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·Research Projects and Collaborations:
UK BEAM Trial
Type: Randomised Controlled Trial
Partners: Department of Health Sciences and Clinical Evaluation: University of York; Primary care Research Unit, University of Southampton; Department of Behavioural Medicine, University of Manchester; Wolfson Institute of Preventive Medicine; National Primary Care Research Centre, University of Manchester; Department of Epidemiology, University of Maastricht
Supported by: MRC
Started: 1997 Ended: 2003
Expected outcomes: Comparison of effectiveness between active GP care, booklet, active exercise package and manipulation package in patients with subacute and chronic low back pain
RCGP Acute Low Back Pain Guidelines
Type: Guidelines Development
Partners: Royal College of General Practitioners; Chartered Society of Physiotherapy; British Osteopathic Association; British Chiropractic Association; National Back Pain Association
Supported by: NHSE
Started:1994, Ended: 1996,
Reviewed: 1998, Next Review: due 2001
Outcome: Clinical Guidelines for the Management of Acute Low Back Pain ISBN 0 85084 229 8
European Acute Back Pain Guidelines (Brussels, Cost Action B13) 2000
Type: Guidelines Development
Partners: Institute for Research in Extramural Medicine, Free University, Amsterdam; Department of General Practice, Rotterdam; Dutch National Institute of Allied Health Professions; School of Health and Related Research, University of Sheffield; Faculty of Occupational Health, Royal College of Physicians of London; Fundacion Kovacs, Madrid; Department of Orthopaedic Surgery, University of Goteborg; Ringe Hospital, Denmark;
Division of Medicine – KGR, Ulleval Hospital Norway; Finnish Institute of Occupational Health, Helsinki; Hopital Pitie-Salpetriere, Paris; Department of General Practice,
Georg-August University, Gottingen, Germany.
Supported by: European Commission
Started: 2000
Expected Outcome: Multinational consensus guideline for acute back pain management
Exploring Patient and Practitioner Beliefs About the Causality of, and Expectations for Treatment of Chronic Musculoskeletal Pain
Type: Health Services Research
Partners: Department of General Practice and Primary Care, Queen Mary College, University of London; Department of Physiotherapy, Keele University; Department of Psychology, Royal Holloway, University of London; Research Centre, British School of Osteopathy
Supported by: ARC
Started: 2001
Expected Outcomes: Understanding barriers to guideline implementation
Clinicians Cognitions about Apparently Unsuccessfu Management of Low Back Pain
Type: Health Services Research
Partners: Department of General Practice and Primary Care, Queen Mary College, University of London; Department of Physiotherapy, Keele University; Department of Psychology, Royal Holloway, University of London; Research Centre, British School of Osteopathy
Supported by: ESRC
Started: 2001 Ended: 2003
Outcomes: Major themes in clinician decision making about chronic back pain management
An Objective Spinal Motion Imaging Assessment
Type: Clinical Biomechanics
Partners: Department of Radiology, Salisbury District Hospital
NHS Trust, Odstock, Wiltshire; Centre for Spinal Studies,
Institute of Orthopaedics, The Robert Jones & Agnes Hunt
Orthopaedic Hospital, Oswestry, Shropshire
Supported by: Department of Health (NEAT Programme)
Started: 2001 Ended: 2003
Outcomes: Development of an automated system
for the objective assessment of the mechanics of the human spine using image processing and low-dose fluoroscopy with particular emphasis on surgical stabilisation.
Implementation of a National Audit Tool for the RCGP Acute Back Pain Guidelines Among English and Welsh Health Authorities and Primary Care Trusts
Type: Health Services Research
Partners: (IMRCI Study)
Supported by: Back Care (formerly the National Back Pain Association)
Started: 2002 Ended: 2003
Outcomes: Insight into the fate of the RCGP Guidelines and Audit Tool within the clinical governance arrangements of the NHS
Development of A Classification System for Nonspecific Back Pain
Type: Health Services Research
Partners: (IMRCI Study)
Supported by: Maurice Laing Foundation
Expected Outcomes: Classification of nonspecific low back pain based on disability and psychosocial indicators
An Audit Tool for the RCGP Acute Back Pain Guidelines
Type: Audit Development
Partners: Research Centre, British School of Osteopathy; RCGP Effective Clinical Practice Programme; School of Health and Related Research, University of Sheffield; Physiotherapy Department, Pilgrim Hospital, Boston, Lincs; Postgraduate Physiotherapy Studies; MSc School of Health and Human Performance, University College, London
Supported by: NHSE (Central) and NICE
Started: 1998 Ended: 2000
Outcome: Primary Care Audit Toolkit: Acute Low Back Pain
ISBN 0 9538949 0 (electronic version on CLIP database – NICE)
Acute Back Pain Management: A Qualitative Pilot Study of the Feasibility of a Nurse-led Service in General Practice
Type: Health Services Research
Partners: Institute for Health and Community Studies, Bournemouth University
Supported by: NHSE Regional Directorate (South West)
Started: March 2001 Ended: September 2001
Outcome: Final report accepted, Poster presentation at Clinical Excellence 2001 (NICE Conference)
GP's Attitudes and Knowledge in the Biopsychosocial Management of Back Pain
Type: Health Services Research
Partners: Institute for Health and Community Studies
Supported by: Institute for Health and Community Studies and Royal College of General Practitioners (Wessex Faculty)
Started: 2003
Expected Outcomes Identify areas of cognitive dissonance in general practitioner attitudes and knowledge in relation to the bio-psychosocial management of back pain.
The Effect of an Information Package of National, Evidence- Based Guidance on the Reported Management of Acute Back Pain Patients by Chiropractors, Osteopaths and Physiotherapists in the UK: A Randomised, Controlled Trial
Type: Randomised controlled trial
Partners: Department of Physiotherapy, Keele University; Department of General Practice and Primary Care, Queen Mary College, University of London; Department of Psychology, Royal Holloway, University of London; Research Centre, British School of Osteopathy
Supported by: The British Chiropractic Association and the AECC TAM Club
Started: 2003
Expected Outcomes: Evaluation of the short-term effectiveness (6 months following intervention) of an information package about the evidence-based management of acute back pain on the reported behaviour and beliefs of chiropractors, osteopaths and physiotherapists in the UK
The Musculoskeletal Multinational Inception Cohort Study (MMICS): The development of an agreed international protocol to assess risk for developing persistent musculoskeletal pain
Type: Cohort study
Partners: Department of Psychology, Royal Holloway, University of London; Spinal Research Unit, University of Huddersfield; Institute of Community Health Sciences, Bart's and The London, Queen Mary University of London
Supported by: Royal Holloway plus grant requested from Arthritis Research Campaign
Started: 2003
Expected Outcomes: Protocol for prospective studies of risk factors for chronicity in musculoskeletal pain and subsequent multinational cohort study
The Arthritis and Musculoskeletal Alliance (ARMA) Standards of Care Project: The development of standards of care guidelines for back pain and soft tissue rheumatism
Type: Guidelines Development
Partners: Department of Rheumatology, Edith Cavell Hospital, Petergorough and then Psychology, Addenbrookes Hospital, Cambridge, The NHS Modernisation Agency, University of Keele, University of Leicester, University of Manchester.
Supported by: Arthritis and Musculoskeletal Alliance
Started: 2003
Expected Outcomes: Recommendations for the evidence-based roles of multidisciplinary teams in primary and secondary care and strategies for implementation in the NHS
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