Evidence map›Paper›PMID 34180996›Full record

ArticlePain medicine (Malden, Mass.)2021

Experiences of Patient-Led Chronic Pain Peer Support Groups After Pain Management Programs: A Qualitative Study.

Michelle Farr, Heather Brant, Rita Patel, Myles-Jay Linton, Nicholas Ambler, Sareeta Vyas, Hannah Wedge, Sue Watkins, Jeremy Horwood

Open access · hybridAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Chronic Pain in Community: A Mixed Methods Evaluation of the Vet-to-Vet Program.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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  7. A True Community: The Vet-to-Vet Program for Chronic Pain.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  8. Sexual health and chronic low back pain: A qualitative study.North American Spine Society journal · 2025
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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

9 authors at 2 institutions in 1 country.

Michelle FarrThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Whitefriars, Lewins Mead, Bristol, UK.ORCID 0000-0001-8773-846X
Heather BrantThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Whitefriars, Lewins Mead, Bristol, UK.ORCID 0000-0001-9608-7451
Rita PatelThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Whitefriars, Lewins Mead, Bristol, UK.
Myles-Jay LintonThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Whitefriars, Lewins Mead, Bristol, UK.
Nicholas AmblerPain Management Service, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Sareeta VyasPain Management Service, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Hannah WedgePain Management Service, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Sue WatkinsPain Management Service, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Jeremy HorwoodThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Whitefriars, Lewins Mead, Bristol, UK.
University Hospitals Bristol NHS Foundation Trust · GBNorth Bristol NHS Trust · GB

Funding

Department of Health and Social CareNational Institute for Health Research Applied Research Collaboration WestNIHR
6 · The paper itself

Abstract

objectiveA qualitative study of patients' experiences and the impacts of peer support groups that patients maintained after UK NHS group pain management programs (PMPs).

designLong-term impacts of group PMPs remain unclear, with indications that positive effects can fade. We evaluated a model of continued peer support, co-produced by patients and clinicians, to maintain the therapeutic impact of PMP groups. A protocol was implemented that encouraged patients to continue to meet in their established PMP group for patient-led peer support (without clinical input) after PMPs finished. Peer support aimed to consolidate self-management, and advance social life recovery. We examined the impacts that groups had on attendees, and why some dropped out.

methodsSemi-structured interviews with 38 patients and 7 clinicians, analyzed thematically.

resultsFriendship bonds and mutual understandings of effective ways of coping with pain encouraged participants to maintain recovery following PMPs. After PMP professional involvement has ended, these meetings enabled patients to develop greater agency from the shared sense of helping bring about new achievements or averting setbacks. Peer support extended the understanding of what is possible when living with pain. However, continuing meetings were not right for all. Reasons for not attending included lack of connection with peers.

conclusionsCo-produced peer support groups after PMPs can be a low-cost, effective social intervention, providing emotional, practical and social benefits, with improved self-management skills, stronger social connections and some reduced use of health services. Project resources for developing peer support meetings after PMPs are freely available online.

Indexed as

Chronic PainPain ManagementHumansPeer GroupQualitative ResearchSelf-Help GroupsSocial SupportChronic PainCo-ProductionPain Management ProgramsPeer SupportSelf-ManagementSocial Intervention

Identifiers

PMID34180996
PMCPMC8665998
OpenAlexW3173297568

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.