Evaluating a person-centred chronic pain service using indices of reliable and clinically significant change
Macey, Katherine; Clarke, Simon; Golijani-Moghaddam, Nima; Das Nair, Roshan
ROSHAN NAIR Roshan.firstname.lastname@example.org
Professor of Clinical Psychology and Neuropsychology
Background: Psychological interventions for chronic pain often require substantial individualisation, which can undermine links with the research evidence on which treatment is based. To ensure patients receive effective therapy, evaluation is needed. This paper demonstrates the use of individual level change indices, which may be more appropriate for assessing effectiveness of person-centred treatment than traditional group-level statistics.
Aims: To evaluate the efficacy of a psychological chronic pain service at individual level and to recommend improvements for future service evaluation.
Method: Indices of reliable and clinically significant change were used to assess outcomes on the HADS, CORE-10 and PSEQ.
Results: Fifty-six out of 83 patients had usable outcome data. On the most widely administered outcome measure, the CORE-10, n=15 met reliable change and n=22 met clinically significant change criteria. Eighteen showed no reliable change. Only one person deteriorated.
Conclusions: The person-centred treatment provided by this service was effective and achieved outcomes similar to published data from a structured group programme. However, missing data reduced the reliability of these conclusions and led to reduced usefulness of the evaluation for service planning. Recommendations for future evaluation are made.
|Journal Article Type||Article|
|Publication Date||Mar 1, 2015|
|Journal||European Journal for Person Centered Healthcare|
|Peer Reviewed||Peer Reviewed|
|APA6 Citation||Macey, K., Clarke, S., Golijani-Moghaddam, N., & Das Nair, R. (2015). Evaluating a person-centred chronic pain service using indices of reliable and clinically significant change. European journal for person centered healthcare, 3(1), 19. https://doi.org/10.5750/ejpch.v3i1.855|
|Keywords||Audit, Chronic pain, Evidence-based practice, Outcome measures, Patient choice, Patient experience, Person-centered healthcare, Practice-based evidence, Psychology services, Service evaluation, Service effectiveness, Shared decision-making|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf|
Evaluating a person-centered chronic pain service AAM.pdf
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf
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