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
