Bamber C1, Gebrye T2, Yeowell G2, Fatoye F2
1Manchester University Hospitals NHS Foundation Trust, Trafford Community MSK Pain Team, Manchester, United Kingdom, 2Manchester Metropolitan University, Health Professions, Manchester, United Kingdom
Background: Chronic musculoskeletal (MSK) pain is one of the common and costly health problems, and it significantly affects persons under the age of 45 years. MSK disorders accounted for 6.7% of the total global disability adjusted life years, and it is a major cause of productivity loss. There are various types of interventions for managing musculoskeletal pain such as medical treatment or multidisciplinary management including physiotherapy or psychology treatment. A community pain management service consisting of a 1:1 service with nurse, psychologist, and physiotherapist has been set up in Manchester, United Kingdom. The effectiveness of the service has not been reported.
Purpose: This study evaluated the real world effectiveness of the community pain management service on patient reported outcomes in people with chronic MSK pain.
Methods: This was a service evaluation based on anonymised retrospective data from routinely recorded patient clinical records for the community pain management service. Individuals with chronic MSK pain who were referred by their General Practitioners (GPs) or MSK physiotherapists were recruited to community pain management services based in Trafford and South Manchester. Information on level of disability, fear and anxiety response, level of depression, and self-efficacy belief at baseline and post-intervention collected using Roland Morris Disability Questionnaire (RMDQ), the Pain Anxiety Symptoms Scale (PASS), the centre of Epidemiological Studies-Depression (CES-D), and the Pain Self-Efficacy Questionnaire (PSEQ), respectively was extracted from patient clinical records. A Wilcoxon signed rank test was performed to examine if there was any significance difference between data at baseline and post intervention using Statistical Packages for the Social Sciences (SPSS) Version 23, with significance level set at p 0.05.
Results: A total of 49 patients with the mean (± SD) age of 51.67 ± (3.51) years (range 48 - 55) participated in this study. The median values of level of disability, fear and anxiety response, level of depression, and self-efficacy response from baseline to post-intervention were 12 to 6, 62 to 8, 16 to 15, and 29 to 48, respectively. There were significant differences in the fear and anxiety, level of depression, and self-efficacy between the baseline and post-intervention data all p 0.001.
Conclusion(s): The preliminary findings of this study suggested that the community pain management service was an effective intervention for individuals with chronic MSK pain.
Implications: Future studies need to examine the effectiveness of the intervention in a larger population and compare the intervention with usual care for managing patients with the condition. In addition, future studies are required to examine the effectiveness of the intervention on clinical outcomes, and resource utilisation associated with the intervention.
Keywords: Effectiveness, Community Pain Management, Low Back Pain
Funding acknowledgements: There was no funding received in relation to the study.
Purpose: This study evaluated the real world effectiveness of the community pain management service on patient reported outcomes in people with chronic MSK pain.
Methods: This was a service evaluation based on anonymised retrospective data from routinely recorded patient clinical records for the community pain management service. Individuals with chronic MSK pain who were referred by their General Practitioners (GPs) or MSK physiotherapists were recruited to community pain management services based in Trafford and South Manchester. Information on level of disability, fear and anxiety response, level of depression, and self-efficacy belief at baseline and post-intervention collected using Roland Morris Disability Questionnaire (RMDQ), the Pain Anxiety Symptoms Scale (PASS), the centre of Epidemiological Studies-Depression (CES-D), and the Pain Self-Efficacy Questionnaire (PSEQ), respectively was extracted from patient clinical records. A Wilcoxon signed rank test was performed to examine if there was any significance difference between data at baseline and post intervention using Statistical Packages for the Social Sciences (SPSS) Version 23, with significance level set at p 0.05.
Results: A total of 49 patients with the mean (± SD) age of 51.67 ± (3.51) years (range 48 - 55) participated in this study. The median values of level of disability, fear and anxiety response, level of depression, and self-efficacy response from baseline to post-intervention were 12 to 6, 62 to 8, 16 to 15, and 29 to 48, respectively. There were significant differences in the fear and anxiety, level of depression, and self-efficacy between the baseline and post-intervention data all p 0.001.
Conclusion(s): The preliminary findings of this study suggested that the community pain management service was an effective intervention for individuals with chronic MSK pain.
Implications: Future studies need to examine the effectiveness of the intervention in a larger population and compare the intervention with usual care for managing patients with the condition. In addition, future studies are required to examine the effectiveness of the intervention on clinical outcomes, and resource utilisation associated with the intervention.
Keywords: Effectiveness, Community Pain Management, Low Back Pain
Funding acknowledgements: There was no funding received in relation to the study.
Topic: Pain & pain management; Musculoskeletal; Globalisation: health systems, policies & strategies
Ethics approval required: No
Institution: National Health Service
Ethics committee: Health Research Authority, United Kingdom.
Reason not required: This was a service evaluation of a community pain management programme in the National Health Service not requiring ethical approval according to Health Research Authority, United Kingdom.
All authors, affiliations and abstracts have been published as submitted.
