635: Using a Logic Model to Develop a Monitoring and Evaluation Plan for Chronic Pain Care Programs

Topic: Education, Societal Impact, and Others
Subtopic: Organisation of clinical pain care

Background and Aims: Chronic pain imposes a significant global burden, requiring structured multidisciplinary care. However, many programs lack systematic evaluation, hindering quality improvement and long-term sustainability. Logic models are essential tools to organize program components, clarify expected outcomes, and guide implementation.
This project aims to describe the development of a monitoring and evaluation (M&E) plan for a chronic pain follow-up program in a public tertiary orthopedic hospital using a logic model.

Methods: A mixed-methods implementation study was conducted. We mapped program resources, activities, outputs, and outcomes through stakeholder engagement and service flow analysis. This logic model informed the MAP-DOR framework, which integrates indicators across three domains: clinical processes, patient-reported outcomes, and program performance.

Results: The logic model identified priority indicators and aligned clinical activities with expected service outcomes. The resulting MAP-DOR framework focuses on:
Standardizing multidisciplinary care;
Enhancing opioid stewardship and safety;
Improving patient functional outcomes through longitudinal tracking.

Conclusions: Utilizing a logic model facilitates the creation of structured M&E strategies. This approach contributes to more sustainable, patient-centered, and evidence-based chronic pain management in public health settings.

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Presenting Author: Bárbara Ventura Fontes
Submitting Author: Barbara Fontes

Senior Author: Erica Brandão de Moraes

IASP 2026 Global Year theme of Neuropathic Pain: No

• Erica Brandão de Moraes: PhD/Doctoral degrees - Fluminense Federal University
• Maria Fernanda Muniz Ferrari: PhD/Doctoral degrees - National Institute of Traumatology and Orthopedics
• Marina de Almeida Geraldo: Bachelor's degrees - National Institute of Traumatology and Orthopedics/ Fluminense Federal University