"Pain is Subjective": A Mixed-Methods Study of Provider Attitudes and Practices Regarding Pain Management in Sickle Cell Disease Across Three Countries.
Publication/Presentation Date
3-1-2021
Abstract
CONTEXT: Sickle cell disease (SCD), an autosomal recessive blood disorder, affects millions of people worldwide. Approximately 80% of all cases are located in Africa.
OBJECTIVES: This cross-national, interdisciplinary, collaborative study investigated provider attitudes about, and practices for, managing (assessing and treating) SCD pain.
METHODS: We conducted 111 quantitative surveys and 52 semistructured interviews with health-care providers caring for adults and/or children with SCD in Cameroon, Jamaica, and the U.S.
RESULTS: Applying Haywood's scale for assessing SCD provider attitudes, the Jamaica site scored lower on "Negative Attitudes" than the Cameroonian and U.S. sites (P = 0.03 and
CONCLUSION: Overall, findings reveal that SCD provider attitudes toward their patients differed across sites, yet at all three sites, treating SCD pain is multidimensional.
Volume
61
Issue
3
First Page
474
Last Page
487
ISSN
1873-6513
Published In/Presented At
Stewart, K. A., Parshad-Asnani, M., Wonkam, A., Bollinger, J., Ngo Bitoungui, V., Wonkam-Tingang, E., Powell, J., Desronvil, K., Benson, K. R. K., Clark, A., Katz, M., Martin, B., Peterseim, C., Williams, C., Young, N., Shah, N., Tanabe, P., Babyak, M., & Royal, C. D. M. (2021). "Pain is Subjective": A Mixed-Methods Study of Provider Attitudes and Practices Regarding Pain Management in Sickle Cell Disease Across Three Countries. Journal of pain and symptom management, 61(3), 474–487. https://doi.org/10.1016/j.jpainsymman.2020.08.029
Disciplines
Medicine and Health Sciences
PubMedID
32889040
Department(s)
Department of Family Medicine
Document Type
Article
