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Abstract Number: 2327

Delivering ESCAPE-Pain (Enabling Self-Management and Coping of Arthritic Pain through Exercise ) – an Online Guide for Healthcare Professionals

Michael V. Hurley1,2, Andrea Carter2, Des Carter2, Lonan Hughes3, Aoife Ni Mhuiri4,5 and Nicola E. Walsh6, 1School of Rehabilitation Sciences, St George's University of London and Kingston University, London, United Kingdom, 2Musculoskeletal Programme, Health Innovation Network South London, London, United Kingdom, 3Research & Development, Salaso Health Solutions, Tralee, Ireland, 4Salaso Health Solutions, Tralee, Ireland, 5Institute of Technology Tralee, Tralee, Ireland, 6Allied Health Professions, University of the West of England Bristol, Bristol, United Kingdom

Meeting: 2014 ACR/ARHP Annual Meeting

Keywords: exercise, pain management, rehabilitation and website

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Session Information

Title: Rehabilitation Sciences (ARHP)

Session Type: Abstract Submissions (ARHP)

Background/Purpose: Worldwide, chronic joint pain is a major cause of suffering, impaired mobility, physical and psychosocial function, quality of life, dependency and healthcare expenditure. Enabling Self-management and Coping of Arthritic Pain through Exercise (ESCAPE-pain) is a programme that integrates the core interventions recommended by clinical management guidelines – patient education, self-management, coping strategies and exercise. Robust evaluation shows ESCAPE-pain is more effective and cost-effective than usual care, has sustained benefits, is popular with patients and therapists and reduces healthcare costs. Wide implementation would enable many more people to benefit from the ESCAPE-painprogramme.

Objective: To facilitate implementation of ESCAPE-painby developing a “free to access” website that encapsulates the programme’s ethos, description, content and format for healthcare professionals (HCP) who want to deliver the programme.

Methods: Focus groups and interviews were held with approximately 30 HCPs to determine what information they required in order to deliver ESCAPE-pain. Using this information a clinical web and multimedia content development team constructed a prototype website describing the content, format and practicalities of delivering ESCAPE-pain. “Think aloud” interviews were conducted with 10 HCPs experienced in delivering ESCAPE-pain and 10 HCPs with no experience of delivering the programme. Field notes of user’s likes, dislikes, preferences, difficulties and opinions of the website were recorded, analysed, summarised and feedback to the web-developers who revised the to incorporate this feedback. The users re-evaluated the revised website and from their comments an updated website produced.

Results: The opinions of HCPs guided the content and aesthetic format of a website describing delivery of the ESCAPE-pain programme. HCPs experienced in delivering ESCAPE-pain determined the information they considered needed to encapsulate the ethos of ESCAPE-pain, detail the essential content and format. The final website contains videos of the programme in action (exercise and education sessions), contains the resources required to deliver the programme (downloadable therapist and patient handbooks), PDFs of research evidence-base. Users can feedback the experiences of patients and therapists to improve the programme and website. The opinions of clinicians who had never delivered ESCAPE-pain tested the website to ensure it contained and conveyed the information necessary to enable “naïve” clinicians to set up and deliver ESCAPE-pain.

Conclusion: Through an iterative process, clinicians and a clinical web and multimedia development team collaborated to produce a website describing the content, format and resources required to implement ESCAPE-pain. Making access to the website, the downloadable resources and permission to deliver the ESCAPE-painprogramme completely free available will facilitate implementation of the programme enabling many more people to benefit.

The website is available at www.escape-pain.org.


Disclosure:

M. V. Hurley,
None;

A. Carter,
None;

D. Carter,
None;

L. Hughes,
None;

A. Ni Mhuiri,
None;

N. E. Walsh,
None.

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