The Library
Effectiveness and cost-effectiveness of a novel, group self-management course for adults with chronic musculoskeletal pain: study protocol for a multicentre, randomised controlled trial (COPERS)
Tools
Carnes, Dawn, Taylor, Stephanie J. C. , Homer, Kate, Eldridge, Sandra, Bremner, Stephen, Pincus, Tamar, Rahman, A (Anisur) and Underwood, Martin (2013) Effectiveness and cost-effectiveness of a novel, group self-management course for adults with chronic musculoskeletal pain: study protocol for a multicentre, randomised controlled trial (COPERS). BMJ Open, Volume 3 (Number 1). Article number e002492. doi:10.1136/bmjopen-2012-002492 ISSN 2044-6055.
|
Text
WRAP_Underwood_BMJ Open-2013-Carnes-.pdf - Published Version Available under License Creative Commons Attribution 2.0.. Download (532Kb) | Preview |
Official URL: http://dx.doi.org/10.1136/bmjopen-2012-002492
Abstract
Introduction: Chronic musculoskeletal pain is a
common condition that often responds poorly to
treatment. Self-management courses have been
advocated as a non-drug pain management
technique, although evidence for their effectiveness
is equivocal. We designed and piloted a
self-management course based on evidence for
effectiveness for specific course components and
characteristics.
Methods/analysis: COPERS (coping with persistent
pain, effectiveness research into self-management) is
a pragmatic randomised controlled trial testing the
effectiveness and cost-effectiveness of an intensive,
group, cognitive behavioural-based, theoretically
informed and manualised self-management course
for chronic pain patients against a control of best
usual care: a pain education booklet and a relaxation
CD. The course lasts for 15 h, spread over 3 days,
with a –2 h follow-up session 2 weeks later. We aim
to recruit 685 participants with chronic
musculoskeletal pain from primary, intermediate and
secondary care services in two UK regions. The
study is powered to show a standardised mean
difference of 0.3 in the primary outcome, pain-related
disability. Secondary outcomes include generic
health-related quality of life, healthcare utilisation,
pain self-efficacy, coping, depression, anxiety and
social engagement. Outcomes are measured at 6 and
12 months postrandomisation. Pain self-efficacy is
measured at 3 months to assess whether change
mediates clinical effect.
Ethics/dissemination: Ethics approval was given
by Cambridgeshire Ethics 11/EE/046. This trial will
provide robust data on the effectiveness and
cost-effectiveness of an evidence-based, group
self-management programme for chronic
musculoskeletal pain. The published outcomes will
help to inform future policy and practice around such
self-management courses, both nationally and
internationally.
Trial registration: ISRCTN24426731.
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
||||
Divisions: | 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): | Musculoskeletal system, Myalgia, Muscles -- Diseases, Backache, Back -- Diseases, Pain, Chronic pain, Clinical trials -- Great Britain | ||||
Journal or Publication Title: | BMJ Open | ||||
Publisher: | BMJ | ||||
ISSN: | 2044-6055 | ||||
Official Date: | 2013 | ||||
Dates: |
|
||||
Volume: | Volume 3 | ||||
Number: | Number 1 | ||||
Page Range: | Article number e002492 | ||||
DOI: | 10.1136/bmjopen-2012-002492 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Date of first compliant deposit: | 24 December 2015 | ||||
Date of first compliant Open Access: | 24 December 2015 | ||||
Funder: | National Institute for Health Research (Great Britain) (NIHR), Birmingham Science City, Advantage West Midlands (AWM) | ||||
Grant number: | RP-PG0707-10189 (NIHR) |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year