Chronic pain Musculoskeletal Diseases
Conditions
Interventions
Phase B ( survey): If the participant decides to take part in the survey phase, it will involve completing questionnaires (online or paper). If they do not have pain and choose to participate, they o
Sponsors
University of Dundee
Eligibility
Sex/Gender
All
Age
18 Years to 110 Years
Inclusion criteria
Inclusion criteria: Phase A. Selection of medical records for review from SPIRE participants 1. 18 years of age or over 2. Electronic medical record held by SPIRE-enabled GP practice Phase B. Invited to complete pain questionnaires 1. 18 years of age or over 2. Capable of providing informed consent 3. Able to communicate in English 4. Person registered with participating GP practice Phase C. Invitation to a semi-structured interview or focus group discussion(s) 1. 18 years of age or over 2. Capable of providing informed consent 3. Able to communicate in English 4. Patient of a participating GP practice (and who has returned a survey with consent for contact) or practice staff responsible for coding Phase D: SIRE Report 1. 18 years of age or over 2. Registered with one of the 6 GP practices involved in the study. 3. Patient has not opted out of SPIRE
Exclusion criteria
Exclusion criteria: Phase A. Selection of medical records for review 1. Under 18 years of age 2. Patient has opted out of SPIRE Phase B. Invited to complete pain questionnaires 1. Under 18 years of age 2. Not capable of providing informed consent 3. Unable to communicate in English 4. GP does not deem patient suitable for inclusion 5. Patient has opted out of SPIRE Phase C. Invitation to a semi-structured interview or focus group discussion 1. Under 18 years of age 2. Not capable of providing informed consent 3. Unable to communicate in English 4. GP does not deem patient suitable for inclusion 5. Patient has opted out of SPIRE 6. Not patient of a participating GP practice or not a member of staff in a GP practice Phase D: 1. Under 18 years of age 2. Patient has opted out of SPIRE
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Reviewing patient notes at baseline only Combinations of read codes and free text will be screened to find chronic pain patients and to measure their percentage from the screened medical notes. 2. C-Picture Pain questionnaires at baseline only Patient-reported outcome of chronic pain and the way they use to control their pain (if any) 3. Level of Expressed Need Questionnaire at baseline only It measures the need for pain medication. 4. Douleur Neuropathique EN 4 (DN4) Questionnaire at baseline only It measures the characteristics and symptoms of pain. 5. Brief Pain Inventory (Short Form) at baseline only The location of pain, the intensity of pain at different time points measured on a scale from 0-10, the pharmaceutical treatment and its impact, and the impact of pain in the patient's lifestyle including work and sleep. 6. Patient interviews at baseline only Knowledge, attitude and behaviour of chronic pain and its management. 7. Patient focus group at baseline only Knowledge, attitude and behaviour of chronic pain and its management. 8. SPIRE report data at baseline only A list of patients with chronic pain using medical conditions and/or prescribing data. 9. Re-run the SPIRE report (i.e. PCIS) with a different algorithm at the end of the study only. A modified algorithm to provide a list of patients with chronic pain using medical conditions and/or prescribing data. | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured using an interview and fcus group, during the 3rd phase of the study and before the modified algorithm can be re-tested again: 1. Patient attitudes towards pain management measured using qualitative interviews and/or focus group. 2. Patient knowledge towards pain management measured using qualitative interviews and/or focus group. 3. Patient behaviours towards pain management measured using qualitative interviews and/or focus group. 4. Healthcare providers' attitudes towards pain management measured using qualitative interviews. 5. Healthcare providers' knowledge towards pain management measured using qualitative interviews. 6. Healthcare providers' behaviours towards pain management measured using qualitative interviews. Thematic analysis will be used to analyse the qualitative studies. | — |
Countries
Scotland, United Kingdom
Contacts
Public ContactArlene;Ian-Ju Petrie;Liang
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Outcome results
None listed