Evidence map›Paper›PMID 35351106›Full record

ArticleBMC medical education2022

An exploration of primary care healthcare professionals' understanding of pain and pain management following a brief pain science education.

Jagjit Mankelow, Cormac G Ryan, Paul W Green, Paul C Taylor, Denis Martin

Registry-linked trialAbstract read
In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04587596 (An Exploration of the Impact of Pain Education on GP Practice Staff), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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.

NCT04587596 completednot on this map

An Exploration of the Impact of Pain Education on GP Practice Staff: a Mixed Methods Study

TypeobservationalSponsorTeesside UniversityRan2019 to 2019Enrolled15ConditionsChronic PainArmsPain education
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Observational
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  6. Article
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  9. Review
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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

5 authors.

Jagjit MankelowSchool of Health and Life Sciences, Centuria Building, Teesside University, Middlesbrough, Tees Valley, TS1 3BX, England. j.mankelow@tees.ac.uk.
Cormac G RyanSchool of Health and Life Sciences, Centuria Building, Teesside University, Middlesbrough, Tees Valley, TS1 3BX, England.
Paul W GreenLinthorpe Surgery, 378 Linthorpe Road, Middlesbrough, TS5 6HA, England.
Paul C TaylorSchool of Social Sciences, Humanities and Law Education and Social Work, Teesside University Middlesbrough, Middlesbrough, Tees Valley, TS1 3BX, England.
Denis MartinNIHR Applied Research Collaboration for the North East and North Cumbria, Newcastle Upon Tyne, England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent pain is a leading cause of disability worldwide yet implementation of clinical guidelines that recommend a biopsychosocial approach remains a challenge in clinical practise. Limited pain understanding amongst clinicians may be partly responsible for this. PURPOSE OF THE STUDY: 1) Qualitatively explore the experience of receiving PSE, understanding of PSE and operationalisation of PSE-related principles in routine clinical practice. 2) Quantitatively explore pain knowledge, attitudes, and behaviours of general practitioners (GPs) and nurse practitioners (NPs) before and after pain science education (PSE).

methodsAn exploratory, single-site, mixed-methods study in north-east England. Fifteen NPs/GPs completed questionnaires and a case-vignette before and after a 70-min face-to-face PSE lecture. Qualitative data were thematically analysed from two focus groups after the intervention.

resultsClinicians' relatively high prior levels of knowledge, attitudes, and behaviour were similar after PSE. Qualitative themes described facilitation of self-reflection on pain management behaviours, and difficulties in operationalising PSE principles in practise including: limited patient rapport; short appointment times; patients' passive and often oppositional biomedical treatment expectations; and clinicians' lack of readily understandable language to communicate with patients.

conclusionThe findings highlight the value of PSE perceived by these clinicians who were already favourably inclined towards biopsychosocial pain management. They sought more resources for their personal learning and for communication with patients. Even with such favourable disposition, the practicalities and environment of clinical practice impeded the operationalisation of PSE-related principles.

trial registrationThis study was prospectively registered at ClinicalTrials.Gov ( NCT04587596 ) in October 2020.

Indexed as

General PractitionersPain ManagementDelivery of Health CareHumansPainPrimary Health CareGPsMixed-methodsNurse practitionersPain education

Identifiers

PMID35351106
PMCPMC8962069

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Registered trials

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.