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The University of Southampton

Research project: Empathica: Expectation Management for Patients in Primary Care: Developing and Feasibility Testing a New Digital Intervention for Practitioners

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This work aims to enable primary care practitioners to enhance the effectiveness of therapies for Osteoarthritis pain through the development of a brief digital intervention:  “Expectation Management for Patients with Osteoarthritis” (Empathica). 

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Osteoarthritis pain is common, costly, and challenging to manage in busy primary care settings.  While various drug-based and non-drug-based treatments are recommended, patients still experience pain, poor quality-of-life, and drug side effects. Regardless of which treatment patients receive, excellent practitioner-patient communication can significantly reduce patients’ pain while improving quality of life and satisfaction with care. We recently showed that patients experience less pain after consulting practitioners who show empathy and encourage optimism about treatment. Yet practitioners vary widely in how much they show empathy. We plan to develop an online training package to teach practitioners (GPs, physiotherapists, and nurses) how to show more empathy and encourage patients to have positive yet realistic expectations.

Our research questions are:

  1. What strategies should we teach practitioners to use so that they will show more empathy and encourage patients to have realistic and positive expectations?
  2. What are patients’ and practitioners’ concerns and priorities, to address in our training?
  3. How can we make our training engaging and relevant for practitioners so that they use it?

To answer these questions, we will:

  1. Review existing trials to confirm what strategies enhance practitioner engagement.
  2. Review existing qualitative studies to identify patients’ and practitioners’ priorities and concerns.
  3. Interview practitioners so we can make our training engaging and persuasive.

To design our training, we will make a plan and use published evidence about how to help people change their behaviour. To produce our training package, we will test prototypes with patients and practitioners and make improvements. Finally, we will conduct a small ‘feasibility’ trial to help us design a large, fundable, clinical trial. If successful, our training package should enable practitioners to improve the long-term effectiveness of all drug and non-drug therapies for osteoarthritis pain, reduce patients’ pain and improve quality of life. 

Local investigators: Dr Hazel Everitt (PI), Professor Paul Little, Dr Felicity Bishop, Dr Leanne Morris

Funder: NIHR SPCR  

Duration: October 2018 - September 2020

Contact: Hazel Everitt

Please visit our Primary Care website.

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Related research groups

Primary Care, Population Sciences and Medical Education
Primary Care Research group
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