Potential pain management programmes in primary care. A UK-wide questionnaire and Delphi survey of experts

Nicola Torrance, Blair H Smith, Alison M Elliott, Susan E Campbell, W Alastair Chambers, Philip C Hannaford, Marie Johnston

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

BACKGROUND: Most chronic pain patients are treated in primary care and their management is often challenging. Secondary care- or private sector-based Pain Management Programmes (PMPs) offering intensive multidisciplinary approaches have been found to improve participants' physical performance and psychological well-being.

OBJECTIVES: We aimed to identify the components and perceived outcomes of multidisciplinary PMPs in the UK and to explore expert health care providers' opinions about important characteristics of an ideal yet practical PMP for delivery in primary care.

METHODS: All PMPs in the UK (n = 77), identified through the British Pain Society, were invited to participate. Each PMP was sent a postal questionnaire. We then conducted a modified Delphi survey with 18 pain management experts from a range of professional backgrounds.

RESULTS: A representative from 54 (response rate 70.1%) PMPs completed a questionnaire. Most PMPs were delivered in National Health Service outpatient secondary care by physiotherapists (98%), psychologists (94%), pain specialists (61%), nurses (54%) and occupational therapists (52%). There was evidence of reasonably prolonged follow-up of participants and use of a range of clinical outcome measures. Consensus was reached on most components and outcomes of a potential primary care-based PMP. 'Necessary' components included training in, and information about, self-management, general fitness, posture and mobility. Input from a physiotherapist and clinical or health psychologist was identified as key to the PMP. Preferred patient outcome measures were related to emotional well-being, self-efficacy and coping and quality of life.

CONCLUSION: Future research should look to design, deliver and evaluate a primary care-based intervention based on these findings.

Original languageEnglish
Pages (from-to)41-8
Number of pages8
JournalFamily Practice
Volume28
Issue number1
DOIs
Publication statusPublished - Feb 2011
Externally publishedYes

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Pain Management
Primary Health Care
Secondary Care
Physical Therapists
Psychology
Outcome Assessment (Health Care)
Surveys and Questionnaires
Private Sector
National Health Programs
Self Efficacy
Ambulatory Care
Self Care
Posture
Chronic Pain
Health Personnel
Consensus
Quality of Life
Pain
Health

Cite this

Torrance, N., Smith, B. H., Elliott, A. M., Campbell, S. E., Chambers, W. A., Hannaford, P. C., & Johnston, M. (2011). Potential pain management programmes in primary care. A UK-wide questionnaire and Delphi survey of experts. Family Practice, 28(1), 41-8. https://doi.org/10.1093/fampra/cmq081
Torrance, Nicola ; Smith, Blair H ; Elliott, Alison M ; Campbell, Susan E ; Chambers, W Alastair ; Hannaford, Philip C ; Johnston, Marie. / Potential pain management programmes in primary care. A UK-wide questionnaire and Delphi survey of experts. In: Family Practice. 2011 ; Vol. 28, No. 1. pp. 41-8.
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Torrance, N, Smith, BH, Elliott, AM, Campbell, SE, Chambers, WA, Hannaford, PC & Johnston, M 2011, 'Potential pain management programmes in primary care. A UK-wide questionnaire and Delphi survey of experts', Family Practice, vol. 28, no. 1, pp. 41-8. https://doi.org/10.1093/fampra/cmq081

Potential pain management programmes in primary care. A UK-wide questionnaire and Delphi survey of experts. / Torrance, Nicola; Smith, Blair H; Elliott, Alison M; Campbell, Susan E; Chambers, W Alastair; Hannaford, Philip C; Johnston, Marie.

In: Family Practice, Vol. 28, No. 1, 02.2011, p. 41-8.

Research output: Contribution to journalArticle

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AU - Torrance, Nicola

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AU - Hannaford, Philip C

AU - Johnston, Marie

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N2 - BACKGROUND: Most chronic pain patients are treated in primary care and their management is often challenging. Secondary care- or private sector-based Pain Management Programmes (PMPs) offering intensive multidisciplinary approaches have been found to improve participants' physical performance and psychological well-being.OBJECTIVES: We aimed to identify the components and perceived outcomes of multidisciplinary PMPs in the UK and to explore expert health care providers' opinions about important characteristics of an ideal yet practical PMP for delivery in primary care.METHODS: All PMPs in the UK (n = 77), identified through the British Pain Society, were invited to participate. Each PMP was sent a postal questionnaire. We then conducted a modified Delphi survey with 18 pain management experts from a range of professional backgrounds.RESULTS: A representative from 54 (response rate 70.1%) PMPs completed a questionnaire. Most PMPs were delivered in National Health Service outpatient secondary care by physiotherapists (98%), psychologists (94%), pain specialists (61%), nurses (54%) and occupational therapists (52%). There was evidence of reasonably prolonged follow-up of participants and use of a range of clinical outcome measures. Consensus was reached on most components and outcomes of a potential primary care-based PMP. 'Necessary' components included training in, and information about, self-management, general fitness, posture and mobility. Input from a physiotherapist and clinical or health psychologist was identified as key to the PMP. Preferred patient outcome measures were related to emotional well-being, self-efficacy and coping and quality of life.CONCLUSION: Future research should look to design, deliver and evaluate a primary care-based intervention based on these findings.

AB - BACKGROUND: Most chronic pain patients are treated in primary care and their management is often challenging. Secondary care- or private sector-based Pain Management Programmes (PMPs) offering intensive multidisciplinary approaches have been found to improve participants' physical performance and psychological well-being.OBJECTIVES: We aimed to identify the components and perceived outcomes of multidisciplinary PMPs in the UK and to explore expert health care providers' opinions about important characteristics of an ideal yet practical PMP for delivery in primary care.METHODS: All PMPs in the UK (n = 77), identified through the British Pain Society, were invited to participate. Each PMP was sent a postal questionnaire. We then conducted a modified Delphi survey with 18 pain management experts from a range of professional backgrounds.RESULTS: A representative from 54 (response rate 70.1%) PMPs completed a questionnaire. Most PMPs were delivered in National Health Service outpatient secondary care by physiotherapists (98%), psychologists (94%), pain specialists (61%), nurses (54%) and occupational therapists (52%). There was evidence of reasonably prolonged follow-up of participants and use of a range of clinical outcome measures. Consensus was reached on most components and outcomes of a potential primary care-based PMP. 'Necessary' components included training in, and information about, self-management, general fitness, posture and mobility. Input from a physiotherapist and clinical or health psychologist was identified as key to the PMP. Preferred patient outcome measures were related to emotional well-being, self-efficacy and coping and quality of life.CONCLUSION: Future research should look to design, deliver and evaluate a primary care-based intervention based on these findings.

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