Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change
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 le...
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| Format: | Article |
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European Society for Person Centered Healthcare
2015
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| Online Access: | https://eprints.nottingham.ac.uk/34030/ |
| _version_ | 1848794759208894464 |
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| author | Macey, Katherine Clarke, Simon Golijani-Moghaddam, Nima das Nair, Roshan |
| author_facet | Macey, Katherine Clarke, Simon Golijani-Moghaddam, Nima das Nair, Roshan |
| author_sort | Macey, Katherine |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T19:21:18Z |
| format | Article |
| id | nottingham-34030 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:21:18Z |
| publishDate | 2015 |
| publisher | European Society for Person Centered Healthcare |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-340302020-05-04T17:01:43Z https://eprints.nottingham.ac.uk/34030/ Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change Macey, Katherine Clarke, Simon Golijani-Moghaddam, Nima das Nair, Roshan 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. European Society for Person Centered Healthcare 2015-03-01 Article PeerReviewed Macey, Katherine, Clarke, Simon, Golijani-Moghaddam, Nima and das Nair, Roshan (2015) Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change. European Journal for Person Centered Healthcare, 3 (1). pp. 19-25. ISSN 2052-5656 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 http://ubplj.org/index.php/ejpch/article/view/855 doi:10.5750/ejpch.v3i1.855 doi:10.5750/ejpch.v3i1.855 |
| spellingShingle | 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 Macey, Katherine Clarke, Simon Golijani-Moghaddam, Nima das Nair, Roshan Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change |
| title | Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change |
| title_full | Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change |
| title_fullStr | Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change |
| title_full_unstemmed | Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change |
| title_short | Evaluating a person-centered chronic pain service using indices of reliable and clinically significant change |
| title_sort | evaluating a person-centered chronic pain service using indices of reliable and clinically significant change |
| topic | 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 |
| url | https://eprints.nottingham.ac.uk/34030/ https://eprints.nottingham.ac.uk/34030/ https://eprints.nottingham.ac.uk/34030/ |