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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

636
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
636

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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
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The Web-Based Pain-at-Work Toolkit With Telephone Support for Employees With Chronic or Persistent Pain: Protocol for

Holly Blake1,2,3, Wendy J Chaplin1,2, Elaine Wainwright4

  • 1School of Health Sciences, University of Nottingham, Nottingham, United Kingdom.

JMIR Research Protocols
|October 30, 2023
PubMed
Summary

This study assesses the feasibility of the Pain-at-Work (PAW) Toolkit, a digital intervention for chronic pain management in the workplace. Findings will guide a definitive trial for supporting employees with persistent pain.

Keywords:
chronic paindisabilityeHealthfeasibilityrandomized controlled trialworkplace

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Area of Science:

  • Occupational health
  • Digital health interventions
  • Chronic pain management

Background:

  • Chronic pain significantly impacts work productivity and incurs substantial societal costs.
  • Support for employees with chronic pain in the workplace is often inadequate.
  • The Pain-at-Work (PAW) Toolkit was co-created to enhance knowledge and support for managing chronic pain at work.

Purpose of the Study:

  • To establish the feasibility of a definitive cluster randomized controlled trial for the PAW Toolkit.
  • To assess the feasibility, acceptability, usability, and safety of this digital workplace health intervention.
  • To evaluate the feasibility of primary and secondary outcomes and test research processes for a future trial.

Main Methods:

  • An open-label, parallel 2-arm pragmatic feasibility cluster randomized controlled trial.
  • Recruitment of 120 participants from at least 8 workplace clusters in England.
  • Web-based data collection at baseline, 3 months, and 6 months, with qualitative interviews.

Main Results:

  • Ethics approval obtained in March 2023.
  • Trial recruitment commenced in June 2023.
  • Feasibility outcomes include recruitment rates, intervention fidelity, retention, and follow-up.

Conclusions:

  • The PAW Toolkit is the first evidence-based digital health intervention for chronic pain self-management at work.
  • This feasibility study will inform the design of a definitive trial.
  • Findings will guide future delivery strategies for this digital health intervention.