Developing Effective and Efficient care pathways in chronic Pain: DEEP study protocol

Durham, Justin; Breckons, Matthew; Araujo‐Soares, Vera; Exley, Catherine; Steele, Julie R.; Vale, Luke

doi:10.1186/1472-6831-14-6

Cited by 17 publications

(20 citation statements)

References 47 publications

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“…This study is part of the larger and ongoing DEEP study (Developing Effective and Efficient care pathways in chronic Pain http://research.ncl.ac.uk/deepstudy) and received ethical approval from the UK NHS National Research Ethics Service Committee Leeds West (Ref 12‐YH‐0338). The DEEP study protocol is available on open access and contains full details of the methods of the overall programme of research . Details relevant to this particular part of the DEEP study are included below.…”

Section: Methodsmentioning

confidence: 99%

“…A convenience sample of consecutive patients was drawn from the community (general medical and dental practice) and hospital (specialist dental or medical) practice using the centres recruiting for the DEEP study . Consecutive, consenting, patients presenting with POFP defined as pain affecting the oro‐facial region for ≥3 months were screened for eligibility using two validated screening instruments .…”

Section: Methodsmentioning

confidence: 99%

“…1 Whether variation in the standardised reference period for EQ-5D-5L from 'today' to 'the last month' produced minimum clinically meaningful differences (also known as the minimally important difference) in responses. (33). Details relevant to this particular part of the DEEP study are included below.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

DEEP Study: does EQ‐5D‐5L measure the impacts of persistent oro‐facial pain?

Durham

Steele

Breckons

et al. 2015

J of Oral Rehabilitation

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The EQ-5D-5L is a generic quality of life (QOL) measure widely used throughout the world, which has the advantage that it allows health-state preferences to be elicited. The aim of this study was to examine whether: a) variation in the standardised reference period for EQ-5D-5L from 'today' to 'the last month' had a minimal clinically meaningful difference; (b) EQ-5D-5L had convergent validity with a multidimensional pain measure in quantifying the impacts of pain. As part of a larger study into the effectiveness and efficiency of care pathways for persistent orofacial pain (POFP) (http://research.ncl.ac.uk/deepstudy), participants with POFP (n = 100) completed two versions of the EQ-5D-5L at the same time with different reference periods ('today' vs. 'last month'). Participants also completed the first section of the West Haven-Yale Multidimensional Pain Inventory (v3) to assess convergent validity. Two-tailed nonparametric inferential statistics, intra-class correlation coefficients (ICC), and within-subject change scores were used to compare the two EQ-5D-5L versions. Convergent validity was assessed using Spearman's rho correlation coefficients. Health-state valuations were significantly different (P < 0.01), and there was good similarity between the two versions' ICC 0.86 (95% CI 0.79-0.91). The within-subject mean change was 0.03 (95% CI 0.01-0.06). For convergent validity, all relationships were significant (P < 0.05) and in the expected directions. EQ-5D-5L demonstrates sufficient convergent validity to be used with POFP, and a change in the standard reference period may be unnecessary if a multidimensional pain measure is also used.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

DEEP Study: does EQ‐5D‐5L measure the impacts of persistent oro‐facial pain?

Durham

Steele

Breckons

et al. 2015

J of Oral Rehabilitation

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show abstract

“…Full details of recruitment and data collection procedures are described elsewhere (Durham et al 2014;Durham et al 2016;Breckons et al 2018) and are available with open access at eprint. ncl.ac.uk.…”

Section: Sample and Data Collectionmentioning

confidence: 99%

Predicting Persistent Orofacial Pain: The Role of Illness Perceptions, Anxiety, and Depression

Penlington

Araújo‐Soares

Durham

2019

JDR Clinical & Translational Research

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Introduction: Persistent orofacial pain (POFP) can be caused by a range of conditions affecting the mouth and face and is often associated with significant disability. Biopsychosocial factors are known to be important predictors and have not yet been fully explored in this population. Objectives: This study aimed to explore whether illness perceptions and psychological distress (anxiety and depression) could predict long-term outcome in a community-based sample of patients receiving routine care for POFP. Methods: A longitudinal cohort design study assessed 198 patients recruited from primary or secondary health care settings on 5 separate occasions over a 2-y period. Outcome was measured by the Graded Chronic Pain Scale and dichotomized into good or poor outcome categories. Independent variables included subscale scores of the psychometrically shortened Illness Perception Questionnaire and the Patient Health Questionnaire–4 (PHQ-4, assessing anxiety and depressive symptomatology). Logistic regressions were performed to test whether scores on each subscale would be associated with different outcomes for patients at 12 and 24 mo and overall. Results: Beliefs about consequences predicted outcome category (good vs. poor) above and beyond other illness perception subscales, anxiety, and depressive symptomatology (z = 3.78; P < 0.000; odds ratio [OR], 3.05; 95% confidence interval [CI], 1.71–5.43). Both depressive symptomatology, measured by the PHQ-2 (P = 0.001; OR, 4.06; 95% CI, 1.74–9.52), and psychological distress (mixed anxiety and depression; P = 0.029; OR, 2.88; 95% CI, 1.12–7.41), measured by the PHQ-4, were also predictive of poor outcome, but these effects were no longer significant once measures of illness perceptions were added. Conclusion: Beliefs about the consequences of POFP are important predictors of outcome independent of other variables and can easily and briefly be included in assessments to inform management decisions. Knowledge Transfer Statement: The results of this study are relevant because they will allow clinicians to consider the use of brief and easy-to-administer self-report measures to identify POFP patients at higher risk of poor outcome so that management can be planned accordingly.

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“…Durham et al 22 conducted a study to describe and model current care pathways for orofacial pain patients, identify the areas where current pathways could be modified, and model whether these changes would improve outcomes for patients and use resources more efficiently. The reason orofacial patients require and use resources is because the care system they experience fails to provide them with clear and defined pathways of care based upon early diagnosis and appropriate management.…”

mentioning

confidence: 99%