Evaluation of the 'Pain Navigator Tool' During Physiotherapy Consultations in Patients With Chronic Low-back Pain: a Service Evaluation Trial.
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 1
- 主要终点
- Semi-Structured Interview
研究概览
简要总结
This study explores the experience of physiotherapists and patients using the Pain Navigator Tool during outpatient musculoskeletal consultations.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Low-back pain is not the primary reason for physiotherapy appointment
- •Return appointment with physiotherapist
结局指标
主要结局
Semi-Structured Interview
时间窗: 4 weeks
Semi-structured interviews with the participating physiotherapists will explore the experience using the PNT.
Change in the Health Care Providers Pain and Impairment Relationship Scale
时间窗: 0 weeks, 4 weeks and at 1 month follow-up
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.
The Pain Self-Efficacy Questionnaire
时间窗: 4 weeks
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.
次要结局
- Change in the Pain Understanding and Confidence Questionnaire(0 weeks, 4 weeks and at 1 month follow-up)