Pain Navigator Tool for Self-management in Back Pain: PATiENCe Trial

Glasgow Caledonian University

Status: Withdrawn

Conditions: Chronic Low-back Pain; Self Efficacy; Communication; Therapeutic Alliance

Treatments: Behavioral: Pain Navigator Tool

Study type: Observational

Funder types: Other

Identifiers

NCT04007822

260667

Details and patient eligibility

About

This study explores the experience of physiotherapists and patients using the Pain Navigator Tool during outpatient musculoskeletal consultations.

Full description

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:

1. To evaluate and compare the quality of practice with or without the PNT in patients with chronic low-back.
2. To collect preliminary data on the usability and practicality of the PNT for physiotherapists.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patient:

• 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

Exclusion criteria

Patient:

• Low-back pain is not the primary reason for physiotherapy appointment
• Return appointment with physiotherapist

Trial design

0 participants in 1 patient group

Physiotherapists

Description:

Physiotherapists will be recruited using the following inclusion criteria: (1) two years of experience in treating patients with chronic pain, (2) currently working in an MSK outpatient clinic and (3) able to read and speak English to a level allowing satisfactory completion of the study procedures. There are no exclusion criterium. Potential participants will be recruited through the relevant gatekeeper. The gatekeeper will be responsible of forwarding the participant information sheet and consent form to the physiotherapists. Physiotherapists will be asked to demonstrate their interest by replying to the email. Any questions will be answered by the research team via email or phone.

Treatment:

Behavioral: Pain Navigator Tool