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Exploring the views of stakeholders about the feasibility of carrying out a randomised controlled trial of Individual Placement and Support for people unemployed with chronic pain based in primary care (the InSTEP study)

Exploring the views of stakeholders about the feasibility of carrying out a randomised controlled trial of Individual Placement and Support for people unemployed with chronic pain based in primary care (the InSTEP study)
Exploring the views of stakeholders about the feasibility of carrying out a randomised controlled trial of Individual Placement and Support for people unemployed with chronic pain based in primary care (the InSTEP study)
Background: Individual Placement and Support (IPS) is a model of vocational rehabilitation originally developed to help people with severe mental illness obtain and maintain employment. Work disability is common amongst people with chronic pain conditions, yet few effective interventions exist. As part of mixed-methods feasibility research and as a forerunner to a pilot trial (In STEP), we investigated the barriers and facilitators to carrying out a future randomised controlled trial of IPS set in primary care amongst people unemployed with chronic pain.

Methods: semi-structured interviews and focus groups were conducted with: unemployed people with health conditions receiving IPS (clients), Employment Support Workers (ESWs) delivering IPS for people with chronic health conditions and primary healthcare professionals. Interviews and focus groups were transcribed verbatim and analysed with field notes using thematic analysis.

Results: all stakeholders generally viewed a future trial of IPS positively and deemed both the intervention and treatment as usual acceptable. Themes that emerged regarding potential barriers were recruitment, the importance of recruiting people voluntarily who wanted to return to work and were motivated to do so and giving them agency in the process; a need for additional training and support of the ESWs; and a risk of over-burdening participants with paperwork. Regarding facilitators however, the themes were offering the intervention early after unemployment, the importance of relationship and continuity with the ESWs and that an employment intervention could bring a range of health benefits.

Conclusions: all stakeholders thought that a randomised trial was potentially feasible and highlighted some potential advantages of participation.
2055-5784
Holmes, Michelle, M
83deb057-57c5-48ec-a140-317676865ed8
Stanescu, Sabina-Claudia
ea9357e1-3371-4021-b44d-c1df840b79b3
Linaker, Catherine
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Price, Catherine
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Maguire, Nicholas
ebc88e0a-3c1e-4b3a-88ac-e1dad740011b
Fraser, Simon
135884b6-8737-4e8a-a98c-5d803ac7a2dc
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
Holmes, Michelle, M
83deb057-57c5-48ec-a140-317676865ed8
Stanescu, Sabina-Claudia
ea9357e1-3371-4021-b44d-c1df840b79b3
Linaker, Catherine
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Price, Catherine
e12e1aca-7525-402f-907b-e5232fc2e25d
Maguire, Nicholas
ebc88e0a-3c1e-4b3a-88ac-e1dad740011b
Fraser, Simon
135884b6-8737-4e8a-a98c-5d803ac7a2dc
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109

Holmes, Michelle, M, Stanescu, Sabina-Claudia, Linaker, Catherine, Price, Catherine, Maguire, Nicholas, Fraser, Simon, Cooper, Cyrus and Walker-Bone, Karen (2020) Exploring the views of stakeholders about the feasibility of carrying out a randomised controlled trial of Individual Placement and Support for people unemployed with chronic pain based in primary care (the InSTEP study). Pilot and Feasibility Studies, 6, [44]. (doi:10.1186/s40814-020-00588-z).

Record type: Article

Abstract

Background: Individual Placement and Support (IPS) is a model of vocational rehabilitation originally developed to help people with severe mental illness obtain and maintain employment. Work disability is common amongst people with chronic pain conditions, yet few effective interventions exist. As part of mixed-methods feasibility research and as a forerunner to a pilot trial (In STEP), we investigated the barriers and facilitators to carrying out a future randomised controlled trial of IPS set in primary care amongst people unemployed with chronic pain.

Methods: semi-structured interviews and focus groups were conducted with: unemployed people with health conditions receiving IPS (clients), Employment Support Workers (ESWs) delivering IPS for people with chronic health conditions and primary healthcare professionals. Interviews and focus groups were transcribed verbatim and analysed with field notes using thematic analysis.

Results: all stakeholders generally viewed a future trial of IPS positively and deemed both the intervention and treatment as usual acceptable. Themes that emerged regarding potential barriers were recruitment, the importance of recruiting people voluntarily who wanted to return to work and were motivated to do so and giving them agency in the process; a need for additional training and support of the ESWs; and a risk of over-burdening participants with paperwork. Regarding facilitators however, the themes were offering the intervention early after unemployment, the importance of relationship and continuity with the ESWs and that an employment intervention could bring a range of health benefits.

Conclusions: all stakeholders thought that a randomised trial was potentially feasible and highlighted some potential advantages of participation.

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e-pub ahead of print date: 4 April 2020

Identifiers

Local EPrints ID: 439368
URI: http://eprints.soton.ac.uk/id/eprint/439368
ISSN: 2055-5784
PURE UUID: 60a96667-df6c-42ec-9feb-777cbc79f1f8
ORCID for Catherine Linaker: ORCID iD orcid.org/0000-0003-1091-9283
ORCID for Nicholas Maguire: ORCID iD orcid.org/0000-0003-4295-8068
ORCID for Simon Fraser: ORCID iD orcid.org/0000-0002-4172-4406
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Karen Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459

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Date deposited: 20 Apr 2020 16:30
Last modified: 21 May 2020 00:31

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Author: Catherine Price
Author: Simon Fraser ORCID iD
Author: Cyrus Cooper ORCID iD

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