Rationale, design and methods of the Study of Work and Pain (SWAP): a cluster randomised controlled trial testing the addition of a vocational advice service to best current primary care for patients with musculoskeletal pain (ISRCTN 52269669)

Annette Bishop, Gwenllian Wynne-jones, Sarah A Lawton, Danielle Van Der Windt, Chris Main, Gail Sowden, A Kim Burton, Martyn Lewis, Sue Jowett, Tom Sanders, Elaine M Hay, Nadine E Foster

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background
Musculoskeletal pain is a major contributor to short and long term work absence. Patients seek care from their general practitioner (GP) and yet GPs often feel ill-equipped to deal with work issues. Providing a vocational case management service in primary care, to support patients with musculoskeletal problems to remain at or return to work, is one potential solution but requires robust evaluation to test clinical and cost-effectiveness.

Methods/Design
This protocol describes a cluster randomised controlled trial, with linked qualitative interviews, to investigate the effect of introducing a vocational advice service into general practice, to provide a structured approach to managing work related issues in primary care patients with musculoskeletal pain who are absent from work or struggling to remain in work. General practices (n = 6) will be randomised to offer best current care or best current care plus a vocational advice service. Adults of working age who are absent from or struggling to
remain in work due to a musculoskeletal pain problem will be invited to participate and 330 participants will be recruited. Data collection will be through patient completed questionnaires at baseline, 4 and 12 months. The primary outcome is self-reported work absence at 4 months. Incremental cost-utility analysis will be undertaken to calculate the cost per additional QALY gained and incremental net benefits. A linked interview study will explore the experiences of the vocational advice service from the perspectives of GPs, nurse practitioners (NPs), patients and vocational advisors.

Discussion
This paper presents the rationale, design, and methods of the Study of Work And Pain (SWAP) trial. The results of this trial will provide evidence to inform primary care practice and guide the development of services to provide support for musculoskeletal pain patients with work-related issues.

Trial registration
Current Controlled Trials ISRCTN52269669.
LanguageEnglish
JournalBMC Musculoskeletal Disorders
Volume15
DOIs
Publication statusPublished - 10 Jul 2014

Fingerprint

Musculoskeletal Pain
Primary Health Care
Randomized Controlled Trials
Pain
General Practice
Cost-Benefit Analysis
Interviews
Return to Work
Nurse Practitioners
Quality-Adjusted Life Years
Case Management
General Practitioners
Patient Care
Costs and Cost Analysis

Cite this

Bishop, Annette ; Wynne-jones, Gwenllian ; Lawton, Sarah A ; Van Der Windt, Danielle ; Main, Chris ; Sowden, Gail ; Burton, A Kim ; Lewis, Martyn ; Jowett, Sue ; Sanders, Tom ; Hay, Elaine M ; Foster, Nadine E. / Rationale, design and methods of the Study of Work and Pain (SWAP) : a cluster randomised controlled trial testing the addition of a vocational advice service to best current primary care for patients with musculoskeletal pain (ISRCTN 52269669). In: BMC Musculoskeletal Disorders. 2014 ; Vol. 15.
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Rationale, design and methods of the Study of Work and Pain (SWAP) : a cluster randomised controlled trial testing the addition of a vocational advice service to best current primary care for patients with musculoskeletal pain (ISRCTN 52269669). / Bishop, Annette; Wynne-jones, Gwenllian; Lawton, Sarah A; Van Der Windt, Danielle; Main, Chris; Sowden, Gail; Burton, A Kim; Lewis, Martyn; Jowett, Sue; Sanders, Tom; Hay, Elaine M; Foster, Nadine E.

In: BMC Musculoskeletal Disorders, Vol. 15, 10.07.2014.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Rationale, design and methods of the Study of Work and Pain (SWAP)

T2 - BMC Musculoskeletal Disorders

AU - Bishop, Annette

AU - Wynne-jones, Gwenllian

AU - Lawton, Sarah A

AU - Van Der Windt, Danielle

AU - Main, Chris

AU - Sowden, Gail

AU - Burton, A Kim

AU - Lewis, Martyn

AU - Jowett, Sue

AU - Sanders, Tom

AU - Hay, Elaine M

AU - Foster, Nadine E

PY - 2014/7/10

Y1 - 2014/7/10

N2 - BackgroundMusculoskeletal pain is a major contributor to short and long term work absence. Patients seek care from their general practitioner (GP) and yet GPs often feel ill-equipped to deal with work issues. Providing a vocational case management service in primary care, to support patients with musculoskeletal problems to remain at or return to work, is one potential solution but requires robust evaluation to test clinical and cost-effectiveness.Methods/DesignThis protocol describes a cluster randomised controlled trial, with linked qualitative interviews, to investigate the effect of introducing a vocational advice service into general practice, to provide a structured approach to managing work related issues in primary care patients with musculoskeletal pain who are absent from work or struggling to remain in work. General practices (n = 6) will be randomised to offer best current care or best current care plus a vocational advice service. Adults of working age who are absent from or struggling toremain in work due to a musculoskeletal pain problem will be invited to participate and 330 participants will be recruited. Data collection will be through patient completed questionnaires at baseline, 4 and 12 months. The primary outcome is self-reported work absence at 4 months. Incremental cost-utility analysis will be undertaken to calculate the cost per additional QALY gained and incremental net benefits. A linked interview study will explore the experiences of the vocational advice service from the perspectives of GPs, nurse practitioners (NPs), patients and vocational advisors.DiscussionThis paper presents the rationale, design, and methods of the Study of Work And Pain (SWAP) trial. The results of this trial will provide evidence to inform primary care practice and guide the development of services to provide support for musculoskeletal pain patients with work-related issues.Trial registrationCurrent Controlled Trials ISRCTN52269669.

AB - BackgroundMusculoskeletal pain is a major contributor to short and long term work absence. Patients seek care from their general practitioner (GP) and yet GPs often feel ill-equipped to deal with work issues. Providing a vocational case management service in primary care, to support patients with musculoskeletal problems to remain at or return to work, is one potential solution but requires robust evaluation to test clinical and cost-effectiveness.Methods/DesignThis protocol describes a cluster randomised controlled trial, with linked qualitative interviews, to investigate the effect of introducing a vocational advice service into general practice, to provide a structured approach to managing work related issues in primary care patients with musculoskeletal pain who are absent from work or struggling to remain in work. General practices (n = 6) will be randomised to offer best current care or best current care plus a vocational advice service. Adults of working age who are absent from or struggling toremain in work due to a musculoskeletal pain problem will be invited to participate and 330 participants will be recruited. Data collection will be through patient completed questionnaires at baseline, 4 and 12 months. The primary outcome is self-reported work absence at 4 months. Incremental cost-utility analysis will be undertaken to calculate the cost per additional QALY gained and incremental net benefits. A linked interview study will explore the experiences of the vocational advice service from the perspectives of GPs, nurse practitioners (NPs), patients and vocational advisors.DiscussionThis paper presents the rationale, design, and methods of the Study of Work And Pain (SWAP) trial. The results of this trial will provide evidence to inform primary care practice and guide the development of services to provide support for musculoskeletal pain patients with work-related issues.Trial registrationCurrent Controlled Trials ISRCTN52269669.

KW - Cluster randomised trial

KW - Musculoskeletal pain

KW - Primary care

KW - Vocational advice

KW - Case management

KW - Work

U2 - 10.1186/1471-2474-15-232

DO - 10.1186/1471-2474-15-232

M3 - Article

VL - 15

JO - BMC Musculoskeletal Disorders

JF - BMC Musculoskeletal Disorders

SN - 1471-2474

ER -