Exploring the impact of a pain assessment information visualization tool on provider-patient pain discussion with limited English proficiency Hmong patients

IF 3.1 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2025-01-15 DOI:10.1016/j.pec.2024.108595

Maichou Lor , Mai Nhia Yang , Roger Brown , Betty Chewning

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Abstract

Objective

This pilot study examines the impact of the Pain Assessment Information Visualization (InfoViz) Tool on the length of the patient visit for Hmong patients with limited English proficiency (LEP).

Methods

A static design study was used to collect data from a triad of 20 Hmong patients with LEP, medical interpreters, and clinicians in the usual care group followed by 20 triads in the intervention group in primary care. We analyzed patient-clinician communication audio-recorded visits in primary care, examining both the length of the visit and the nature of the clinician efforts to gather more information using Svarstad’s clinician conversation conceptualization to explore probing frequencies for three pain categories: pain location, severity, and quality in the intervention group (Pain InfoViz Tool) and usual care group.

Results

The usual care group spent a longer time on pain discussions (Mean = 19.56 min, SD=20.17) compared to the intervention group (Mean = 12.39 min, SD=7.78). Clinicians in the intervention group probed less than those in the usual care group. Patients in the intervention group provided more pain information to clinicians than those in the usual care group.

Conclusions

The tool appears to shorten the time it takes to discuss the patient’s pain. It may have positively impacted Hmong patients with LEP' ability to describe their pain more clearly, resulting in less time and fewer assessment probes needed by clinicians.

Practice implications

Implementing the tool in clinical settings may lead to more efficient pain-related discussions.

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探讨疼痛评估信息可视化工具对英语水平有限的苗族患者的医患疼痛讨论的影响。

目的：本初步研究探讨疼痛评估信息可视化（InfoViz）工具对英语水平有限的苗族患者就诊时间的影响。方法：采用静态设计研究，收集20名苗族LEP患者、医疗口译员和临床医生的数据，这些数据来自常规护理组和20名初级保健干预组。我们分析了初级保健中患者-临床交流的录音访问，检查了访问的长度和临床医生努力的性质，使用Svarstad的临床医生对话概念化来探索干预组（疼痛InfoViz工具）和常规护理组中三种疼痛类别的探查频率：疼痛位置，严重程度和质量。结果：常规护理组疼痛讨论时间（平均19.56 min， SD=20.17）长于干预组（平均12.39 min， SD=7.78）。干预组临床医生的探查次数少于常规护理组。干预组患者向临床医生提供的疼痛信息多于常规护理组。结论：该工具似乎缩短了讨论患者疼痛的时间。这可能对苗族LEP患者更清楚地描述疼痛的能力产生了积极的影响，从而减少了临床医生所需的时间和评估探针。实践意义：实施工具在临床设置可能导致更有效的疼痛相关的讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.