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ISRCTN
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ISRCTN92231696
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ClinicalTrials.gov identifier
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Public title
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Patient Partners with Back Pain
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Scientific title
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Acronym
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PPBP
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Serial number at source
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D0580
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Study hypothesis
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The hypothesis was that teaching students about back pain using patient partners would lead to improvements in clinical skills and examination performance compared to students taught using traditional methods. 4 patient partners were trained how to teach students about back pain. The effect of this teaching was assessed quantitatively by looking at student exam performance in an OSCE station on taking a history of a patient with back pain. Qualitative information using questionnaires and focus groups was also obtained.
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Ethics approval
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Not provided at time of registration
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Study design
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Randomised controlled trial
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Back pain
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Participants - inclusion criteria
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Suitable patients with mechanical back pain were selected for training. Selection criteria included:
1. Clinical features characteristic of the condition
2. A background of healthcare, education, or both disciplines
3. A stable physical and psychological condition
4. An ability and willingness to learn and teach.
Other attributes included were reliability, good communication skills, literacy, and fluency in English and, an understanding of their condition and ability to express themselves.
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Participants - exclusion criteria
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Not provided at time of registration
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Anticipated start date
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01/11/2001
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Anticipated end date
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31/08/2003
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Status of trial
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Completed
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Patient information material
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Target number of participants
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4
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Interventions
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Four patients were selected from the Whittington Hospital NHS Trust routine rheumatology out-patients clinics. They participated in a training programme, which consisted of 2 full day intensive workshops followed by 4 weekly half-day workshops.
The last workshop incorporated a training Objective Structured Clinical Examination (OSCE). The training programme was designed to include:
1. History taking and examination of the back
2. The anatomy of the spine and related structures
3. Red flags in back pain
4. Management of back pain problems in the UK
5. General teaching skills and group facilitation.
Patient partners (PPs) are now teaching the students. They teach for 1.5 h in weeks 2 and 4 of a 5 week block. They teach alternate groups of 15 students each as they rotate through the firms of the year 3 clinical course.
Evaluation questionnaires are being collected from students and PPs.
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Primary outcome measure(s)
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Performance in OSCE exam station.
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Secondary outcome measure(s)
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Changes in student confidence and skills in taking a history from a patient with back pain.
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Sources of funding
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Arthritis Research Campaign
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Trial website
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Publications
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Contact name
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Professor
Jane
Dacre
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Address
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Academic Centre for Medical Education (ACME)
Royal Free & University College Medical School
4th Floor, Holborn Union Building
Archway Campus
Highgate Hill
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City/town
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London
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Zip/Postcode
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N19 5LW
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Country
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United Kingdom
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Tel
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+44 (0)20 7288 3546
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Email
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j.dacre@chime.ucl.ac.uk
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Sponsor
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Arthritis Research Campaign (ARC) (UK)
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Address
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Copeman House
St Mary's Court
St Mary's Gate
Chesterfield
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City/town
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Derbyshire
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Zip/Postcode
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S41 7TD
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Country
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United Kingdom
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Email
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info@arc.org.uk
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Sponsor website:
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http://www.arc.org.uk
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Date applied
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10/07/2002
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Last edited
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21/11/2005
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Date ISRCTN assigned
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10/07/2002
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