Pain Management Program Follow-Ups. A National Survey of Current Practice in the United Kingdom
Open accessAbstract
In the United Kingdom (UK), the number of multidisciplinary pain management programs (PMP) has sharply increased in the last decade. Treatment aims to effect long-term changes, yet arrangements for evaluating long-term treatment outcome in routine practice remain unknown. All PMPs identified in the UK were invited to provide information by mailed questionnaire on aspects of follow-up evaluation. Sixty-six of 70 PMPs identified were successfully contacted (94% response rate). Ten of 48 PMPs (21%) provided complete data and met suggested criteria for adequate length and rates of follow-up, and outcome measurement. Levels of staffing and content explained only a proportion of the variability seen. A general commitment to follow-up outcome evaluation by PMPs was identified but there was substantial variability among programs in length of follow-up, attendance rates, and outcome measurement. These findings raise issues about the consistency of follow-up evaluation across the UK and the ability of current arrangements in some PMPs to accurately determine the longer-term outcome of chronic pain patients. Incorporating follow-ups into existing desirable criteria and agreeing on core outcome measures are two options available to service providers.
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The overall response rate was 65.1%, which fell only slightly short of the 70% cut point recommended by Peat et al. (2001).
“First, the overall response rate was a relatively modest 65.1%, although it fell only slightly short of the 70% cut point recommended by Peat et al. (2001) following a UK national survey of interdisciplinary pain programmes and the follow-up period used here was considerably longer than the survey period of less than one year used by Peat and colleagues to identify that cut-point.”
From Acceptance and values-based action in chronic pain: A three-year follow-up analysis of treatment effectiveness and process (2011) · cites this paper as Peat et al. (2001)
The Statistical Analysis section (page unavailable) sets 70% as the cut-off for an acceptable patient follow-up rate, supporting the comparison with 65.1%; that figure belongs to the citing study, not Peat et al. But the Length of Follow-Up section (page unavailable) reports follow-up points ranging from one month to three years. The source did not identify the 70% cut-off from a follow-up period of less than one year. (LLM, conf=0.88)
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Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
Rosenstiel, A. K., & Keefe, F. J. (1983) · Pain · doi:10.1016/0304-3959(83)90125-2 · Cited by 2,314 · see citing works
Morley, S., Eccleston, C., & Williams, A. (1999) · Pain · doi:10.1016/s0304-3959(98)00255-3 · Cited by 1,597 · see citing works
Efficacy of multidisciplinary pain treatment centers: a meta-analytic review.
Flor, H., Fydrich, T., & Turk, D. C. (1992) · Pain · doi:10.1016/0304-3959(92)90145-2 · Cited by 1,227 · see citing works
Advances in exercise adherence
Dishman, R. K. (1994) · Human Kinetics eBooks · Cited by 1,017 · see citing works
Fink, A. (2003) · doi:10.4135/9781412986328 · Cited by 701 · see citing works
The transtheoretical model : Applications to exercise
Prochaska, J. O., & Marcus, B. H. (1994) · Cited by 512 · see citing works
Systematic review of outpatient services for chronic pain control.
McQuay, Moore, Eccleston, Morley, & Williams, A. C. D. C. (1997) · Health Technology Assessment · doi:10.3310/hta1060 · Cited by 424 · see citing works
An Overview of Interventions to Improve Compliance With Appointment Keeping for Medical Services
Macharia, W. (1992) · JAMA · doi:10.1001/jama.1992.03480130129038 · Cited by 369 · see citing works
Mail Surveys: Improving the Quality
Mangione, T. W. (1995) · Medical Entomology and Zoology · Cited by 320 · see citing works
Turk, D. C., & Rudy, T. E. (1991) · Pain · doi:10.1016/0304-3959(91)90142-k · Cited by 311 · see citing works
The development of a battery of measures for assessing physical functioning of chronic pain patients
Harding, V. R., Williams, A. C. D. C., Richardson, P. H., Nicholas, M. K., Jackson, J. L., Richardson, I. H., & Pither, C. E. (1994) · Pain · doi:10.1016/0304-3959(94)90131-7 · Cited by 210 · see citing works
Inpatient vs. outpatient pain management: results of a randomised controlled trial
de Williams, C. A. C., Richardson, P. H., Nicholas, M. K., Pither, C. E., Harding, V. R., Ridout, K. L., Ralphs, J. A., Richardson, I. H., Justins, D. M., & Chamberlain, J. H. (1996) · Pain · doi:10.1016/0304-3959(96)02996-x · Cited by 199 · see citing works
Turk, D. C., & Rudy, T. E. (1990) · Pain · doi:10.1016/0304-3959(90)90046-g · Cited by 190 · see citing works
Davidson, R. (1998) · Springer eBooks · doi:10.1007/978-1-4899-1934-2_2 · Cited by 178 · see citing works
A review of follow-up studies of multidisciplinary pain units
Aronoff, G. M., Evans, W. Ο., & Enders, P. L. (1983) · Pain · doi:10.1016/0304-3959(83)90081-7 · Cited by 136 · see citing works
Lanes, T. C., Gauron, E. F., Spratt, K. F., Wernimont, T., Found, E. M., & Weinstein, J. N. (1995) · Spine · doi:10.1097/00007632-199504000-00012 · Cited by 88 · see citing works
Attrition from a pain management programme
Coughlan, G., Ridout, K., Williams, A. C. D. C., & Richardson, P. H. (1995) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1995.tb01481.x · Cited by 48 · see citing works
Research in Health Care: Design, Conduct and Interpretation of Health Services Research
Crombie, I. K., & Davies, H. T. O. (1996) · Medical Entomology and Zoology · Cited by 48 · see citing works
Research in health care: Design, conduct and interpretation of health services research
Benzeval, M. (1996) · Health & Place · doi:10.1016/1353-8292(96)84186-4 · Cited by 39 · see citing works
Seers, K., ACdeC, W., Richardson, P., & Collett, B. (1997) · Cited by 9 · see citing works
Inpatient vs Outpatient Pain Management
Saper, J. R., Lake, A. E., & Palmer, D. D. (1997) · Topics in Pain Management · doi:10.1097/00587875-199702000-00001 · Cited by 6 · see citing works
Flagged first, then by citations
2 of the 26 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Melzack RA, Wall PD. The challenge of pain. London: Penguin Books, 1996.
- Nicholas MK. Self-efficacy and chronic pain. Pa- per presented at the annual conference of the Brit- ish Psychological Society, St Andrews, 1989.
Cited by
Sorted by citations
Vowles, K. E., McCracken, L. M., & O’Brien, J. Z. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.08.002 · Cited by 179 · see citing works
Kaiser, U., Sabatowski, R., & Azad, S. C. (2015) · Der Schmerz · doi:10.1007/s00482-015-0030-4 · Cited by 160 · see citing works
Returning the chronically unemployed with low back pain to employment
Watson, P., Booker, C. K., Moores, L. L., & Main, C. J. (2003) · European Journal of Pain · doi:10.1016/j.ejpain.2003.11.003 · Cited by 116 · see citing works
Prioritising pain in policy making: The need for a whole systems perspective
Phillips, C. J., Main, C. J., Buck, R., Aylward, M., Wynne‐Jones, G., & Farr, A. (2008) · Health Policy · doi:10.1016/j.healthpol.2008.03.008 · Cited by 58 · see citing works
The CONFbal scale: a measure of balance confidence—a key outcome of rehabilitation
Simpson, J. M., Worsfold, C., Fisher, K., & Valentine, J. D. (2009) · Physiotherapy · doi:10.1016/j.physio.2008.12.004 · Cited by 49 · see citing works
Efficacy of Interdisciplinary Treatment for Chronic Nonmalignant Pain Patients in Japan
Kitahara, M., Kojima, K. K., & Ohmura, A. (2006) · Clinical Journal of Pain · doi:10.1097/01.ajp.0000210909.49923.df · Cited by 33 · see citing works
Schmerztherapeutische Angebote an Kliniken in Deutschland
Lindena, G., Hildebrandt, J., Diener, H., Sch�ps, P., & Maier, C. (2004) · Der Schmerz · doi:10.1007/s00482-003-0249-3 · Cited by 27 · see citing works
Scascighini, L., Litschi, M., Walti, M., & Sprott, H. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01085.x · Cited by 23 · see citing works
Psychological approaches for the nursing management of chronic pain: part 2
Richardson, C., Adams, N., & Poole, H. M. (2006) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01456.x · Cited by 23 · see citing works
Kozlowska, K., & Khan, R. (2011) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104510387886 · Cited by 20 · see citing works
Smith, J. G., Knight, L., Stewart, A., Smith, E., & McCracken, L. M. (2015) · British Journal of Pain · doi:10.1177/2049463715601445 · Cited by 20 · see citing works
Arthroplasty – current strategies for the management of knee osteoarthritis
Ahmad, S. S., Gantenbein, B., Evangelopoulos, D. S., Schär, M. O., Schwienbacher, S., Kohlhof, H., & Kohl, S. (2015) · Swiss Medical Weekly · doi:10.4414/smw.2015.14096 · Cited by 17 · see citing works
Sustainability of cognitive behavioural interventions for chronic back pain: A long‐term follow‐up
Riecke, J., Rief, W., Lemmer, G., & Glombiewski, J. A. (2024) · European Journal of Pain · doi:10.1002/ejp.2160 · Cited by 15 · see citing works
The use of complementary and alternative therapies for fibromyalgia
Hardy-Pickering, R., Adams, N., Sim, J., Roe, B. H., & Wallymahmed, A. H. (2007) · Physical Therapy Reviews · doi:10.1179/108331907x222930 · Cited by 8 · see citing works
Samwel, H. J. A., Kraaimaat, F. W., Crul, B. J. P., van Dongen, R. T. M., & Evers, A. W. M. (2009) · Journal of Musculoskeletal Pain · doi:10.1080/10582450802675852 · Cited by 7 · see citing works
The development of a measurement tool for the assessment of pain behaviour in real time
Moores, L. L., & Watson, P. (2004) · Physiotherapy · doi:10.1016/s0031-9406(03)00010-5 · Cited by 7 · see citing works
Living and doing with chronic pain: clients' and occupational therapists' perspectives
van Huet, H. (2011) · The Sydney eScholarship Repository (The University of Sydney) · Cited by 3 · see citing works
Multidisciplinary Approach and Chronic Pain
Roy, R. G. (2008) · Springer eBooks · doi:10.1007/978-0-387-76296-8_10 · Cited by 2 · see citing works
- Authors
- Peat, G. M., Moores, L., Goldingay, S., & Hunter, M.
- Affiliations
- Salford Royal Hospital (GB)
- Corresponding author
- Peat, George M
- ORCID
- Peat, George M
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2001-03
- Volume
- 21
- Issue
- 3
- Pages
- 218-226
- ISSN
- 0885-3924 (ISSN-L)
- OpenAlex
- W2070152706
- Cited by
- 18
- References
- 26
- Citations by year
- 2023: 1 · 2015: 3
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Keele University
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- follow-up evaluation, long-term treatment outcomes, chronic pain, outcome measurement, program staffing, attendance rate, core outcome measures, United Kingdom
- MeSH terms
- Chronic Disease, Cross-Sectional Studies, Follow-Up Studies, United Kingdom, Humans, Palliative Care, Surveys and Questionnaires, Health Care Surveys
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