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British Journal of Pain    [9 followers]  Follow    
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
     ISSN (Print) 2049-4637 - ISSN (Online) 2049-4645
     Published by Sage Publications Homepage  [718 journals]
  • Editorial
    • Authors: Cox; F.
      Pages: 5 - 5
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713517104|hwp:resource-id:spbjp;8/1/5
      Issue No: Vol. 8, No. 1 (2014)
  • Guest Editorial
    • Authors: Hart; O.
      Pages: 6 - 7
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713517605|hwp:resource-id:spbjp;8/1/6
      Issue No: Vol. 8, No. 1 (2014)
  • Letter to the Editor
    • Authors: Das; M.
      Pages: 8 - 8
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713518708|hwp:resource-id:spbjp;8/1/8-a
      Issue No: Vol. 8, No. 1 (2014)
  • Letter to the Editor
    • Authors: Manson; C.
      Pages: 8 - 8
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713517193|hwp:resource-id:spbjp;8/1/8
      Issue No: Vol. 8, No. 1 (2014)
  • Problematic pain - redefining how we view pain'
    • Authors: Barker, C; Taylor, A, Johnson, M.
      Pages: 9 - 15
      Abstract: The term ‘problematic pain’ is relatively new and has been the recent source of much debate, especially among primary and community care pain clinicians. In this article, we review the concept of problematic pain, highlighting how it fits in the context of acute, sub-acute and chronic pain. We also examine how risk for the development of chronicity can be assessed using current data and screening tools. The use of ultra-short screening tools for other conditions has previously been evaluated in the literature, and we propose a new tool, to open discussion for the assessment of problematic pain. This is especially relevant in the short consultation where it can be difficult to capture meaningful information quickly. Finally, we focus upon new initiatives currently in progress in the arena of problematic pain in the United Kingdom.
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713512618|hwp:master-id:spbjp;2049463713512618
      Issue No: Vol. 8, No. 1 (2014)
  • Part-time, e-learning interprofessional pain management education for the
           primary and community care setting
    • Authors: Jenkins, M. S; Bean, W. G, Luke, K.
      Pages: 16 - 26
      Abstract: Chronic pain is a long-term condition, which has a major impact on patients, carers and the health service. Despite the Chief Medical Officer setting chronic pain and its management as a national priority in 2008, the utilisation of health services by patients with long-term conditions is increasing, people with pain-related problems are not seen early enough and pain-related attendances to accident and emergency departments is increasing. Early assessment with appropriate evidence-based intervention and early recognition of when to refer to specialist and specialised services is key to addressing the growing numbers suffering with chronic pain. Pain education is recommended in many guidelines, as part of the process to address pain in these issues. Cardiff University validated an e-learning, master’s level pain management module for healthcare professionals working in primary and community care. The learning outcomes revolve around robust early assessment and management of chronic pain in primary and community care and the knowledge when to refer on. The module focuses on the biopsychosocial aspects of pain and its management, using a blog as an online case study assessment for learners to demonstrate their knowledge, understanding and application to practice. The module has resulted in learners developing evidence-based recommendations, for pain management in clinical practice.
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713502944|hwp:master-id:spbjp;2049463713502944
      Issue No: Vol. 8, No. 1 (2014)
  • Using health trainers to promote self-management of chronic pain: can it
    • Authors: Harris, J; Williams, T, Hart, O, Hanson, C, Johnstone, G, Muthana, A, Nield, C.
      Pages: 27 - 33
      Abstract: Background: In 2011, the Sheffield Primary Care Trust piloted a Health Trainer (HT) programme targeted specifically to people with chronic pain. The programme aimed to determine whether patients presenting to primary care with chronic pain would benefit from self-management support, thereby reducing the burden on primary care and secondary care services. Methods: We conducted a formative mixed-methods evaluation of the pilot programme, focusing on four aspects of implementation: general practitioner (GP) referral to the programme, HT’s ability to use cognitive behavioural (CB) approaches, short-term outcomes for clients and adequacy of resources. Qualitative data were collected via interviews with GPs, HTs and the chronic pain team; supervision sessions with HTs; and client case studies. Quantitative data were collected on satisfaction with training, HT’s self-reported confidence to implement CB and clients’ self-rated well-being before and after participation. Results: A total of 143 clients with pain for 1 year or more were referred, exceeding the projected 90 referrals by over 50%. A total of 70% of the clients came from the most deprived areas of Sheffield, 40% were listed as permanently sick/disabled and only 20% were working. Qualitative analysis indicated that the CB training was delivered as intended. Clients reported that 75% of their goals were either achieved or partly achieved, and at follow-up 43% of them reported maintaining strategies for self-management. Financial resources were supplemented by indirect resources, including GP ‘champions’ with a special interest in pain, and a multidisciplinary chronic pain team. The prior history of working with community organizations was critical in ensuring credibility in client communities and addressing client needs. Conclusion: A HT programme promoting self-management of chronic pain can be successfully implemented when supported by community organisations. Preliminary data indicate that the programme can be instrumental in helping clients to actively participate in identifying their own problems, set achievable goals for self-management and successfully manage the challenges of everyday life. Summary points Community-based Health Trainer programmes can be successfully established to promote self-management of chronic pain among clients in the deprived areas using multidisciplinary pain management teams. Utilising a community organization infrastructure that has experience of delivering successful programmes was instrumental in ensuring credibility of the initiative and access for clients. Health trainers can integrate cognitive behavioral training with their existing skills to work with clients who have chronic pain.
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713511956|hwp:master-id:spbjp;2049463713511956
      Issue No: Vol. 8, No. 1 (2014)
  • New approaches towards chronic pain: patient experiences of a
           solution-focused pain management programme
    • Authors: Dargan, P. J; Simm, R, Murray, C.
      Pages: 34 - 42
      Abstract: Research has suggested that Solution-Focused Brief Therapy (SFBT) may be effective in facilitating meaningful change for those living with chronic pain. This study aimed to further this understanding through exploring the experiences of people living with chronic pain, who had attended an 8-week solution-focused pain management programme. The design of this study was conducted in consultation with a service-user advisory group, and employed a qualitative and interpretative design rooted in critical community psychology, participatory research frameworks and emancipatory disability research. Five participants opted-in to the study following an opportunity sampling method of persons who had attended a programme in the last 18 months. Interviews were transcribed verbatim and analysed using inductive thematic analysis. Five main themes were identified: ‘Accessing the pain management programme’, ‘A solution-focused group’, ‘The solution-focused clinician’, ‘Solutions and changes’ and ‘Challenges and improvements’. Clinical and research implications of the findings are discussed. Summary points
      There has been an international proliferation of pain management programmes (PMPs) aimed at helping those with chronic pain to live well, despite an unremitting condition.
      Arguably, the most popular psychological approaches used within PMPs are informed by cognitive behavioural therapy (CBT).
      Despite a supportive evidence base for psychological approaches in pain management, there is a recognised need for further research into alternative approaches and their effectiveness.
      Emerging research and policy recommendations are beginning to value the expertise of those living with chronic conditions, particularly how these perspectives can be used to develop effective treatments and services.
      SFBT is an approach aimed at achieving a patient’s goals or ‘preferred future’ through identifying and utilising their expertise. SFBT may have significant efficacy in helping those with chronic conditions to live improved, meaningful lives.
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713516755|hwp:master-id:spbjp;2049463713516755
      Issue No: Vol. 8, No. 1 (2014)
  • Sheffield spinal pathway audit cycle - pathways, mountains and the view
           from the top
    • Authors: Hart, O; Ryton, B. A.
      Pages: 43 - 48
      Abstract: There is good evidence to suggest that a proactive stratified approach to management of spinal pain, taking into account psychosocial as well as biological factors, can realise significant savings for health-care systems and perhaps more importantly, health benefits for society at large. This audit cycle report captures data on quality of care and patient flows before and after the mandating of changes to the referral pathways in primary care. These included the introduction of a simple one-sided referral proforma, bounce back of inappropriate referrals from secondary care to physiotherapy lead teams and implementation of the STarT tool, as a decision aid in primary care.
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713504387|hwp:master-id:spbjp;2049463713504387
      Issue No: Vol. 8, No. 1 (2014)
  • A community pain service solution-focused pain management programme:
           delivery and preliminary outcome data
    • Authors: Simm, R; Iddon, J, Barker, C.
      Pages: 49 - 56
      Abstract: Summary points 1. This article introduces a rationale for a solution-focused approach to a community-based pain management programme (PMP), describing delivery and preliminary outcome data. 2. It suggests PMPs can be feasibly run in the community without necessity for hospital care setting. 3. A community setting is also advantageous in that it allows maintenance of social networks and close third-sector links to support long-term, sustained mental well-being. 4. Solution-focused psychological approaches help the clinician tap into patient expertise and develop rich descriptions of the patient’s preferred future, enhancing self-efficacy and empowerment. 5. Evaluation found significant statistical and clinical improvements in pre–post pain self-efficacy, mental well-being and function (but findings were limited by internal and external validity and no significant effect was found on pain levels). 6. Statistically significant change was maintained at 10 weeks for self-efficacy and function (and for the latter, clinically significant change was also maintained); improvements in mental well-being showed maintenance at all measured time points (up to 12 months) in terms of both statistical and clinical significant changes.
      PubDate: 2014-01-27T02:12:21-08:00
      DOI: 10.1177/2049463713507910|hwp:master-id:spbjp;2049463713507910
      Issue No: Vol. 8, No. 1 (2014)
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