title: Pain Management for Persons Living With HIV Disease: Experience With Interprofessional Education in Nigeria.
abstract: BACKGROUND
  Pain management (PM) has not been routinely incorporated into HIV/AIDS care and treatment in resource-constrained settings.
  
  
  OBJECTIVE
  We describe training for multidisciplinary teams tasked with integrating care management into HIV clinics to address pain for persons living with HIV in Nigeria.
  
  
  METHODS
  Education on PM was provided to mixed-disciplinary teams including didactic and iterative sessions following home and hospital visits. Participants identified challenges and performed group problem solving.
  
  
  RESULTS
  HIV trainers identified barriers to introducing PM reflecting views of the patient, providers, culture, and the health environment. Implementation strategies included (1) building upon existing relationships; (2) preliminary advocacy; (3) attention to staff needs; and (4) structured data review.
  
  
  CONCLUSIONS
  Implementing PM in Nigerian HIV clinics requires recognition of cultural beliefs.
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD calexand@medicine.umaryland.edu.
authors.forename: Carla S
authors.initials: CS
authors.lastname: Alexander
authors.affiliation: George Washington University, School of Public Health, Washington, DC, USA.
authors.forename: Gregory
authors.initials: G
authors.lastname: Pappas
authors.affiliation: State of Maryland Department of Health and Mental Hygiene, Catonsville, MD, USA.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Henley
authors.affiliation: Maryland Global Initiatives Corporation - Tanzania, Dar es Salaam, Tanzania.
authors.forename: Angela Kaiza
authors.initials: AK
authors.lastname: Kangalawe
authors.affiliation: Government of Nigeria, Federal Medical Centre, Idi-Aba, Abeokuta, Nigeria.
authors.forename: Folaju Olusegun
authors.initials: FO
authors.lastname: Oyebola
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Michael
authors.initials: M
authors.lastname: Obiefune
authors.affiliation: Maryland Global Initiatives Corporation - Nigeria, Abuja, Nigeria.
authors.forename: Ejike
authors.initials: E
authors.lastname: Nwene
authors.affiliation: Maryland Global Initiatives Corporation - Nigeria, Abuja, Nigeria.
authors.forename: Winifred
authors.initials: W
authors.lastname: Stanis-Ezeobi
authors.affiliation: Maryland Global Initiatives Corporation - Nigeria, Abuja, Nigeria.
authors.forename: Victor
authors.initials: V
authors.lastname: Enejoh
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Chidi
authors.initials: C
authors.lastname: Nwizu
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Anthea Nwandu
authors.initials: AN
authors.lastname: Nwandu
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Peter
authors.initials: P
authors.lastname: Memiah
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Martine
authors.initials: M
authors.lastname: Etienne-Mesubi
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Babatunji
authors.initials: B
authors.lastname: Oni
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Anthony
authors.initials: A
authors.lastname: Amoroso
authors.affiliation: University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD.
authors.forename: Robert R
authors.initials: RR
authors.lastname: Redfield
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000628:therapy; D003469:Culture; D004777:Environment; D005260:Female; D005783:Gender Identity; D015658:HIV Infections / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008297:Male; D009549:Nigeria; D059408:Pain Management / Q000379:methods*; D010348:Patient Care Team / Q000458:organization & administration*; D012737:Sex Factors
keywords: HIV; Nigeria; education; multidisciplinary; pain management