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An Exploration of the Impact of Pain Education on GP Practice Staff

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04587596
Recruitment Status : Completed
First Posted : October 14, 2020
Last Update Posted : May 7, 2021
Sponsor:
Information provided by (Responsible Party):
Mrs Jagjit Mankelow, Teesside University

Study Description
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Brief Summary:

The aim of the research project is to quantify GP practice staffs' knowledge of chronic pain, their attitudes towards people with chronic pain and their management of a hypothetical patient with chronic pain, following a pain education session.

The study also seeks to explore GP practice staffs' experience of receiving the pain education, their understanding of pain following the education and if they perceive the education session has impacted upon their daily practice.


Condition or disease Intervention/treatment
Chronic Pain Other: Pain education

Detailed Description:

Inappropriate, biomedical based views of chronic pain are commonly held by health care professionals (HCPs) and these in turn can result in patients receiving sub-optimal care out of step with current guidelines. It has been found that healthcare professionals management techniques did not reflect recognised treatment guidelines and this was associated with their biomedical view of chronic pain.

Pain education/training sessions for health care staff may be an important step towards improving patient care for chronic pain. It has been found that there was improvement in nurses' knowledge after 2 different pain education sessions delivered to nurses however there was no long term follow up. Furthermore, no studies have targeted all members of staff at a GP surgery who will interact with the patient, and thus impact upon the care they receive.

Pain Neuroscience education (PNE) is an approach to pain education which uses pain science information to shift the belief system of the receiver away from a biomedical understanding of pain to a more biopsychosocial understanding of pain.

A number of studies have shown that this education can decrease biomedical attitudes in health care students. Thus, it may be that this education could produce similar positive effects in GP practice staff that could have positive implications for the care of patients with chronic pain.

Thus this study aims to assess the impact on attitudes and beliefs of pain education upon staff at a GP surgery in Middlesbrough. Attitudes and beliefs will be assessed before and after the delivery of education. In addition participants will be invited to attend one of two focus groups to further discuss their findings or thoughts about the lecture.

Study Design
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Study Type : Observational
Actual Enrollment : 15 participants
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Official Title: An Exploration of the Impact of Pain Education on GP Practice Staff: a Mixed Methods Study
Actual Study Start Date : November 1, 2019
Actual Primary Completion Date : December 20, 2019
Actual Study Completion Date : December 20, 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Chronic Pain

Groups and Cohorts
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Group/Cohort Intervention/treatment
Clinical staff
All clinical staff employed at one surgery in Middlesbrough, UK who wish to participate
 Other: Pain education
70 minute lecture about chronic pain and one focus group afterwards
Other Names:
  • Pain neurophysiology education
  • Therapeutic neurophysiology education


Outcome Measures
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Primary Outcome Measures :
  1. HC-PAIRS [ Time Frame: 70 minutes ]
    Health Care Providers Pain and Impairment Relationship Scale - assessing attitudes and beliefs towards pain using a 13 item validated questionnaire. High score is a worse outcome. Scores range from 13-91.

  2. Revised pain neurophysiology quiz [ Time Frame: 70 minutes ]
    Measures knowledge of pain physiology using a 12 point validated questionnaire. Low score is poor sign. Scores range from 0-12.

  3. case vignette [ Time Frame: 70 minutes ]
    Measures clinical practise behaviours in pain management. A validated proxy measure of clinical behaviour, MCQ weighted as appropriate or inappropriate according to current national clinical guidelines. A low score is good, and scores range from 4 to 20.

  4. Interviews - qualitative assessment [ Time Frame: 1 hour ]
    Interviews to assess perception and intended application of lecture material


Eligibility Criteria
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Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
All non-NHS clinical staff at Linthorpe Surgery, principally nurses and doctors.
Criteria

Inclusion Criteria

  • Clinical non-NHS staff at a Middlesbrough GP Surgery.

Exclusion Criteria

  • Non-clinical staff at a Middlesbrough GP surgery and staff who are not directly employed by the Surgery.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04587596


Locations
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United Kingdom
Linthorpe Surgery
Middlesbrough, United Kingdom, TS5 6HA
Sponsors and Collaborators
Teesside University
Investigators
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Principal Investigator: J Mankelow, MSc Teesside University
More Information
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Responsible Party: Mrs Jagjit Mankelow, Principal Investigator, Teesside University
ClinicalTrials.gov Identifier: NCT04587596    
Other Study ID Numbers: 205/18
First Posted: October 14, 2020    Key Record Dates
Last Update Posted: May 7, 2021
Last Verified: May 2021

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Mrs Jagjit Mankelow, Teesside University:
Chronic pain
Staff attitudes and beliefs
Education
GP surgery
Additional relevant MeSH terms:
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Chronic Pain
Pain
Neurologic Manifestations