Cognitive Behvioral therapy
to reduce opioid pain medication
for Chronic Low Back Pain

Barriers

Lack of psychologist

Unwillingness of
patient

Transportion
issue

Lack of time

Belief
& Fear of the
patient

Theory

Precontemplatin

Contrtemplation

Preparation

Actionc

Maintenance

Ethical Principles

Non-maleficence

Do no harm

Beneficence

Minimize harm
& maximize outcomes

Autonomy

Live one's lives
according to
one's own reason
& motives

Justice

Right to fair treatment

Stakeholders

Patients

Provider

supporting staff

Adminstration

Potential
Outcomes

Increased
patient
satisfaction

Reduced use
of pain Medicatio

less work
absent

PSAD-model

Plan

Subtopic

DO

Subtopic

Study

Subtopic

Act

Subtopic

Quality
Improvement

Project Location

VA
Outpatient
Clinic

Funding

No Funding

Preceptor

Rationale
for Project

Phiosophy

Positivism

Affects

Level I

Level 2

Level3