Starts:

Friday, September 23rd
1:30pm-3:00pm EDT

Category:

Topical Workshop

Tracks:

Education

Room

718 B

Increasing the Capacity for Delivering Interdisciplinary Pain Management in Southeast Asia: A Model for Lower Resource Regions

Despite strong evidence of the impact of pain burden globally, there is a mismatch between burden and resources for improving access to effective pain management services. This mismatch is especially evident in low resource countries. While there is often access to unimodal therapies, such as nerve blocks and drugs, they are of limited value in easing the burden of persisting pain experienced by patients and their communities. Without the necessary training and support, the vision of more comprehensive services will remain unrealized. This workshop will describe and discuss what has been learned from a recently completed IASP supported project in Southeast Asia aimed at piloting a supervised training course to create local comprehensive multidisciplinary pain centers in three countries as a first step towards the development of a network of multidisciplinary pain clinics in each country. This training program involved the development of a ‘pain toolkit’ by experts from the region, supported by key international experts. The toolkit was peer-reviewed by experienced IASP members, and its implementation was tested within a competency framework in face-to-face and online workshops with local clinical leaders in pain management in each of the three countries (Myanmar, Indonesia, and Vietnam).

Presentations

Time
1:30pm EDT3:00pm EDT

Developing a Generic Pain Self-Management Course for Multidisciplinary Health Care Providers using a Competency-Framework

Tracks: Education
Categories: Topical Workshop

This presentation will describe the pain self-management components of the toolkit training course. The presentation will outline how the clinicians were taught to engage patients in adopting a self-management approach, to build a therapeutic alliance, and to shift their focus from pain relief to achieving functional goals and greater self-reliance despite their persisting pain. Each session was designed to introduce specific skills that the participants were encouraged to practice during and between sessions to achieve competence in each. The final session included an assessment of levels of competence reached and recommendations for more advanced training. Excerpts from the toolkit training manual and associated homework tasks for the clinicians will be presented, as well as the patients’ workbook that the clinicians were encouraged to use during the course.

1:30pm EDT3:00pm EDT

Indonesian Participation in the Multidisciplinary Pain Clinic Toolkit Project and Pain Self-Management Skills Training for Health Care Professionals

Tracks: Education
Categories: Topical Workshop
Presented By: Dr. Jimmy F. A Barus

Global Burden of Disease data has shown that chronic persistent pain is a condition that significantly contributes to disability in Indonesia. Many studies also show that chronic pain has a significant influence on functional outcomes. However, nationally, this fact has not received the attention it deserves. This is also reflected in health services which view pain as only a symptom, not seeing it as a specific health problem that does not only affect biological but psychosocial aspects. According to the current regulations, pain services are mainly carried out by doctors and the role of other health professionals is not very specific. For this reason, a breakthrough is needed to raise awareness of the importance of services using team approach to dealing with pain with its biopsychosocial aspects. This presentation will describe the backgrounds why Indonesia need to implement multidisciplinary pain service, the challenges and opportunities, Despite the absence of a system that supports its implementation. The efforts to introduce this concept involving all health care professionals started by introducing pain self-management skills  using biopsychosocial model (doctors, nurses, psychologist, and physiotherapist) from several top referral hospitals in Indonesia will also be described.

1:30pm EDT3:00pm EDT

Managing Cultural and Language Barriers in Delivering Pain Self-Management Skills Training to Health Care Providers from Low Resource Countries

Tracks: Education
Categories: Topical Workshop

While the concept of self-management has become established amongst healthcare providers (HCPs) in Western countries, it is relatively new in Southeast Asia. Furthermore, teaching patients how to use pain self-management strategies requires skills that may be unfamiliar to HCPs who have been trained in using mainly biomedical modalities in managing patients with chronic pain. Apart from getting the “mind shift” to start employing a more biopsychosocial approach, the Covid-19 pandemic restrictions meant that we had to deliver the interactive skills training using an online platform rather than the intended in-person training originally planned. As the training was focused on skills rather than knowledge alone, the educational model used required active participation by the trainees using a mix of role-plays, video demonstrations, home practice of the skills between sessions, and discussions. An additional challenge was that many of the participants from Indonesia and Vietnam had limited proficiency in English, and this meant translators were required to assist in ensuring the participants were able to comprehend the training and discuss their experiences with the facilitators. This session will highlight the main challenges faced in conducting the training with HCPs from different cultural and language backgrounds and how we tried to overcome these.

1:30pm EDT3:00pm EDT

The IASP Multidisciplinary Pain Center Toolkit Project

Tracks: Education
Categories: Topical Workshop
Presented By: Dr. Mary Cardosa

The talk will describe the IASP Multidisciplinary Pain Center (MPC) Toolkit Project including the impetus for the project and the aims of the project. The content of the IASP MPC Manual and the process of its development will be described, with emphasis on the training component, including the need for all members of the interdisciplinary team to understand the biopsychosocial model of pain, and be able to teach basic self management skills to patients with chronic pain.

Presenters

Dr. Jimmy F. A Barus

Assistant Professor
Faculty of Medicine and Health Science, Atma Jaya Catholic University of Indonesia – St Carolus Hospital

Dr. Mary Cardosa

Visiting Consultant Pain Specialist
Hospital Selayang

Professor Michael K Nicholas

Director, Pain Education and Pain Management Programs
Royal North Shore Hospital

Professor Zubaidah Jamil Osman

Professor
Management and Science University