Evidence map›Paper›PMID 32280484›Full record

ArticlePilot and feasibility studies2020

Exploring the views of stakeholders about the feasibility of carrying out a randomised controlled trial of Individual Placement and Support for people unemployed with chronic pain based in primary care (the InSTEP study).

Michelle M Holmes, Sabina C Stanescu, Catherine Linaker, Catherine Price, Nick Maguire, Simon Fraser, Cyrus Cooper, Karen Walker-Bone

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michelle M Holmes1Psychology, University of Southampton, Southampton, SO17 1BJ UK.
Sabina C Stanescu1Psychology, University of Southampton, Southampton, SO17 1BJ UK.
Catherine Linaker2Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, Southampton General Hospital, University of Southampton, Southampton, SO16 6YD UK.
Catherine Price3Medical Research Council Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD UK.
Nick Maguire1Psychology, University of Southampton, Southampton, SO17 1BJ UK.
Simon Fraser5Solent NHS Trust, Highpoint Venue, Bursledon Rd, Southampton, SO19 8BR UK.
Cyrus Cooper3Medical Research Council Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD UK.
Karen Walker-Bone2Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, Southampton General Hospital, University of Southampton, Southampton, SO16 6YD UK.

Funding

Department of Health 15/108/02Medical Research Council G0400491Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2Medical Research Council MC_UU_12011/5Versus Arthritis 22090
6 · The paper itself

Abstract

backgroundIndividual Placement and Support (IPS) is a model of vocational rehabilitation originally developed to help people with severe mental illness obtain and maintain employment. Work disability is common amongst people with chronic pain conditions, yet few effective interventions exist. As part of mixed-methods feasibility research and as a forerunner to a pilot trial (In STEP), we investigated the barriers and facilitators to carrying out a future randomised controlled trial of IPS set in primary care amongst people unemployed with chronic pain.

methodsSemi-structured interviews and focus groups were conducted with: unemployed people with health conditions receiving IPS (clients), Employment Support Workers (ESWs) delivering IPS for people with chronic health conditions and primary healthcare professionals. Interviews and focus groups were transcribed verbatim and analysed with field notes using thematic analysis.

resultsAll stakeholders generally viewed a future trial of IPS positively and deemed both the intervention and treatment as usual acceptable. Themes that emerged regarding potential barriers were recruitment, the importance of recruiting people voluntarily who wanted to return to work and were motivated to do so and giving them agency in the process; a need for additional training and support of the ESWs; and a risk of over-burdening participants with paperwork. Regarding facilitators however, the themes were offering the intervention early after unemployment, the importance of relationship and continuity with the ESWs and that an employment intervention could bring a range of health benefits.

conclusionsAll stakeholders thought that a randomised trial was potentially feasible and highlighted some potential advantages of participation.

trial registrationStudy no ISRCTN30094062.

Indexed as

Chronic painFeasibilityIndividual Placement and Support (IPS)UnemploymentVocational rehabilitation

Identifiers

PMID32280484
PMCPMC7126410

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.