NCT03791164

Brief Summary

This investigation is a mixed methods research proposal to answer the question: 'Does Using the Pain Toolkit Improve Outcomes for Patients accessing the North of England Regional Back Pain Pathway?'. The study is part of a 5 year professional doctorate programme at Teesside University. The aim of the study is to test whether with a double blind randomised controlled trial patients accessing the North of England Regional Back Pain Pathway experience reduced Oswestry Disability Index (ODI) when using the pain toolkit compared to a control group of patients offered the standard treatment. The study also contains a nested qualitative element which aims to explore the participants' experiences of using the Pain Toolkit. According to the British Pain Society (2017), chronic pain management is a significant burden to the National Health Service NHS. Back pain alone accounts for a significant disease burden and loss in productivity among working people (Al Mazroa 2013 and TUC 2008). Commissioners must justify their expenditure on health services to the local population and therefore for an area such as pain management where there is significant disease prevalence (WHO 2013) and significant costs, potential service developments should be considered. The development of the pain toolkit (Pain Toolkit 2017a) as a straightforward, easy to use self-management option offers a potentially cost effective support mechanism for patients but as yet there is no evidence to support its use in clinical practice. This study aims to fill that knowledge gap.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 21, 2018

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 2, 2019

Completed
22 days until next milestone

Study Start

First participant enrolled

January 24, 2019

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2021

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2021

Completed
Last Updated

May 7, 2019

Status Verified

May 1, 2019

Enrollment Period

2.2 years

First QC Date

November 21, 2018

Last Update Submit

May 5, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • a change in the Oswestry Disability Index

    the ODI is a measure of functionality

    baseline, 6 months and 1 year

Secondary Outcomes (3)

  • EQ-5D

    baseline, 6 months and 1 year

  • Questionnaire relating to Healthcare Usage

    baseline, 6 months and 1 year

  • Numerical pain score

    baseline, 6 months and 1 year

Study Arms (2)

Pain Toolkit plus the Back Book

EXPERIMENTAL

Participants who are being discharged from the regional back pain pathway who are allocated the 'Pain Toolkit' booklet along with the control intervention 'the Back Book'. They follow the interventions in the 'PainToolkit' for 12 months and are followed up 6 months and 1 year.

Behavioral: The Pain ToolkitBehavioral: the Back Book

Back Book

ACTIVE COMPARATOR

Participants who are being discharged from the regional back pain pathway who are allocated 'the Back Book'. They are followed up 6 months and 1 year. This is the control group.

Behavioral: the Back Book

Interventions

the Pain Toolkit is a leaflet that encourages self management techniques for patients with chronic pain

Pain Toolkit plus the Back Book
the Back BookBEHAVIORAL

The Back Book is a patient information leaflet that offers information and advice about back pain

Back BookPain Toolkit plus the Back Book

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • : patients with back pain who have been referred to the North of England regional back pain service who consent to take part in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

County Durham and Darlington Nhs Foundation Trust

Durham, DH15TW, United Kingdom

RECRUITING

Related Publications (1)

  • Findley G, Ryan C, Cartwright A, Martin D. Study protocol for an investigation of the effectiveness of the pain toolkit for people with low back pain: double-blind randomised controlled trial. BMJ Open. 2019 Nov 10;9(11):e031266. doi: 10.1136/bmjopen-2019-031266.

Central Study Contacts

CORMAC RYAN

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The investigator and the outcome assessor are blinded as to which intervention the participants have been allocated until after data collection and evaluation
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: This is a randomised controlled trial, with a nested qualitative element
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle Investigator

Study Record Dates

First Submitted

November 21, 2018

First Posted

January 2, 2019

Study Start

January 24, 2019

Primary Completion

April 1, 2021

Study Completion

December 1, 2021

Last Updated

May 7, 2019

Record last verified: 2019-05

Data Sharing

IPD Sharing
Will share

Data relating to the study will be published as a technical appendix to any paper and will be available upon reasonable request once the results have been published

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
following publication of results
Access Criteria
reasonable request to the author

Locations