Award title: NIHR SPCR post-doctoral award
Project Title: Translating resources for activity pacing to primary care to support the management of chronic pain
Patients with chronic pain (including chronic back pain, fibromyalgia and osteoarthritis) commonly present to primary care for pain management. Activity pacing is advised to address pain-related behaviours: avoidance, excessive persistence and overdoing-underdoing cycling. Despite anecdotal support from patients and healthcare professionals, research regarding the effectiveness of activity pacing is unclear, and hindered by the absence of a validated activity pacing measure and standardised intervention. The aim of this study is to test the validity, reliability and responsiveness of an Activity Pacing Questionnaire (APQ) and develop a short-form APQ (APQ-SF) with fewer items to reduce time-burden; and to develop an activity pacing intervention for primary care. A cross-sectional questionnaire study will be used to test the APQ and develop the APQ-SF (target sample size n=300 patients with chronic pain). The activity pacing intervention for primary care will be developed using sequential stakeholder engagement and co-design workshops with ≤20 primary care healthcare professionals/practice managers/commissioners, third party/charity representatives and patient and public representatives. The activity pacing measures and activity pacing intervention will be used in a future feasibility and pilot randomised controlled trial to explore the effects of activity pacing on patients’ symptoms.
Start date: 01.11.2022
End date: 31.10.2024