Pain Navigator Tool for Self-management in Back Pain: PATiENCe Trial (PATiENCe)
15 de febrero de 2021 actualizado por: Glasgow Caledonian University
Evaluation of the 'Pain Navigator Tool' During Physiotherapy Consultations in Patients With Chronic Low-back Pain: a Service Evaluation Trial.
This study explores the experience of physiotherapists and patients using the Pain Navigator Tool during outpatient musculoskeletal consultations.
Descripción general del estudio
Estado
Retirado
Intervención / Tratamiento
Descripción detallada
Chronic pain is the largest cause of disability globally and affects up to 28 million people in the UK alone. Nearly half of those who experienced chronic pain in Europe reported receiving insufficient pain management. Conventional treatments commonly used in physiotherapy continue to show only moderate effects in pain management. A potential avenue to improve the global effect of treatments may lie in exploring non-specific treatment moderators such as the therapeutic alliance (TA). Findings suggest that it is linked with engagement in rehabilitation and is a strong predictor of treatment outcomes and adherence. This study aims to evaluate and compare the quality of practice with or without the Pain Navigator Tool (PNT). Understanding the impact of the PNT on therapeutic alliance would open an avenue to improve chronic pain management, reduce healthcare-related expenses and increase the quality of life in the population studied. In addition, exploring the experience of the physiotherapists with using the PNT will provide an in-depth understanding of its use and applicability in similar settings.
The aims of this study are to:
- To evaluate and compare the quality of practice with or without the PNT in patients with chronic low-back.
- To collect preliminary data on the usability and practicality of the PNT for physiotherapists.
Tipo de estudio
De observación
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Strathcylde
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Glasgow, Strathcylde, Reino Unido, G4 0BA
- Glasgow Caledonian University
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Método de muestreo
Muestra no probabilística
Población de estudio
Physiotherapists working in an MSK outpatient clinic and are able to read and speak English to a level allowing satisfactory completion of the study procedures.
Patients with chronic low back pain attending an MSK outpatient clinic.
Descripción
Inclusion Criteria:
Patient:
- Participant aged >18 years
- Low-back pain for more than three months
- Able to read and speak English to a level allowing satisfactory completion of the study procedures
- Initial appointment with a participating physiotherapist
Physiotherapist:
- 2 years of experience in treating patients with chronic pain
- Currently working in an MSK outpatient clinic
- Able to read and speak English to a level allowing satisfactory completion of the study procedures
Exclusion Criteria:
Patient:
- Low-back pain is not the primary reason for physiotherapy appointment
- Return appointment with physiotherapist
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
Cohortes e Intervenciones
Grupo / Cohorte |
Intervención / Tratamiento |
|---|---|
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Physiotherapists
Physiotherapists will be recruited using the following inclusion criteria: (1) two years of experience in treating patients with chronic pain, (2) currently working in an MSK outpatient clinic and (3) able to read and speak English to a level allowing satisfactory completion of the study procedures.
There are no exclusion criterium.
Potential participants will be recruited through the relevant gatekeeper.
The gatekeeper will be responsible of forwarding the participant information sheet and consent form to the physiotherapists.
Physiotherapists will be asked to demonstrate their interest by replying to the email.
Any questions will be answered by the research team via email or phone.
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The Pain Navigator Tool (PNT) was developed recently with the aim to empower patients through helping them to discuss their main concerns about pain, and to help therapists to prioritise addressing these concerns (Blomkvist et al., 2018).
The initial pilot study with this tool improved the content of the consultations and patient engagement, and led to better patient-therapist interaction in a small population of healthcare providers and patients (Blomkvist et al., 2018).
As it endeavours to facilitate the implementation of self-management in patients with chronic pain, the PNT aligns with the Scottish Intercollegiate Guidelines Network (SIGN) guideline for chronic pain and the Scottish Government's strategic vision (Scottish Government, 2011; SIGN, 2013).
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Semi-Structured Interview
Periodo de tiempo: 4 weeks
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Semi-structured interviews with the participating physiotherapists will explore the experience using the PNT.
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4 weeks
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Change in the Health Care Providers Pain and Impairment Relationship Scale
Periodo de tiempo: 0 weeks, 4 weeks and at 1 month follow-up
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The HC-PAIRS is selected to assess the pain-related attitudes and beliefs of physiotherapists.
It is a validated tool with adequate psychometric properties and has already been used in the selected population.
It measures attitudes and beliefs on a scale of 13 to 91 with higher scores on this scale indicating stronger beliefs that LBP validates disability.
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0 weeks, 4 weeks and at 1 month follow-up
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The Pain Self-Efficacy Questionnaire
Periodo de tiempo: 4 weeks
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The PSEQ is selected to capture the patients' levels of confidence in carrying out day-to-day tasks despite the presence of pain.
It assesses the confidence of people with any type of chronic pain in activity despite pain.
It covers enjoying activities, household daily activities, social life, coping in general, work, leisure activities, coping with pain without medication, accomplishing goals, living a normal lifestyle, and becoming more active, all 'despite pain'.
Each is rated on a 7 point scale from 0 = not at all confident to 6 = completely confident.
The total score, ranging from 0 to 60, is calculated by adding the scores for each item.
Higher scores reflect stronger self-efficacy beliefs.
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4 weeks
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Change in the Pain Understanding and Confidence Questionnaire
Periodo de tiempo: 0 weeks, 4 weeks and at 1 month follow-up
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The PUnCQ is a two-part questionnaire assessing students' knowledge and understanding of pain alongside their confidence in applying this understanding.
The questionnaire consists of a chronic pain case vignette, with the first set of questions consisting of a 12-item multiple choice questionnaire, assessing knowledge and understanding in the context of the vignette.
The second part of the tool is a 21-item Likert scale ranging from "not at all confident" (0) to "no problem!" (10), with a higher score indicating a higher self-perceived confidence in applying this understanding.
Correct answers in the Understanding section were awarded a score of 1, and incorrect a score of 0, with a total accumulated to give a score for each participant.
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0 weeks, 4 weeks and at 1 month follow-up
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
1 de julio de 2019
Finalización primaria (Actual)
1 de marzo de 2020
Finalización del estudio (Actual)
1 de marzo de 2020
Fechas de registro del estudio
Enviado por primera vez
23 de mayo de 2019
Primero enviado que cumplió con los criterios de control de calidad
2 de julio de 2019
Publicado por primera vez (Actual)
5 de julio de 2019
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
16 de febrero de 2021
Última actualización enviada que cumplió con los criterios de control de calidad
15 de febrero de 2021
Última verificación
1 de febrero de 2021
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 260667
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
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