Evidence map›Paper›PMID 35866327›Full record

ArticlePrimary health care research & development2022

A pilot trial investigating the feasibility of a future randomised controlled trial of Individualised Placement and Support for people unemployed with chronic pain recruiting in primary care.

Karen Walker-Bone, Simon Ds Fraser, Cathy Price, Nick Maguire, Cyrus Cooper, Ira Madan, Georgia Ntani, Cathy L Linaker

Open access · goldAbstract read
In one paragraph

Article in Primary health care research & development, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Trial
  2. Trial
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 at 4 institutions in 1 country.

Karen Walker-BoneMRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.ORCID 0000-0002-5992-1459
Simon Ds FraserPrimary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
Cathy PricePrimary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
Nick MaguireDepartment of Psychology, University of Southampton, Southampton, UK.
Cyrus CooperMRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.ORCID 0000-0003-3510-0709
Ira MadanOccupational Health Service, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Georgia NtaniMRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.
Cathy L LinakerMRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.ORCID 0000-0003-1091-9283
Arthritis UK · GBUniversity of Southampton · GBKing's College London · GBSolent NHS Trust · GB

Funding

Department of Health 15/108/02Medical Research Council G0400491Medical Research Council MC_PC_21000Medical Research Council MC_PC_21001Medical Research Council MC_PC_21003Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1
6 · The paper itself

Abstract

backgroundWe investigated the feasibility of recruiting patients unemployed for more than 3 months with chronic pain using a range of methods in primary care in order to conduct a pilot trial of Individual Placement and Support (IPS) to improve quality of life outcomes for people with chronic pain.

methodsThis research was informed by people with chronic pain. We assessed the feasibility of identification and recruitment of unemployed patients; the training and support needs of employment support workers to integrate with pain services; acceptability of randomisation, retention through follow-up and appropriate outcome measures for a definitive trial. Participants randomised to IPS received integrated support from an employment support worker and a pain occupational therapist to prepare for, and take up, a work placement. Those randomised to Treatment as Usual (TAU) received a bespoke workbook, delivered at an appointment with a research nurse not trained in vocational rehabilitation.

resultsUsing a range of approaches, recruitment through primary care was difficult and resource-intensive (1028 approached to recruit 37 eligible participants). Supplementing recruitment through pain services, another 13 people were recruited (total

conclusionA definitive randomised controlled trial is not currently feasible for recruiting through primary care in the UK. Although a trial recruiting through pain services might be possible, participants could be unrepresentative in levels of disability and associated health complexities. Retention of participants over 12 months proved challenging, and methods for reducing attrition are required. The intervention has been manualised.

Indexed as

Chronic PainUnemploymentFeasibility StudiesHumansPilot ProjectsPrimary Health CareQuality of LifeRandomized Controlled Trials as Topicchronic painpilotquality of liferecruitmentvocational rehabilitation

Identifiers

PMID35866327
PMCPMC9309751
OpenAlexW4286459570

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.