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

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    Abstract

    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. Preferrxed 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)41-48
    Number of pages8
    JournalFamily Practice
    Volume28
    Issue number1
    DOIs
    Publication statusPublished - Feb 2011

    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), 41-48. https://doi.org/10.1093/fampra/cmq081