An Exploration of the Impact of Pain Education on GP Practice Staff

Chronic Pain Clinical Trial

Official title:

An Exploration of the Impact of Pain Education on GP Practice Staff: a Mixed Methods Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04587596
• Other study ID #: 205/18
• Status: Completed
• Start date: November 1, 2019
• Est. completion date: December 20, 2019

Study information

• Verified date: May 2021
• Source: Teesside University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of the research project is to quantify GP practice staffs' knowledge of chronic pain, their attitudes towards people with chronic pain and their management of a hypothetical patient with chronic pain, following a pain education session.

The study also seeks to explore GP practice staffs' experience of receiving the pain education, their understanding of pain following the education and if they perceive the education session has impacted upon their daily practice.

Description:

Inappropriate, biomedical based views of chronic pain are commonly held by health care professionals (HCPs) and these in turn can result in patients receiving sub-optimal care out of step with current guidelines. It has been found that healthcare professionals management techniques did not reflect recognised treatment guidelines and this was associated with their biomedical view of chronic pain.

Pain education/training sessions for health care staff may be an important step towards improving patient care for chronic pain. It has been found that there was improvement in nurses' knowledge after 2 different pain education sessions delivered to nurses however there was no long term follow up. Furthermore, no studies have targeted all members of staff at a GP surgery who will interact with the patient, and thus impact upon the care they receive.

Pain Neuroscience education (PNE) is an approach to pain education which uses pain science information to shift the belief system of the receiver away from a biomedical understanding of pain to a more biopsychosocial understanding of pain.

A number of studies have shown that this education can decrease biomedical attitudes in health care students. Thus, it may be that this education could produce similar positive effects in GP practice staff that could have positive implications for the care of patients with chronic pain.

Thus this study aims to assess the impact on attitudes and beliefs of pain education upon staff at a GP surgery in Middlesbrough. Attitudes and beliefs will be assessed before and after the delivery of education. In addition participants will be invited to attend one of two focus groups to further discuss their findings or thoughts about the lecture.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 15
• Est. completion date: December 20, 2019
• Est. primary completion date: December 20, 2019
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria

• Clinical non-NHS staff at a Middlesbrough GP Surgery.

Exclusion Criteria

• Non-clinical staff at a Middlesbrough GP surgery and staff who are not directly employed by the Surgery.

Related Conditions & MeSH terms

• Chronic Pain

Intervention

Other:
• Pain education
70 minute lecture about chronic pain and one focus group afterwards

Locations

Country	Name	City	State
United Kingdom	Linthorpe Surgery	Middlesbrough

Sponsors (1)

Lead Sponsor	Collaborator
Teesside University

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	HC-PAIRS	Health Care Providers Pain and Impairment Relationship Scale - assessing attitudes and beliefs towards pain using a 13 item validated questionnaire. High score is a worse outcome. Scores range from 13-91.	70 minutes
Primary	Revised pain neurophysiology quiz	Measures knowledge of pain physiology using a 12 point validated questionnaire. Low score is poor sign. Scores range from 0-12.	70 minutes
Primary	case vignette	Measures clinical practise behaviours in pain management. A validated proxy measure of clinical behaviour, MCQ weighted as appropriate or inappropriate according to current national clinical guidelines. A low score is good, and scores range from 4 to 20.	70 minutes
Primary	Interviews - qualitative assessment	Interviews to assess perception and intended application of lecture material	1 hour