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Health Inequities & Disparities to Address in Musculoskeletal Pain Research



Credits: None available.

Outcomes

As a result of participating in this activity, learners will be better able to:

  • Participate in clinical research.
  • Consider biases in their medical and professional interactions with patients.
  • Making sure all of their patients are listened to and treated equally.
  • Monitor for biases in patient care, and minimize these in their clinical practice.


Outline

  • Become familiar with health disparity frameworks for research analysis.
  • Increase awareness of concepts of health disparities in chronic musculoskeletal pain from systemic review using the National Institute on Aging (NIA) framework.
  • Promote new avenues of change for research development, community engagement, and clinical perspectives.


Accreditation & Designation

Release date: This activity was released 8/19/2022.

Termination date: The content of this activity remains eligible for CME Credit until 8/18/2025, unless reviewed or amended prior to this date.

Claiming Credit: Watch the entire presentation and complete the Improvement Plan/Evaluation.


Neurovations Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Neurovations Education designates this other activity (blended learning) for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Disclosure of Financial Relationships

Neither the presenter, reviewers nor any other person with control of, or responsibility for, the planning, delivery, or evaluation of accredited continuing education has, or has had within the past 24 months, any financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.


Additional Reading

  • Hill, C. V., Pérez-Stable, E. J., Anderson, N. A., & Bernard, M. A. (2015). The National Institute on Aging health disparities research framework. Ethnicity & disease, 25(3), 245.
  • Patel, M., Johnson, A. J., Booker, S. Q., Bartley, E. J., Palit, S., Powell-Roach, K., ... & Sibille, K. T. (2021). Applying the NIA Health Disparities Research Framework to Identify Needs and Opportunities in Chronic Musculoskeletal Pain Research. The Journal of Pain.
  • Abdallah, C. G., & Geha, P. (2017). Chronic Pain and Chronic Stress: Two Sides of the Same Coin? Why Stress and Pain? Chronic Stress, 1, 1–10.
  • Agbemenu, K. (2016). Acculturation and Health Behaviors of African Immigrants Living in the United States: An Integrative Review. ABNF Journal, 27(3).
  • Ahn, H., Weaver, M., Lyon, D., Kim, J., Choi, E., Staud, R., & Fillingim, R. B. (2017). Differences in clinical pain and experimental pain sensitivity between Asian Americans and whites with knee osteoarthritis. The Clinical journal of pain, 33(2), 174.
  • Albert, S. M., Musa, D., Kwoh, C. K., Hanlon, J. T., & Silverman, M. (2008). Self-care and professionally guided care in osteoarthritis: racial differences in a population-based sample. Journal of Aging and Health, 20(2), 198-216.
  • Allen, K. D., Oddone, E. Z., Coffman, C. J., Keefe, F. J., Lindquist, J. H., & Bosworth, H. B. (2010). Racial differences in osteoarthritis pain and function: potential explanatory factors. Osteoarthritis and cartilage, 18(2), 160-167.
  • Aroke, E. N., Joseph, P. V., Roy, A., Overstreet, D. S., Tollefsbol, T. O., Vance, D. E., & Goodin, B. R. (2019). Could epigenetics help explain racial disparities in chronic pain?. Journal of pain research, 12, 701.
  • Alvidrez, J., Castille, D., Laude-Sharp, M., Rosario, A., & Tabor, D. (2019). The national institute on minority health and health disparities research framework. American journal of public health, 109(S1), S16-S20.
  • Campbell, C. M., & Edwards, R. R. (2012). Ethnic differences in pain and pain management. Pain management, 2(3), 219-230.
  • Centers for Disease Control and Prevention (CDC. (2005). Racial/ethnic differences in the prevalence and impact of doctor-diagnosed arthritis--United States, 2002. MMWR. Morbidity and mortality weekly report, 54(5), 119-123.
  • DeVon, H. A., Piano, M. R., Rosenfeld, A. G., & Hoppensteadt, D. A. (2014). The association of pain with protein inflammatory biomarkers: a review of the literature. Nursing research, 63(1), 51-62.
  • Djuric, Z., Bird, C. E., Furumoto-Dawson, A., Rauscher, G. H., Ruffin IV, M. T., Stowe, R. P., ... & Masi, C. M. (2008). Biomarkers of psychological stress in health disparities research. The open biomarkers journal, 1, 7.
  • Eberly, L., Richter, D., Comerci, G., Ocksrider, J., Mercer, D., Mlady, G., ... & Schenck, R. (2018). Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. PloS one, 13(4), e0195075.
  • Edwards, R. R. (2008). The association of perceived discrimination with low back pain. Journal of Behavioral Medicine, 31(5), 379-389.
  • Eley, N. T., Namey, E., McKenna, K., Johnson, A. C., & Guest, G. (2019). Beyond the individual: Social and cultural influences on the health-seeking behaviors of African American Men. American journal of men's health, 13(1), 1557988319829953.
  • George, S., Duran, N., & Norris, K. (2014). A systematic review of barriers and facilitators to minority research participation among African Americans, Latinos, Asian Americans, and Pacific Islanders. American journal of public health, 104(2), e16-e31.
  • Green, C. R., Baker, T. A., & Ndao-Brumblay, S. K. (2004). Patient attitudes regarding healthcare utilization and referral: a descriptive comparison in African-and Caucasian Americans with chronic pain. Journal of the National Medical Association, 96(1), 31.
  • Grol-Prokopczyk, H. (2017). Sociodemographic disparities in chronic pain, based on 12-year longitudinal data. Pain, 158(2), 313.
  • Groeneveld, P. W., Kwoh, C. K., Mor, M. K., Appelt, C. J., Geng, M., Gutierrez, J. C., ... & Ibrahim, S. A. (2008). Racial differences in expectations of joint replacement surgery outcomes. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 59(5), 730-737.
  • Hausmann, L. R., Brandt, C. A., Carroll, C. M., Fenton, B. T., Ibrahim, S. A., Becker, W. C., ... & Goulet, J. L. (2017). Racial and ethnic differences in total knee arthroplasty in the Veterans Affairs health care system, 2001–2013. Arthritis care & research, 69(8), 1171-1178.
  • Heins, J. K., Heins, A., Grammas, M., Costello, M., Huang, K., & Mishra, S. (2006). Disparities in analgesia and opioid prescribing practices for patients with musculoskeletal pain in the emergency department. Journal of Emergency Nursing, 32(3), 219-224.
  • Herbert, M. S., Goodin, B. R., Bulls, H. W., Sotolongo, A., Petrov, M. E., Edberg, J. C., ... & Fillingim, R. B. (2017). Ethnicity, cortisol, and experimental pain responses among persons with symptomatic knee osteoarthritis. The Clinical journal of pain, 33(9), 820.
  • Nerenz, D. R., McFadden, B., & Ulmer, C. (Eds.). (2009). Race, ethnicity, and language data: standardization for health care quality improvement.
  • Johnson-Jennings, M. D., Belcourt, A., Town, M., Walls, M. L., & Walters, K. L. (2014). Racial discrimination's influence on smoking rates among American Indian Alaska Native two-spirit individuals: does pain play a role?. Journal of health care for the poor and underserved, 25(4), 1667-1678.
  • Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., ... & Losina, E. (2011). Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: a qualitative study. BMC musculoskeletal disorders, 12(1), 1-8.
  • Keefe, F. J., Lumley, M., Anderson, T., Lynch, T., & Carson, K. L. (2001). Pain and emotion: new research directions. Journal of clinical psychology, 57(4), 587-607.
  • Lad, S. P., Bagley, J. H., Kenney, K. T., Ugiliweneza, B., Kong, M., Bagley, C. A., ... & Boakye, M. (2013). Racial disparities in outcomes of spinal surgery for lumbar stenosis. Spine, 38(11), 927-935.
  • Levine, S. (1993). The influence of social factors on the response to stress. Psychotherapy and psychosomatics, 60(1), 33-38.
  • Macfarlane, G. J., Barnish, M. S., & Jones, G. T. (2017). Persons with chronic widespread pain experience excess mortality: longitudinal results from UK Biobank and meta-analysis. Annals of the rheumatic diseases, 76(11), 1815-1822.
  • McBeth, J., & Jones, K. (2007). Epidemiology of chronic musculoskeletal pain. Best practice & research Clinical rheumatology, 21(3), 403-425.
  • McGrath, R. P., Al Snih, S., Markides, K. S., Faul, J. D., Vincent, B. M., Hall, O. T., & Peterson, M. D. (2019). The burden of health conditions across race and ethnicity for aging Americans: Disability-adjusted life years. Medicine, 98(46).
  • National Institutes of Health. (2001). NIH policy on reporting race and ethnicity data: Subjects in clinical research.
  • Oliveira, C. B., Maher, C. G., Franco, M. R., Kamper, S. J., Williams, C. M., Silva, F. G., & Pinto, R. Z. (2020). Co-occurrence of chronic musculoskeletal pain and cardiovascular diseases: a systematic review with meta-analysis. Pain Medicine, 21(6), 1106-1121.
  • Parker, S., Vasquez, R., Kahoe, E., Henderson Jr, C. R., Pillemer, K., Robbins, L., & Reid, M. C. (2011). A comparison of the arthritis foundation self-help program across three race/ethnicity groups. Ethnicity & disease, 21(4), 444.
  • Portenoy, R. K., Ugarte, C., Fuller, I., & Haas, G. (2004). Population-based survey of pain in the United States: differences among white, African American, and Hispanic subjects. The Journal of Pain, 5(6), 317-328.

Speaker(s):

Category:

CME

Accreditation & Designation

Release date: This activity was released 8/19/2022.

Termination date: The content of this activity remains eligible for CME Credit until 8/18/2025, unless reviewed or amended prior to this date.

Claiming Credit: Watch the entire presentation and complete the Improvement Plan/Evaluation.

Neurovations Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Neurovations Education designates this other activity (blended learning) for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Disclosure of Financial Relationships

Neither the presenter, reviewers nor any other person with control of, or responsibility for, the planning, delivery, or evaluation of accredited continuing education has, or has had within the past 24 months, any financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Credits

  • 0.50 - Physician
  • 0.50 - Non-Physician

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