title: Group Medical Visits Using an Empowerment-based Model as Treatment for Women With Chronic Pain in an Underserved Community.
abstract: BACKGROUND
  Over the past decade, group medical visits have become more prevalent. Group medical visits may have some advantages in treating chronic illnesses such as chronic pain as they can be more patient centered. The empowerment model is a novel approach used to provide support, education, and healthy activities guided by participants.
  
  
  OBJECTIVE
  To evaluate the early stages of a chronic pain group medical visit program based on the empowerment model.
  
  
  METHODS
  This prospective cohort study recruited 60 female participants to participate between October 2004 and May 2005. All enrolled participants completed the SF-36 questionnaire, which was administered at baseline and again after 6 months of participation. Data from chart review included age, race, weight, height, chronic illness, chronic pain diagnosis, and degree of participation. Chronic pain diagnoses included back pain, osteoarthritis, fibromyalgia, rheumatoid/inflammatory arthritis, and other/unknown.
  
  
  RESULTS
  Forty-two participants were enrolled in the program for 6 months. Their average Charleson Comorbidity Index score was 3.1 (SD=1.5). Statistically significant changes (P<.05) were seen in the following SF-36 categories: Role-Physical, Bodily Pain, General Health, Social Function, and Mental Health. All factors trended toward improvement, with the largest improvements seen in Role-Physical and Role-Emotional.
  
  
  CONCLUSIONS
  Participants in the chronic pain group medical visit program had a high degree of comorbidity and poor health related quality of life in regards to functioning. There was improvement in many domains of health-related quality of life.
authors.affiliation: Greater Lawrence Family Health Center, Massachusetts (Dr Geller), United States.
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Geller
authors.affiliation: Tufts Medical School, Boston (Ms Kulla), United States.
authors.forename: Jill
authors.initials: J
authors.lastname: Kulla
authors.affiliation: Lawrence Family Practice Residency, Massachusetts (Dr Shoemaker), United States.
authors.forename: Alena
authors.initials: A
authors.lastname: Shoemaker