Chronic Pain Healthcare Provider Questionnaire

Self-expressive serial monitoring tool

This questionnaire is aimed at chronic pain healthcare providers in secondary care. It is a part of a market discovery process funded by ICURe NorthByNorthwest and Innovate UK, supporting the development of Ulster University research towards its clinical viability.

It seeks to understand how a self-expressive serial monitoring tool for chronic pain patients may benefit pain communication in secondary care. The tool applies visual art and poetry activities to express and track the individual patients chronic pain in daily life.

Your input is extremely valuable and your time in completing this questionnaire is much appreciated as it will shape the direction of the product. All responses are anonymised. If you have any questions or would like to take part in a one-to-one interview, please contact Niamh, at mcconaghy-n@ulster.ac.uk.

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* 1. Role in secondary clinical care:

Doctor

Physiotherapist

Clinical Psychiatrist

Nurse

Occupational Therapist

Clinical Psychologist

Other (please specify)

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* 2. Please indicate how many years you have been working with chronic pain patients in this role:

>1 year

1-5 years

6-10 years

11-20 years

21+ years

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* 3. Please indicate your country of practice:

Northern Ireland

Republic of Ireland

Scotland

England

Wales

Other (please specify)

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* 4. What are the most problematic factors in patient communication of pain? (1=least problematic, 5= most problematic)

	1	2	3	4	5
Difficult to read body language	Difficult to read body language 1	Difficult to read body language 2	Difficult to read body language 3	Difficult to read body language 4	Difficult to read body language 5
Memory recall	Memory recall 1	Memory recall 2	Memory recall 3	Memory recall 4	Memory recall 5
Overstating pain	Overstating pain 1	Overstating pain 2	Overstating pain 3	Overstating pain 4	Overstating pain 5
Poor rapport	Poor rapport 1	Poor rapport 2	Poor rapport 3	Poor rapport 4	Poor rapport 5
Underlying psychological issues	Underlying psychological issues 1	Underlying psychological issues 2	Underlying psychological issues 3	Underlying psychological issues 4	Underlying psychological issues 5
Understating pain	Understating pain 1	Understating pain 2	Understating pain 3	Understating pain 4	Understating pain 5
Vagueness or inaccuracy	Vagueness or inaccuracy 1	Vagueness or inaccuracy 2	Vagueness or inaccuracy 3	Vagueness or inaccuracy 4	Vagueness or inaccuracy 5

Other (please specify and rate)

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* 5. What is the potential impact of poor patient communication? (1= least impact, 5 = greatest impact)

	1	2	3	4	5
Poorer rapport	Poorer rapport 1	Poorer rapport 2	Poorer rapport 3	Poorer rapport 4	Poorer rapport 5
Misdiagnosis potential	Misdiagnosis potential 1	Misdiagnosis potential 2	Misdiagnosis potential 3	Misdiagnosis potential 4	Misdiagnosis potential 5
Longer consultation times	Longer consultation times 1	Longer consultation times 2	Longer consultation times 3	Longer consultation times 4	Longer consultation times 5
Inappropriate treatment plans	Inappropriate treatment plans 1	Inappropriate treatment plans 2	Inappropriate treatment plans 3	Inappropriate treatment plans 4	Inappropriate treatment plans 5
Clinician frustration	Clinician frustration 1	Clinician frustration 2	Clinician frustration 3	Clinician frustration 4	Clinician frustration 5
Patient frustration	Patient frustration 1	Patient frustration 2	Patient frustration 3	Patient frustration 4	Patient frustration 5
Higher patient return rate	Higher patient return rate 1	Higher patient return rate 2	Higher patient return rate 3	Higher patient return rate 4	Higher patient return rate 5
Higher patient attrition	Higher patient attrition 1	Higher patient attrition 2	Higher patient attrition 3	Higher patient attrition 4	Higher patient attrition 5

Other (please specify and rate)

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* 6. How important are the following communication strategies? (1 = least important, 5= most important)

	1	2	3	4	5
Verbal communication	Verbal communication 1	Verbal communication 2	Verbal communication 3	Verbal communication 4	Verbal communication 5
Non-verbal communication	Non-verbal communication 1	Non-verbal communication 2	Non-verbal communication 3	Non-verbal communication 4	Non-verbal communication 5
Patient records	Patient records 1	Patient records 2	Patient records 3	Patient records 4	Patient records 5
Psychometric questionnaire	Psychometric questionnaire 1	Psychometric questionnaire 2	Psychometric questionnaire 3	Psychometric questionnaire 4	Psychometric questionnaire 5
Linear pain scale	Linear pain scale 1	Linear pain scale 2	Linear pain scale 3	Linear pain scale 4	Linear pain scale 5
Visual body map/diagram	Visual body map/diagram 1	Visual body map/diagram 2	Visual body map/diagram 3	Visual body map/diagram 4	Visual body map/diagram 5
Pain Diary	Pain Diary 1	Pain Diary 2	Pain Diary 3	Pain Diary 4	Pain Diary 5

Other (please specify and rate between 1-5)

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* 7. During consultation, what patient issues do you find most difficult to understand? (1= least difficult, 5= most difficult)

	1	2	3	4	5
Pain expectations	Pain expectations 1	Pain expectations 2	Pain expectations 3	Pain expectations 4	Pain expectations 5
Social impact of pain	Social impact of pain 1	Social impact of pain 2	Social impact of pain 3	Social impact of pain 4	Social impact of pain 5
Psychological impact of pain	Psychological impact of pain 1	Psychological impact of pain 2	Psychological impact of pain 3	Psychological impact of pain 4	Psychological impact of pain 5
Physical qualities of pain	Physical qualities of pain 1	Physical qualities of pain 2	Physical qualities of pain 3	Physical qualities of pain 4	Physical qualities of pain 5
Medication compliance	Medication compliance 1	Medication compliance 2	Medication compliance 3	Medication compliance 4	Medication compliance 5
Preventive care compliance	Preventive care compliance 1	Preventive care compliance 2	Preventive care compliance 3	Preventive care compliance 4	Preventive care compliance 5
Emotional impact of pain	Emotional impact of pain 1	Emotional impact of pain 2	Emotional impact of pain 3	Emotional impact of pain 4	Emotional impact of pain 5
Impact on employment	Impact on employment 1	Impact on employment 2	Impact on employment 3	Impact on employment 4	Impact on employment 5
Physical functioning	Physical functioning 1	Physical functioning 2	Physical functioning 3	Physical functioning 4	Physical functioning 5
Impact on relationships	Impact on relationships 1	Impact on relationships 2	Impact on relationships 3	Impact on relationships 4	Impact on relationships 5

Other (please specify and rate between 1-5)

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* 8. What are the most problematic factors in clinician communication of pain to the patient? (1= least problematic, 5= most problematic)

	1	2	3	4	5
Empathic understanding of pain	Empathic understanding of pain 1	Empathic understanding of pain 2	Empathic understanding of pain 3	Empathic understanding of pain 4	Empathic understanding of pain 5
Compliance of preventive care	Compliance of preventive care 1	Compliance of preventive care 2	Compliance of preventive care 3	Compliance of preventive care 4	Compliance of preventive care 5
Clinical terminology	Clinical terminology 1	Clinical terminology 2	Clinical terminology 3	Clinical terminology 4	Clinical terminology 5
Patient notes/record detail	Patient notes/record detail 1	Patient notes/record detail 2	Patient notes/record detail 3	Patient notes/record detail 4	Patient notes/record detail 5
Poor rapport	Poor rapport 1	Poor rapport 2	Poor rapport 3	Poor rapport 4	Poor rapport 5
Confidence in patient understanding	Confidence in patient understanding 1	Confidence in patient understanding 2	Confidence in patient understanding 3	Confidence in patient understanding 4	Confidence in patient understanding 5
Comorbidity separation	Comorbidity separation 1	Comorbidity separation 2	Comorbidity separation 3	Comorbidity separation 4	Comorbidity separation 5

Other (please specify and rate between 1-5)

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* 9. Patients are forthright in discussing the impact of pain in their day-today life

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Other (please specify)

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* 10. How often do you ask patients to track pain using a pain diary or tracking service?

Always

Usually

Sometimes

Rarely

Never

Other (please specify)

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* 11. Are you aware of any technology used to track the patients experience of pain (NHS approved or otherwise)?

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* 12. What factors would encourage you to ask a patient to track their experience of pain (physical or technological tracking tool)?

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* 13. Please rate the following statements in terms of agreement regarding potential benefits of a self-expressive serial monitoring tool for patients. (1= least agree, 5=most strongly agree)

	1	2	3	4	5
Could help verbal communication of pain in clinical settings	Could help verbal communication of pain in clinical settings 1	Could help verbal communication of pain in clinical settings 2	Could help verbal communication of pain in clinical settings 3	Could help verbal communication of pain in clinical settings 4	Could help verbal communication of pain in clinical settings 5
Could help verbal communication of pain in home settings	Could help verbal communication of pain in home settings 1	Could help verbal communication of pain in home settings 2	Could help verbal communication of pain in home settings 3	Could help verbal communication of pain in home settings 4	Could help verbal communication of pain in home settings 5
Could help verbal communication of pain in employment settings	Could help verbal communication of pain in employment settings 1	Could help verbal communication of pain in employment settings 2	Could help verbal communication of pain in employment settings 3	Could help verbal communication of pain in employment settings 4	Could help verbal communication of pain in employment settings 5
Could provide a therapeutic resource (e.g., distraction)	Could provide a therapeutic resource (e.g., distraction) 1	Could provide a therapeutic resource (e.g., distraction) 2	Could provide a therapeutic resource (e.g., distraction) 3	Could provide a therapeutic resource (e.g., distraction) 4	Could provide a therapeutic resource (e.g., distraction) 5
Could enable better patient understanding of their pain	Could enable better patient understanding of their pain 1	Could enable better patient understanding of their pain 2	Could enable better patient understanding of their pain 3	Could enable better patient understanding of their pain 4	Could enable better patient understanding of their pain 5

Other (please specify and rate between 1-5)

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* 14. Please rate the following statements in terms of agreement regarding potential benefits for healthcare providers, of a patient self-expressive serial monitoring tool for patients. (1= least strongly, 5= most strongly)

	1	2	3	4	5
Improve rapport building	Improve rapport building 1	Improve rapport building 2	Improve rapport building 3	Improve rapport building 4	Improve rapport building 5
Encourage meaningful discussion	Encourage meaningful discussion 1	Encourage meaningful discussion 2	Encourage meaningful discussion 3	Encourage meaningful discussion 4	Encourage meaningful discussion 5
Insight to the lived experience	Insight to the lived experience 1	Insight to the lived experience 2	Insight to the lived experience 3	Insight to the lived experience 4	Insight to the lived experience 5
Improve patient satisfaction	Improve patient satisfaction 1	Improve patient satisfaction 2	Improve patient satisfaction 3	Improve patient satisfaction 4	Improve patient satisfaction 5
Improve patient expectation	Improve patient expectation 1	Improve patient expectation 2	Improve patient expectation 3	Improve patient expectation 4	Improve patient expectation 5
Signposting service for psychosocial intervention	Signposting service for psychosocial intervention 1	Signposting service for psychosocial intervention 2	Signposting service for psychosocial intervention 3	Signposting service for psychosocial intervention 4	Signposting service for psychosocial intervention 5
Complicate pain dialogue	Complicate pain dialogue 1	Complicate pain dialogue 2	Complicate pain dialogue 3	Complicate pain dialogue 4	Complicate pain dialogue 5
Quicken assessment time	Quicken assessment time 1	Quicken assessment time 2	Quicken assessment time 3	Quicken assessment time 4	Quicken assessment time 5

Other (please specify and rate between 1-5)

Chronic Pain Healthcare Provider Questionnaire

Self-expressive serial monitoring tool

Question Title

* 1. Role in secondary clinical care:

Question Title

* 2. Please indicate how many years you have been working with chronic pain patients in this role:

Question Title

* 3. Please indicate your country of practice:

Question Title

* 4. What are the most problematic factors in patient communication of pain? (1=least problematic, 5= most problematic)

Question Title

* 5. What is the potential impact of poor patient communication? (1= least impact, 5 = greatest impact)

Question Title

* 6. How important are the following communication strategies? (1 = least important, 5= most important)

Question Title

* 7. During consultation, what patient issues do you find most difficult to understand? (1= least difficult, 5= most difficult)

Question Title

* 8. What are the most problematic factors in clinician communication of pain to the patient? (1= least problematic, 5= most problematic)

Question Title

* 9. Patients are forthright in discussing the impact of pain in their day-today life

Question Title

* 10. How often do you ask patients to track pain using a pain diary or tracking service?

Question Title

* 11. Are you aware of any technology used to track the patients experience of pain (NHS approved or otherwise)?

Question Title

* 12. What factors would encourage you to ask a patient to track their experience of pain (physical or technological tracking tool)?

Question Title

* 13. Please rate the following statements in terms of agreement regarding potential benefits of a self-expressive serial monitoring tool for patients. (1= least agree, 5=most strongly agree)

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* 14. Please rate the following statements in terms of agreement regarding potential benefits for healthcare providers, of a patient self-expressive serial monitoring tool for patients. (1= least strongly, 5= most strongly)

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* 15. What potential issues do you see with introducing a self-expressive tool for serial monitoring pain?