Supporting Self-management of Chronic Pain
|ClinicalTrials.gov Identifier: NCT03119896|
Recruitment Status : Completed
First Posted : April 19, 2017
Last Update Posted : April 5, 2018
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.
|Condition or disease||Intervention/treatment||Phase|
|Chronic Pain Syndrome Chronic Pain Chronic Pain Due to Injury Chronic Pain Due to Trauma Chronic Pain Due to Malignancy (Finding) Chronic Pain Post-Procedural Chronic Pain Hip Chronic Pain, Widespread||Other: The Navigator Tool Intervention||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||35 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||Two groups; one "active group" receiving the intervention, and one "control group" receiving standard care without the intervention.|
|Masking:||None (Open Label)|
|Primary Purpose:||Device Feasibility|
|Official Title:||Supporting Self-management in Chronic Pain: a Collaborative Approach Providing Relevant Tools to Healthcare Professionals and People With Pain.|
|Actual Study Start Date :||August 28, 2017|
|Actual Primary Completion Date :||March 19, 2018|
|Actual Study Completion Date :||March 19, 2018|
Experimental: Intervention Group (using Navigator Tool)
The participants will receive a copy of the Navigator Tool Intervention, a paper-based information pack including the My Pain Concerns Form, suggested questions to ask your healthcare professional, a goal setting sheet and information on common self-management strategies. They will be encouraged to fill in some of the forms before the consultation, and some during the consultation. They will have consultations with a healthcare professional who has undergone a Self-management Awareness Training with the Thistle Foundation.
Other: The Navigator Tool Intervention
The intervention consists of two parts; a training session on self-management of chronic conditions for the healthcare professionals, and a paper-based tool for the patients. Both parts aim to inform and prepare the two parties as to what self-management entails in order to facilitate a constrictive consultation.
No Intervention: Control Group (not using Navigator Tool)
These participants will not have access to the Navigator Tool Intervention, and will have consultations with a healthcare professional who has not undergone the Self-management Awareness Training.
- Transcripts of semi-structured interviews with healthcare professionals and patients from Intervention group [ Time Frame: Interviews will be carried out 1-2 months after the intervention has finished (the last consultation has taken place). ]Transcripts will be analysed and coded for themes and attitudes, similar concerns and experiences regarding the experience of using the intervention.
- Consultation Quality Index - 2 (CQI-2) [ Time Frame: 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. ]Assesses improvement and satisfaction with the communication during consultations. (Patients only)
- Pain Self-Efficacy Questionnaire (PSEQ) [ Time Frame: 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. ]Assesses improvement to the patients ability to confidently manage their own pain.
- CARE measure [ Time Frame: 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. ]Assesses satisfaction with the communication during consultations. (Patients only)
- Transcripts of semi structured interviews with healthcare professionals and patients from the intervention group. [ Time Frame: Interviews will be carried out 1-2 months after the intervention has finished (the last consultation has taken place). ]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.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03119896
|St Margaret's Health Centre|
|Auchterarder, Scotland, United Kingdom, PH3 1JH|
|Whitesands Medical Practice|
|Dunbar, Scotland, United Kingdom, EH42 1EE|
|St Triduana's Medical Practice|
|Edinburgh, Scotland, United Kingdom, 6RU|
|Milngavie, Scotland, United Kingdom, G62 7AA|
|Muirhead Medical Centre|
|Muirhead, Scotland, United Kingdom, DD2 5NH|
|Principal Investigator:||Pamela F Bell, MB FFARCSI FFPMCAI FFPMRCA||Pain Concern|