DNP QI Project Purpose
The purpose of this DNP QI project is to evaluate clinician reinforcement as an intervention to increase patient adherence with self-management of chronic back pain, after the completion of physical therapy program.
Aim
This QI project aims to:
1. Identify barriers to adherence to self-management of chronic back pain and
2. Increase adherence to self-management of chronic back pain over 12 weeks by way of clinician reinforcement.
Measurement Tools
The following measurement tools and instruments will be used for this QI project:
1. Descriptive statistics will be used to analyze participant demographics to include age, gender, race, marital status, level of education, current employment status, annual household income, living conditions (to ascertain in-home help), and health insurance status. Descriptive statistics will be utilized to summarize the sample including percentages for categorical variables and means and standard deviations for continuous variables.
2. Semi-structured interviews will be conducted with each individual patient. Interviews will consist of open-ended questions designed to ensure rich, descriptive data. Responses will be summarized using common themes. Prevalent themes will be illustrated using quotes to provide an in-depth description of barriers.
3. Pain Self-Efficacy Questionnaire (PSEQ) is a 10-item self-reported 6-point likert-type scale summed into a total score measuring adherence despite discomfort (Nicholas, 2007).
4. The Oswestry Disability Index (OSI) also known as the Oswestry Low Back Pain Disability Questionnaire is a 10-item self-reported questionnaire addressing patient’s permanent functional disability (Fairbank & Pynsent, 2000). Each section has a total possible score of 5 points. Points are summer into the total score.
Intervention
The intervention will be patient empowerment, while addressing barriers to self-management of chronic back pain. Patients will be contacted every two weeks for 12 weeks to: track patient progress, assess for change in the disease process, assess barriers to exercise, assess coping skills, and provide education.
Proposed sample size
The desired sample size is greater than 34.
References
Fairbank, J. C. T., & Pynsent, P. B. (2000). The Oswestry Disability Index. Spine, 25(22), 2940–2953. doi: 10.1097/00007632-200011150-00017
Nicholas, M. K. (2007). The pain self-efficacy questionnaire: Taking pain into account. European Journal of Pain, 11(2), 153–163. doi: 10.1016/j.ejpain.2005.12.008
The purpose of this DNP QI project is to evaluate clinician reinforcement as an intervention to increase patient adherence with self-management of chronic back pain, after the completion of physical therapy program.
Aim
This QI project aims to:
1. Identify barriers to adherence to self-management of chronic back pain and
2. Increase adherence to self-management of chronic back pain over 12 weeks by way of clinician reinforcement.
Measurement Tools
The following measurement tools and instruments will be used for this QI project:
1. Descriptive statistics will be used to analyze participant demographics to include age, gender, race, marital status, level of education, current employment status, annual household income, living conditions (to ascertain in-home help), and health insurance status. Descriptive statistics will be utilized to summarize the sample including percentages for categorical variables and means and standard deviations for continuous variables.
2. Semi-structured interviews will be conducted with each individual patient. Interviews will consist of open-ended questions designed to ensure rich, descriptive data. Responses will be summarized using common themes. Prevalent themes will be illustrated using quotes to provide an in-depth description of barriers.
3. Pain Self-Efficacy Questionnaire (PSEQ) is a 10-item self-reported 6-point likert-type scale summed into a total score measuring adherence despite discomfort (Nicholas, 2007).
4. The Oswestry Disability Index (OSI) also known as the Oswestry Low Back Pain Disability Questionnaire is a 10-item self-reported questionnaire addressing patient’s permanent functional disability (Fairbank & Pynsent, 2000). Each section has a total possible score of 5 points. Points are summer into the total score.
Intervention
The intervention will be patient empowerment, while addressing barriers to self-management of chronic back pain. Patients will be contacted every two weeks for 12 weeks to: track patient progress, assess for change in the disease process, assess barriers to exercise, assess coping skills, and provide education.
Proposed sample size
The desired sample size is greater than 34.
References
Fairbank, J. C. T., & Pynsent, P. B. (2000). The Oswestry Disability Index. Spine, 25(22), 2940–2953. doi: 10.1097/00007632-200011150-00017
Nicholas, M. K. (2007). The pain self-efficacy questionnaire: Taking pain into account. European Journal of Pain, 11(2), 153–163. doi: 10.1016/j.ejpain.2005.12.008