Chronic Pain Clinical Trial
Official title:
Supporting Self-management in Chronic Pain: a Collaborative Approach Providing Relevant Tools to Healthcare Professionals and People With Pain.
Verified date | April 2018 |
Source | Pain Concern |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Does the Navigator Tool Intervention improve communication regarding self-management during
consultations between healthcare professionals and people with chronic pain?
As there is usually no cure for chronic pain, healthcare professionals are increasingly
turning to methods of treatment that emphasise management of symptoms rather than elimination
of pain. However, as Pain Concern's previous research has shown, there are several barriers
to self-management that both healthcare professionals and people with pain face in their
consultations in primary care. The Navigator Tool Intervention has been designed to overcome
the majority of these barriers through improving the quality of communication regarding
self-management during consultations.
In line with the House of Care Model, where care relies on engaged and informed patients,
healthcare professionals committed to partnership working, and organisational processes that
support this, our intervention prepares both the healthcare professionals and patients for
their consultation. By providing a training session for the healthcare professionals in how
supported self-management can be brought into the consultation room, and by providing the
patients with a paper-based tool that allows them to organise their concerns and questions
prior to the consultation, the intervention aims to steer the conversation toward the aspects
that the patient needs to discuss in order to better manage their pain.
This study will launch the intervention and evaluate its effectiveness in improving
self-management support through conversation. It will be launched over a 3 month period in 4
sites across Scotland; 24 patients will be using the tool with a trained healthcare
professional and 24 will act as a control group, receiving standard care without the tool.
Questionnaires assessing the satisfaction with the consultation(s) and communication, as well
as confidence in managing one's pain, will be analysed and compared between the two groups.
Interviews will be carried out with healthcare professionals and a sample of patients having
used the tool to gain a deeper understanding of the usefulness of the intervention and how it
may be improved in the future.
Status | Completed |
Enrollment | 35 |
Est. completion date | March 19, 2018 |
Est. primary completion date | March 19, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Be over 18 years of age - Have experienced pain for more than 3 months Exclusion Criteria: - Being unable to communicate in English - Being unable to attend consultations with a healthcare professional for the duration of the project - Being currently participating in another research project regarding chronic pain |
Country | Name | City | State |
---|---|---|---|
United Kingdom | St Margaret's Health Centre | Auchterarder | Scotland |
United Kingdom | Whitesands Medical Practice | Dunbar | Scotland |
United Kingdom | St Triduana's Medical Practice | Edinburgh | Scotland |
United Kingdom | Milngavie Clinic | Milngavie | Scotland |
United Kingdom | Muirhead Medical Centre | Muirhead | Scotland |
Lead Sponsor | Collaborator |
---|---|
Pain Concern | Edinburgh and Lothians Health Foundation, Health and Social Care Alliance Scotland (the ALLIANCE), The Thistle Foundation |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Transcripts of semi structured interviews with healthcare professionals and patients from the intervention group. | Transcripts will be analysed and coded to elicit attitudes toward strengths and weaknesses of the intervention. It will identify possible improvements and changes to make the intervention easier to use and/or more effective. | Interviews will be carried out 1-2 months after the intervention has finished (the last consultation has taken place). | |
Primary | Transcripts of semi-structured interviews with healthcare professionals and patients from Intervention group | Transcripts will be analysed and coded for themes and attitudes, similar concerns and experiences regarding the experience of using the intervention. | Interviews will be carried out 1-2 months after the intervention has finished (the last consultation has taken place). | |
Secondary | Consultation Quality Index - 2 (CQI-2) | Assesses improvement and satisfaction with the communication during consultations. (Patients only) | Distributed to participants 1 week after the intervention has finished, they will return the filled in questionnaire within 1-2 weeks of having received it. | |
Secondary | Pain Self-Efficacy Questionnaire (PSEQ) | Assesses improvement to the patients ability to confidently manage their own pain. | First one distributed 1 week before the intervention starts, to be completed and submitted within 1 week. Second will be distributed 1 week after the intervention has ended, to be returned within 1-2 weeks after having received it. | |
Secondary | CARE measure | Assesses satisfaction with the communication during consultations. (Patients only) | Distributed to participants 1 week after the intervention has finished, they will return the filled in questionnaire within 1-2 weeks of having received it. |
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