STAMP

STAMP 

Chief Investigator: 

Danielle van der Windt

Co-applicants:

John Bedson, Kelvin Jordan, Kate Dunn, George Peat, Nadine Foster, Christian Mallen, Stephen Dent, Rhian Hughes     

Study Co-ordinator:

Zoe Lingard

Sponsor’s protocol number:                     

Funder name / reference n^o:

NIHR School for Primary Care Research, no. 210

MREC number: 

14/WM/1214

ISRCTN:

N/A

UKCRN Study portfolio:

156728

Recruiting 

Summary of trial:

Study design:

Prospective cohort study:  Primary care consulters (adults, n≥150) consulting in general practice with musculoskeletal pain and receiving a new prescription for stronger classes of analgesics (opioid combinations, NSAIDs) will be recruited. Questionnaires will be used to assess baseline and 1-month follow-up levels of pain, sleep and pain impact using validated items, and to assess participants’ opinion regarding acceptability of the Pain Recorder. The Pain Recorder will be used to obtain daily recordings of pain, pain interference, mood, analgesics use, and suspected adverse reactions. Medical record review will be carried out after 3 months to assess changes in analgesics prescribing by the general practitioner. Primary outcome measures for acceptability will include completion rates of the Pain Recorder and participants’ opinion regarding acceptability and feasibility. Outcome measures used to assess validity will include (1) baseline and 1-month levels of pain intensity, sleep problems, and mood measured with validated questionnaires; and (2) pain trajectories over 1 month assessed retrospectively using existing questions on symptom change and pain trajectories. Outcome measures for clinical utility include: (1) clinicians’ and patients’; opinion regarding the usefulness of the Pain Recorder in healthcare and research; (2) changes in analgesic prescribing. 

Objectives:

To initially test the use of a recently developed Smartphone/tablet application (Pain Recorder) for assessing short-term changes in intensity and impact of pain, alongside delivery of primary care treatment for musculoskeletal pain. Specific objectives are (1) to test the validity of data collection using the Pain Recorder in patients with musculoskeletal pain; (2) to assess acceptability and clinical utility of the Pain Recorder; and (3) to develop methods for archiving and analysing data collected through the Pain Recorder.