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Publication - Professor Alastair Hay

    Child and adolescent musculoskeletal pain (CAM-Pain) feasibility study

    testing a method of identifying, recruiting and collecting data from children and adolescents who consult about a musculoskeletal condition in UK general practice

    Citation

    Michaleff, Z, Campbell, P, Hay, A, Warburton, L & Dunn, K, 2018, ‘Child and adolescent musculoskeletal pain (CAM-Pain) feasibility study: testing a method of identifying, recruiting and collecting data from children and adolescents who consult about a musculoskeletal condition in UK general practice’. BMJ Open, vol 8.

    Abstract

    Objectives: Test a method of identifying, recruiting and collecting data from children and adolescents
    who consult their general practitioner about a musculoskeletal condition.
    Design: Prospective cohort feasibility study.
    Setting: 13 general practices in West Midlands of England.
    Participants: Patients aged 8-19 years who consult their general practice about a musculoskeletal
    condition. Patients were identified via a relevant musculoskeletal Read code entered at the point of
    consultation.
    Outcome measures: Feasibility was assessed in terms of study processes (recruitment rates), data
    collection procedures (duration, response variability), resource utilisation (mail-outs) and ethical
    considerations (acceptability).
    Results: From October 2016 to February 2017, an eligible musculoskeletal Read code was entered
    on 343 occasions, 202 patients were excluded (declined, n=153; screened not suitable, n=49) at the
    point of consultation. The remaining 141 patients were mailed an invitation to participate (41.1%); 46
    patients responded to the invitation (response rate: 32.6%) of which 27 patients consented (consent
    rate: 19.1%). Participants mean age was 13.7 years (SD 2.7) and current pain intensity was 2.8 (SD
    2.7). All participants completed the 6-week follow-up questionnaire. All participants found the
    interview questions to be acceptable and would consider participating in a similar study in the future.
    The majority of general practitioners/nurse practitioners, and all of the research nurses reported to be
    adequately informed about the study and found the study processes acceptable.
    Conclusion: The expected number of participants were identified and invited, but consent rate was
    low (<20%) indicating that this method is not feasible (e.g. for use in a large prospective study).
    Recruiting children and adolescents with musculoskeletal conditions in a primary care setting
    currently presents a challenge for researchers. Further work is needed to identify alternative ways to
    conduct studies in this population in order to address the current knowledge gap in this field.

    Full details in the University publications repository