SurveyMonkey Powered Online Survey

Dear Healthcare Provider:

Please take a moment and answer these questions after you have read this issue’s section on managing chronic pain. Thank you!

1. Please indicate whether you are:

Please indicate whether you are: a. Physician (MD or DO)

b. Nurse Practitioner

c. Pharmacist

d. Physician Assistant

e. Nurse

f. Other

2. Please rate the usefulness of the information in this article: (Select one)

Please rate the usefulness of the information in this article: (Select one) a. Extremely useful

b. Very useful

c. Neutral

d. Somewhat useful

e. Not useful

3. This article increased my knowledge of the following regarding chronic pain (select all that apply):

This article increased my knowledge of the following regarding chronic pain (select all that apply): a. Symptoms

b. Diagnosis

c. Relevant information to provide to my patients

d. Treatment

e. Opioids and chronic pain

f. NIH research on chronic pain

g. Safe storage and disposal of medications

h. Available resources on chronic pain

4. As a result of the information in this article, I will make the following change(s) in my practice behavior:

	Yes	No	N/A
a. I will better evaluate other health problems (e.g., fatigue, sleep disturbance, change in appetite, mood changes) in my patients that can accompany chronic pain.	*As a result of the information in this article, I will make the following change(s) in my practice behavior: a. I will better evaluate other health problems (e.g., fatigue, sleep disturbance, change in appetite, mood changes) in my patients that can accompany chronic pain. Yes	a. I will better evaluate other health problems (e.g., fatigue, sleep disturbance, change in appetite, mood changes) in my patients that can accompany chronic pain. No	a. I will better evaluate other health problems (e.g., fatigue, sleep disturbance, change in appetite, mood changes) in my patients that can accompany chronic pain. N/A
b. I will ask better questions regarding my patients’ description of his/her pain.	b. I will ask better questions regarding my patients’ description of his/her pain. Yes	b. I will ask better questions regarding my patients’ description of his/her pain. No	b. I will ask better questions regarding my patients’ description of his/her pain. N/A
c. I will provide my patients with clear and accurate information (e.g., “What Your Healthcare Provider Should Be Telling You”).	c. I will provide my patients with clear and accurate information (e.g., “What Your Healthcare Provider Should Be Telling You”). Yes	c. I will provide my patients with clear and accurate information (e.g., “What Your Healthcare Provider Should Be Telling You”). No	c. I will provide my patients with clear and accurate information (e.g., “What Your Healthcare Provider Should Be Telling You”). N/A
d. I will provide my patients with alternative treatment options for chronic pain.	d. I will provide my patients with alternative treatment options for chronic pain. Yes	d. I will provide my patients with alternative treatment options for chronic pain. No	d. I will provide my patients with alternative treatment options for chronic pain. N/A
e. I will discuss self-management programs with my patients.	e. I will discuss self-management programs with my patients. Yes	e. I will discuss self-management programs with my patients. No	e. I will discuss self-management programs with my patients. N/A
f. I will mention to my patients research programs investigating new treatments for chronic pain.	f. I will mention to my patients research programs investigating new treatments for chronic pain. Yes	f. I will mention to my patients research programs investigating new treatments for chronic pain. No	f. I will mention to my patients research programs investigating new treatments for chronic pain. N/A
g. I will utilize the resources provided in the article.	g. I will utilize the resources provided in the article. Yes	g. I will utilize the resources provided in the article. No	g. I will utilize the resources provided in the article. N/A

5. What are some barriers for implementing changes in your practice (select all that apply)?

What are some barriers for implementing changes in your practice (select all that apply)? a. Not enough time to learn about new treatments

b. Not enough time to train myself and staff

c. Lack of motivation to learn new behaviors (myself)

d. Lack of motivation to learn new behaviors (my staff)

e. Lack of access to resources to learn and/or provide proper training

f. Lack of adequate funds required to implement changes

g. Concerns about patient reception to change

h. Lack of technology

Other (please specify)

6. Please indicate any information you feel was missing from this article, which will be helpful for developing future education.

Please indicate any information you feel was missing from this article, which will be helpful for developing future education.