Evidence map›Paper›PMID 37461072›Full record

ArticlePilot and feasibility studies2023

Assessing the feasibility of a clinical trial to evaluate an advanced practice physiotherapy model of care in chronic pain management: a feasibility study.

Jordan Miller, Tom Doulas, Etienne J Bisson, Abey Abebe, Mulugeta Chala, Chad McClintock, Kevin Varette, Kyle Vader, François Desmeules, Kadija Perreault and 4 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05336903 (Development and Feasibility Testing of an Advanced Practice Physiotherapy Role in Chronic Pain Management), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
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

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.

NCT05336903 nacompletednot on this map

Development and Feasibility Testing of an Advanced Practice Physiotherapy Role in Chronic Pain Management

TypeinterventionalSponsorJordan Miller, PT, PhDRan2022 to 2023Enrolled45ConditionsChronic PainArmsAPP-led model of care for chronic pain management
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

14 authors.

Jordan MillerSchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada. jordan.miller@queensu.ca.ORCID http://orcid.org/0000-0002-3819-5283
Tom DoulasChronic Pain Clinic, Kingston Health Sciences Centre - Hotel Dieu Hospital site, Jeanne Mance 3, 166 Brock Street, Kingston, ON, K7L 5G2, Canada.
Etienne J BissonChronic Pain Clinic, Kingston Health Sciences Centre - Hotel Dieu Hospital site, Jeanne Mance 3, 166 Brock Street, Kingston, ON, K7L 5G2, Canada.
Abey AbebeSchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
Mulugeta ChalaSchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
Chad McClintockSchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
Kevin VaretteSchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
Kyle VaderSchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
François DesmeulesSchool of Rehabilitation, Université de Montréal, 7077 Park Avenue, Montréal, Québec, H1T 2M4, Canada.
Kadija PerreaultCentre Interdisciplinaire de Recherche en Réadaptation Et Intégration Sociale, Centre de Santé Et de Services Sociaux de La Capitale-Nationale, 525 Wilfrid-Hamel, Québec City, Québec, G1M 2S8, Canada.
Catherine DonnellySchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
Randy BoothSchool of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
Andrews K TawiahFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, T6G 2G4, Canada.
Scott DugganChronic Pain Clinic, Kingston Health Sciences Centre - Hotel Dieu Hospital site, Jeanne Mance 3, 166 Brock Street, Kingston, ON, K7L 5G2, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain management is challenging for health systems worldwide. Clinical practice guidelines recommend interprofessional chronic pain management, but chronic pain clinics often have lengthy wait-lists. Advanced practice physiotherapists (APP) in orthopedic clinics and emergency departments have provided effective care and reduced wait times. The purpose of this study is to determine the feasibility of a clinical trial to evaluate the effects of integrating an APP into a chronic pain clinic setting. The primary objectives are as follows: (1) determine the feasibility of implementing trial methods by evaluating participant recruitment rates, retention, and assessment completion; (2) determine the feasibility of implementing the APP model of care by monitoring care provided and treatment fidelity; and (3) assess contextual factors that may influence implementation of the APP model of care by exploring the perspectives of patient participants and healthcare providers related to the model of care.

methodsThis will be a single-arm feasibility study with embedded qualitative interviews to assess contextual factors influencing implementation by exploring participant and provider perspectives. Approximately 40 adults with chronic musculoskeletal pain referred for care at an interprofessional chronic pain clinic will be invited to participate in the feasibility study. Approximately 10-12 patient participants and 5-10 health professionals from the interprofessional team will be interviewed using an interpretive description approach. The APP model of care will involve participants seeing a physiotherapist as the first point of contact within the interprofessional team. The APP will complete an initial assessment and make care recommendations. Outcome measures planned for the full trial will be reported descriptively, including pain severity, pain interference, health-related quality of life, psychosocial risk factors for chronic pain, treatment satisfaction, perceived change, healthcare utilization, and healthcare costs over one year. DISCUSSION: This study will inform plans to implement a full-scale study to evaluate the impact of an APP model of care in an interprofessional chronic pain management program. The results of the full study are intended to inform stakeholders considering this model to improve patient-centered and health system outcomes in interprofessional pain management program settings.

trial registrationClinicalTrials.gov, NCT05336903 (Registered April 5, 2022).

Indexed as

Advanced practice physiotherapyChronic painFeasibility studyInterprofessional

Identifiers

PMID37461072
PMCPMC10351139

What OpenQuestion holds

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LicenceCC BY
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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.