AOT1.1 Management of chronic pain in primary care

Development of practice-based, pharmacist-led management of chronic pain in primary care for evaluation by a randomised controlled trial

The project developed and tested a training package for pharmacists to ensure standardisation of the intervention; tested recruitment methods; estimated consent and participation rates; calculated response rates and effect sizes to inform future sample size calculations; confirmed the most appropriate outcome measures and unit of randomisation; interviewed pharmacists and GPs to ascertain feasibility and acceptability and gain feedback for modifications; and determined the acceptability of the proposed intervention to participants.

Outcome and Translation

Findings from the work were used to redesign the intervention and outcomes measures for a future definitive Phase III RCT.

HERU researchers involved in this research project: Paul McNamee and Aileen Neilson

External Collaborators: P Hannaford (Research & Knowledge Exchange, University of Aberdeen); BH Smith, AM Elliott, AJ Lee, MC Watson, C Bond (Academic Primary Care, University of Aberdeen);  A Lee (Population Health, University of Aberdeen) and R Holland (University of East Anglia)

Publications

Bruhn, H., Bond, C.M., Elliott, A.M., Hannaford, P.C., Lee, A.J., McNamee, P., Smith, B.H., Watson, M.C., Holland, R. and Wright, D. (2013) 'Pharmacist-led management of chronic pain in primary care: results from a randomised controlled exploratory trial', BMJ Open, 3(4), e002361.

Neilson, A. R., Bruhn, H., Bond, C. M., Elliott, A. M., Smith, B. H., Hannaford, P. C., Holland, R., Lee, A. J., Watson, M., Wright, D. and McNamee, P. (2015) 'Pharmacist-led management of chronic pain in primary care: costs and benefits in a pilot randomised controlled trial', BMJ Open, 5(4), e006874.

Presentations

Bruhn, H., Bond, C., Elliott, A., Hannaford, P., Lee, A., McNamee, P., Smith, B., Watson, M., Blyth, A., Holland, R. and Wright, D. (2010) 'Developing an RCT of general practice-based, pharmacist-led, management of chronic pain: the PIPPC study', [Poster], Society for Academic Primary Care (SAPC) Annual Meeting, Norwich, July 2010.

Bruhn, H., Bond, C., Elliott, A., Hannaford, P., Lee, A., McNamee, P., Smith, B., Watson, M., Blyth, A., Holland, R. and Wright, C. (2010) 'Developing a pharmacist-led chronic pain management service', International Social Pharmacy Workshop, Lisbon, August 2010.

Bruhn, H., McNamee, P., Bond, C. and Holland, R. (2010) 'Is the combined WHOQOL-Bref and Pain and Discomfort Module a valuable outcome measure to use in assessing chronic pain?', [Poster], International Society for Quality of Life Research (ISOQOL) Annual Meeting, London, September 2010.

Bond, C., Bruhn, H., Blyth, A., Elliott, A., Hannaford, P., Holland, R., Lee, A., McNamee, P., Smith, B., Watson, M. and Wright, D. (2011) 'Pharmacist-led management of chronic pain in primary care: the experiences of patients, pharmacists and GPs', Royal Pharmaceutical Society Conference, London, September 2011.

Neilson, A. R., Bruhn, H., Bond, C. and McNamee, P. (2014) 'Are socio-demographic variables associated with ICECAP-O values?' (pdf), 3rd ICECAP Users’ Group Workshop, University of Birmingham, 27 February 2014.

Neilson, A. R., Bruhn, H., Bond, C. and McNamee, P. (2014) 'Are socio-demographic variables associated with ICECAP-O values?', 15th Biennial European Meeting of the Society for Medical Decision Making, Antwerp, Belgium, 8-10 June 2014.

Neilson, A. R., Bruhn, H., Bond, C. and McNamee, P. (2015) 'Are socio-demographic and economic variables associated with ICECAP-O values?', [pdf] 3rd Annual Healthcare Improvement Scotland Research Symposium: Bringing Evidence Together, The Merchants' Hall, Edinburgh, 26 March 2015.

Neilson, A. R., Bruhn, H., Bond, C. and McNamee, P. (2015) 'Are socio-demographic and economic variables associated with ICECAP values?', [Poster presentation] NHS Research Scotland (NRD Annual Conference), Queen Elizabeth Teaching and Learning Centre, Glasgow, 28 October 2015.

Neilson, A. R., Bruhn, H., Bond, C., Elliott, A., Smith, B. H., Hannaford, P., Holland, R., Lee, A., Watson, M., Wright, D. and McNamee, P. (2015) 'Pharmacist-led management of chronic pain in primary care: costs and benefits in a pilot randomised trial', [Poster presentation] NHS Research Scotland (NRD Annual Conference), Queen Elizabeth Teaching and Learning Centre, Glasgow, 28 October 2015.