[0.3-0.8]with cohen s 0.39 , T value 4.5, p value 0.003. Analysis score was 8.2 ± 2.3 in pre test to 10.5 ± 1.7 with confiance interval 2.2 [1.9-2.6] with cohen s D, 0.54, T value 12.75 and p value 0.002 The treatment score was 19.8 ± 5.7 in pre test and 22.8 ± 3.4 post test with confiance interval 3,0[2,2-3,8], a Cohen s d 0.33, T Value 7.73, p value 0.
Conclusions
HCP don’t have skills to manage pain mainly to recognise and treat. Study suggests that the EPM course improved significatively knowledge. For the next courses, trainers have to emphasis on pain recognition, and analyse for a good assessment. Despite terrorism that is limiting activities across the country, this course is attracting a great deal of interest. The challenge remain to implemente annual programs and hospital pain comitees.
References
[1]C. E. Ashton-James, S. R. Anderson, S. C. MacKey, and B. D. Darnall, “Beyond pain, distress, and disability: The importance of social outcomes in pain management research and practice,” Pain, vol. 163, no. 3, pp. E426–E431, 2022, doi: 10.1097/j.pain.0000000000002404.
[2]C. R. Goucke, T. Jackson, W. Morriss, and J. Royle, “Essential pain management: An educational program for health care workers,” World J. Surg., vol. 39, no. 4, pp. 865–870, 2015, doi: 10.1007/s00268-014-2635-7.
Presenting Author
Martin Lankoande
Poster Authors
Martin Lankoande
MD
Hospital Center Universitaire Yalgado Ouedraogo
Lead Author
Topics
- Education