Group medical visits using an empowerment-based model as treatment for women with chronic pain in an underserved community

Abstract

Background: Over the past decade, group medical visits have become more prevalent. Group medical visits may have some advantages in treating chronic illnesses such as chronic pain as they can be more patient centered. The empowerment model is a novel approach used to provide support, education, and healthy activities guided by participants. Objective: To evaluate the early stages of a chronic pain group medical visit program based on the empowerment model. Methods: This prospective cohort study recruited 60 female participants to participate between October 2004 and May 2005. All enrolled participants completed the SF-36 questionnaire, which was administered at baseline and again after 6 months of participation. Data from chart review included age, race, weight, height, chronic illness, chronic pain diagnosis, and degree of participation. Chronic pain diagnoses included back pain, osteoarthritis, fibromyalgia, rheumatoid/ inflammatory arthritis, and other/unknown. Results: Forty-two participants were enrolled in the program for 6 months. Their average Charleson Comorbidity Index score was 3.1 (SD=1.5). Statistically significant changes (P