Table 1
Schematic diagram of timeline for the 12 weeks of a study participant receiving the maximum self-management support in aimm + review.
| Medical record screen | Invited to study | Week | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 weeks prior | 1–2 week prior | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 12 weeks + 1 day after completion of GPMP/TCA | |
| Eligibility screening occurs -including opioid dose from patient medical record. Record flagged | Participant attendance not required | ||||||||||||
| Patient invited, consented and completes initial AIMM baseline survey. (Survey received by researchers and summary forwarded to GP- prior to study week 1) | ✓ | ||||||||||||
| Intervention-Medical -AIMM survey assessment broader discussion1 -Complete planning phase GPMP/TCA2 -Regular monitor3 -Review GPMP/TCA4 | ✓1 | ✓2 | ✓3 | ✓3 | ✓3 | ✓3 | ✓4 | ||||||
| Intervention-Nursing -Co-complete GPMP/TCA2 -Regular supportive care/monitor3 -Review GPMP/TCA4 | ✓2 | ✓3 | ✓3 | ✓3 | ✓3 | ✓4 | |||||||
| Intervention- Psychology* If required up to 10 × sessions | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |||||
| Intervention-Accredited Pharmacist Home Medication Review | ✓ | ||||||||||||
| Intervention-5 × Psychologically informed accredited exercise physiologist or physiotherapist sessions & accredited practicing dietitian sessions | ✓ | ✓ | ✓ | ✓ | ✓ | ||||||||
| Complete-AIMM 3/12 survey | ✓ | ||||||||||||
[i] * If patient has elevated psychological distress at initial screening, this element of the intervention may be commenced prior to the remainder of the intervention (Up to 10 × Psychology sessions).
Table 2
Baseline characteristics of the patient study sample (n = 18).
| Mean (SD) | |
|---|---|
| Average age (years) | 52.77 (11.41) |
| Pain Intensity (measured on Brief Pain Inventory *) | 5.90 (1.53) |
| Pain Interference (measured on Brief Pain Inventory*) | 6.51 (2.14) |
| Average daily morphine equivalent (mg) | 133.27 (154.61) |
| N | |
| Female | 14 |
| Indigenous status | |
| Aboriginal or Torres Strait Islander | 2 |
| Highest level of education | |
| Primary School | 4 |
| School Certificate | 7 |
| Higher School Certificate | 1 |
| TAFE certificate or Diploma | 5 |
| University or other Tertiary Qualification | 1 |
| Access to internet | |
| No | 7 |
| Yes | 11 |
| Income source | |
| Government Pension or benefit | 17 |
| Employment status | |
| Employed (full or part time) | 0 |
| Unemployed | 11 |
| Retired | 3 |
| Other | 4 |
| Housing Status | |
| Property Owner | 7 |
| Renting | 9 |
| Living with friends/family | 1 |
| Other | 1 |
| Experienced pain >5 years | 13 |
| Previously received talking treatments | 13 |
| Readiness to wean | |
| Ready in next 30 days | 1 |
| Ready in next 6 months | 5 |
| May be ready in the future | 10 |
| Never expect to wean off | 2 |
Table 3
Acceptability of healthcare provider support n = 8.
| n | ||||||
|---|---|---|---|---|---|---|
| Completely unhelpful | Unhelpful | Neither unhelpful or helpful | Helpful | Completely helpful | Not applicable | |
| Attending general practitioner for regular review and support sessions to improve confidence and motivation to wean off long term opioid therapy and understand pain | 1 | 2 | 3 | 2 | ||
| Working with the practice nurse to develop a management plan and attending regular support sessions to improve confidence and motivation to self-manage pain | 1 | 2 | 2 | 2 | 1 | |
| Having a home pharmacist visit to improve confidence and motivation to wean off opioids | 1 | 1 | 1 | 1 | 1 | 3 |
| Attending the dietitian sessions to improve confidence and motivation to make planned dietary changes | 2 | 1 | 1 | 2 | 2 | |
| Attending the exercise sessions to improve confidence and motivation to make planned physical activity changes | 1 | 1 | 1 | 1 | 1 | 3 |
| Additional psychologist support to improve capability and confidence in applying psychological skills | 1 | 1 | 1 | 1 | 4 | |