Improving Emergency Providers' Attitudes Toward Sickle Cell Patients in Pain

Aditi Puri Singh, Carlton Haywood, Mary Catherine Beach, Mark Guidera, Sophie Lanzkron, Doris Valenzuela-Araujo, Richard E. Rothman, Andrea Freyer Dugas

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background Provider biases and negative attitudes are recognized barriers to optimal pain management in sickle cell disease, particularly in the emergency department (ED). Measures This prospective cohort measures preintervention and postintervention providers' attitudes toward patients with sickle pain crises using a validated survey instrument. Intervention ED providers viewed an eight-minute online video that illustrated challenges in sickle cell pain management, perspectives of patients and providers, as well as misconceptions and stereotypes of which to be wary. Outcomes Ninety-six ED providers were enrolled. Negative attitude scoring decreased, with a mean difference-11.5 from baseline, and positive attitudes improved, with a mean difference +10. Endorsement of red-flag behaviors similarly decreased (mean difference-12.8). Results were statistically significant and sustained on repeat testing three months after intervention. Conclusions/Lessons Learned Brief video-based educational interventions can improve emergency providers' attitudes toward patients with sickle pain crises, potentially curtailing pain crises early, improving health outcomes and patient satisfaction scores.

Original languageEnglish (US)
Pages (from-to)628-632.e3
JournalJournal of Pain and Symptom Management
Issue number3
StatePublished - Mar 1 2016


  • Sickle cell
  • pain crises
  • providers' attitudes
  • video intervention

ASJC Scopus subject areas

  • General Nursing
  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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