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Process evaluation protocol for the I-WOTCH study : an opioid tapering support programme for people with chronic non-malignant pain

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I-WOTCH team (Including: Nichols, Vivien P., Abraham, Charles, Eldabe, Sam , Sandhu, Harbinder, Underwood, Martin and Seers, Kate). (2019) Process evaluation protocol for the I-WOTCH study : an opioid tapering support programme for people with chronic non-malignant pain. BMJ Open, 9 . e028998. doi:10.1136/bmjopen-2019-028998 ISSN 2044-6055.

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Official URL: http://dx.doi.org/10.1136/bmjopen-2019-028998

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Abstract

Introduction The Improving the Wellbeing of people with Opioid Treated CHronic Pain (I-WOTCH) randomised controlled trial uses a multicomponent self-management intervention to help people taper their opioid use. This approach is not widely used and its efficacy is unknown. A process evaluation alongside the trial will help to assess how the intervention was delivered, looking at the dose of intervention received and the fidelity of the delivery. We will explore how the intervention may have brought about change through the experiences of the participants receiving and the staff delivering the intervention and whether there were contextual factors involved.

Methods and analysis A mixed methods process evaluation will assess how the processes of the I-WOTCH intervention fared and whether these affected the outcomes. We will collect quantitative data, for example, group attendance analysed with statistical methods. Qualitative data, for example, from interviews and feedback forms will be analysed using framework analysis. We will use a ‘following a thread’ and a mixed methods matrix for the final integrated analysis.

Ethics and dissemination The I-WOTCH trial and process evaluation were granted full ethics approval by Yorkshire and The Humber—South Yorkshire Research Ethics Committee on 13 September 2016 (16/YH/0325). All data were collected in accordance with data protection guidelines. Participants provided written informed consent for the main trial, and all interviewees provided additional written informed consent. The results of the process evaluation will be published and presented at conferences.

Item Type: Journal Article
Subjects: R Medicine > RB Pathology
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Chronic pain -- Treatment, Clinical trials, Opioids -- Receptors, Drugs -- Prescribing
Journal or Publication Title: BMJ Open
Publisher: BMJ
ISSN: 2044-6055
Official Date: 10 October 2019
Dates:
DateEvent
10 October 2019Published
21 August 2019Accepted
Volume: 9
Article Number: e028998
DOI: 10.1136/bmjopen-2019-028998
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 10 October 2019
Date of first compliant Open Access: 10 October 2019
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
14/224/04[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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