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Computer-Based Stratified Primary Care for Musculoskeletal Consultations Compared With Usual Care: Study Protocol for the STarT MSK Cluster Randomized Controlled Trial. (2020)
Journal Article
Hill, J., Garvin, S., Chen, Y., Cooper, V., Wathall, S., Bartlam, B., …Foster, N. E. (2020). Computer-Based Stratified Primary Care for Musculoskeletal Consultations Compared With Usual Care: Study Protocol for the STarT MSK Cluster Randomized Controlled Trial. JMIR Research Protocols, 9(7), https://doi.org/10.2196/17939

BACKGROUND: Musculoskeletal (MSK) pain is a major cause of pain and disability. We previously developed a prognostic tool (STarT Back Tool) with demonstrated effectiveness in guiding primary care low back pain management by supporting decision-making... Read More about Computer-Based Stratified Primary Care for Musculoskeletal Consultations Compared With Usual Care: Study Protocol for the STarT MSK Cluster Randomized Controlled Trial..

Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT (2020)
Journal Article
Foster, N. E., Konstantinou, K., Lewis, M., Ogollah, R., Saunders, B., Kigozi, J., …Dunn, K. M. (2020). Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT. Health Technology Assessment, 2(7), e401-e411. https://doi.org/10.3310/hta24490

BACKGROUND: Sciatica has a substantial impact on patients and society. Current care is 'stepped', comprising an initial period of simple measures of advice and analgesia, for most patients, commonly followed by physiotherapy, and then by more intensi... Read More about Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT.

Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial (2020)
Journal Article
Konstantinou, K., Lewis, M., Dunn, K., Hay, E., Van Der Windt, D., Artus, M., …Foster, N. (2020). Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial. The Lancet Rheumatology, 2(7), e401-e411. https://doi.org/10.1016/S2665-9913%2820%2930099-0

Background
Sciatica has a substantial impact on individuals and society. Stratified care has been shown to lead to better outcomes among patients with non-specific low back pain, but it has not been tested for sciatica. We aimed to investigate the c... Read More about Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial.

Stratified primary care versus non-stratified care for musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot cluster randomized controlled trial (2020)
Journal Article
Saunders, B., Hill, J., Foster, N., Cooper, V., Protheroe, J., Chudyk, A., …Bartlam, B. (2020). Stratified primary care versus non-stratified care for musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot cluster randomized controlled trial. BMC Family Practice, 31, Article 31. https://doi.org/10.1186/s12875-020-1098-1

BACKGROUND: Stratified care involves subgrouping patients based on key characteristics, e.g. prognostic risk, and matching these subgroups to appropriate early treatment options. The STarT MSK feasibility and pilot cluster randomised controlled trial... Read More about Stratified primary care versus non-stratified care for musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot cluster randomized controlled trial.

Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial (2020)
Journal Article
Hill, J., Garvin, S., Chen, Y., Cooper, V., Wathall, S., Saunders, B., …Foster, N. E. (2020). Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial. BMC Family Practice, 21, Article 30. https://doi.org/10.1186/s12875-019-1074-9

Background: Musculoskeletal (MSK) pain from the five most common presentations to primary care (back, neck, shoulder, knee or multi-site pain), where the majority of patients are managed, is a costly global health challenge. At present, first-line de... Read More about Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial.

PPatients' and general practitioners' views and experiences of stratified primary care for patients with musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot trial. (2019)
Conference Proceeding
Saunders, B., Hill, J., Foster, N., Cooper, V., Protheroe, J., Chudyk, A., …Bartlam, B. (2019). PPatients' and general practitioners' views and experiences of stratified primary care for patients with musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot trial. . https://doi.org/10.1302/1358-992X.2019.10.025

Background
Improving primary care management of musculoskeletal (MSK) pain is a priority. A pilot cluster RCT tested prognostic stratified care for patients with common MSK pain presentations, including low back pain, in 8 UK general practices (4 st... Read More about PPatients' and general practitioners' views and experiences of stratified primary care for patients with musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot trial..

Embracing a ‘new normal’: the construction of biographical renewal in young adults’ narratives of living with a stoma (2019)
Journal Article
Polidano, K., Chew-Graham, C., Bartlam, B., Farmer, A., & Saunders, B. (2020). Embracing a ‘new normal’: the construction of biographical renewal in young adults’ narratives of living with a stoma. Sociology of Health and Illness, 42(2), 342-358. https://doi.org/10.1111/1467-9566.13005

Stoma surgery can be a life-changing procedure due to bodily changes and related psychological responses. Despite previous literature identifying unique challenges for young adults living with a long-term condition, no studies have explored the biogr... Read More about Embracing a ‘new normal’: the construction of biographical renewal in young adults’ narratives of living with a stoma.

Matching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study (2019)
Journal Article
Protheroe, J., Saunders, B., Bartlam, B., Dunn, K., Cooper, V., Campbell, P., …Foster, N. (2019). Matching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-019-2587-z

Background
Musculoskeletal (MSK) pain represents a considerable worldwide healthcare burden. This study aimed to gain consensus from practitioners who work with MSK pain patients, on the most appropriate primary care treatment options for subgroups... Read More about Matching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study.

Biographical suspension and liminality of Self in accounts of severe sciatica (2018)
Journal Article
Saunders, B., Bartlam, B., Artus, M., & Konstantinou, K. (2018). Biographical suspension and liminality of Self in accounts of severe sciatica. Social Science and Medicine, 218, 28 -36. https://doi.org/10.1016/j.socscimed.2018.10.001

Sciatica is a common form of low back pain (LBP) that has been identified as distinct both in terms of the persistence and severity of symptoms. Little research has explored individual experiences of sciatica, and none focuses on individuals with the... Read More about Biographical suspension and liminality of Self in accounts of severe sciatica.

P25 Supportive care needs of young adults with a stoma: a qualitative study (2018)
Presentation / Conference
Polidano, K., Farmer, A., Bartlam, B., & Saunders, B. (2018, September). P25 Supportive care needs of young adults with a stoma: a qualitative study. Poster presented at Society for Social Medicine 62nd Annual Scientific Meeting, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow

The sample size debate: response to Norman Blaikie (2018)
Journal Article
Sim, J., Saunders, B., Waterfield, J., & Kingstone, T. (2018). The sample size debate: response to Norman Blaikie. International Journal of Social Research Methodology, 21(5), https://doi.org/10.1080/13645579.2018.1454642

In his detailed response to our paper on sample size in qualitative research, Norman Blaikie raises important issues concerning conceptual definitions and taxonomy. In particular, he points out the problems associated with a loose, generic applicatio... Read More about The sample size debate: response to Norman Blaikie.

Can sample size in qualitative research be determined a priori? (2018)
Journal Article
Sim, J., Saunders, B., Waterfield, J., & Kingstone, T. (2018). Can sample size in qualitative research be determined a priori?. International Journal of Social Research Methodology, 5, https://doi.org/10.1080/13645579.2018.1454643

There has been considerable recent interest in methods of determining sample size for qualitative research a priori, rather than through an adaptive approach such as saturation. Extending previous literature in this area, we identify four distinct ap... Read More about Can sample size in qualitative research be determined a priori?.

Saturation in qualitative research: exploring its conceptualization and operationalization (2017)
Journal Article
Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., …Jinks, C. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality and Quantity, 52, 1-15. https://doi.org/10.1007/s11135-017-0574-8

Saturation has attained widespread acceptance as a methodological principle in qualitative research. It is commonly taken to indicate that, on the basis of the data that have been collected or analysed hitherto, further data collection and/or analysi... Read More about Saturation in qualitative research: exploring its conceptualization and operationalization.

The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581). (2017)
Journal Article
Foster, N. E., Konstantinou, K., Lewis, M., Ogollah, R., Dunn, K. M., van der Windt, D., …Hay, E. M. (2017). The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581). BMC Musculoskeletal Disorders, 18, Article 172. https://doi.org/10.1186/s12891-017-1513-5

BACKGROUND: Sciatica has a substantial impact on patients, and is associated with high healthcare and societal costs. Although there is variation in the clinical management of sciatica, the current model of care usually involves an initial period of... Read More about The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581)..

'It seems like you're going around in circles': recurrent biographical disruption constructed through the past, present and anticipated future in the narratives of young adults with inflammatory bowel disease. (2017)
Journal Article
Saunders. (2017). 'It seems like you're going around in circles': recurrent biographical disruption constructed through the past, present and anticipated future in the narratives of young adults with inflammatory bowel disease. Sociology of Health and Illness, 39(5), 726 -740. https://doi.org/10.1111/1467-9566.12561

Biographical disruption and related concepts continue to be widely drawn upon in explaining how individuals experience chronic illness. Through in-depth examination of the narrative experiences of two young adults with inflammatory bowel disease (IBD... Read More about 'It seems like you're going around in circles': recurrent biographical disruption constructed through the past, present and anticipated future in the narratives of young adults with inflammatory bowel disease..

Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study (2017)
Journal Article
Tshimologo, M., Saunders, B., Muller, S., Mallen, C. D., & Hider, S. L. (2017). Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study. BMJ Open, e014301 -?. https://doi.org/10.1136/bmjopen-2016-014301

OBJECTIVE: To explore primary care polymyalgia rheumatica (PMR) patient beliefs about the causes of their PMR. DESIGN: Qualitative content analysis was conducted on patients' written responses to the question of what they thought had caused their PMR... Read More about Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study.

Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care. (2016)
Journal Article
Campbell, P., Hill, J., Protheroe, J., Afolabi, E., Lewis, M., Beardmore, R., …Dunn, K. (2016). Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care. Journal of Pain Research, 2016(9), 807 -818. https://doi.org/10.2147/JPR.S116614

Musculoskeletal conditions represent a considerable burden worldwide, and are predominantly managed in primary care. Evidence suggests that many musculoskeletal conditions share similar prognostic factors. Systematically assessing patient’s prognosis... Read More about Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care..

General Practitioners' and patients' perceptions towards stratified care: a theory informed investigation (2016)
Journal Article
Saunders, B., Bartlam, B., Foster, N. E., Hill, J. C., Cooper, V., & Protheroe, J. (2016). General Practitioners' and patients' perceptions towards stratified care: a theory informed investigation. BMC Family Practice, 17, Article 125. https://doi.org/10.1186/s12875-016-0511-2

Background
Stratified primary care involves changing General Practitioners’ (GPs) clinical behaviour in treating patients, away from the current stepped care approach to instead identifying early treatment options that are matched to patients’ risk... Read More about General Practitioners' and patients' perceptions towards stratified care: a theory informed investigation.

048 A Consensus Group Approach to Agreeing Matched Treatment Options for Musculoskeletal Pain of Patients Stratified According to Prognostic Risk (2016)
Journal Article
Protheroe, J., Saunders, B. M., Hill, J., Bartlam, B., Dunn, K. M., & Foster, N. (2016). 048 A Consensus Group Approach to Agreeing Matched Treatment Options for Musculoskeletal Pain of Patients Stratified According to Prognostic Risk. Rheumatology, 55(S1), i80–i81. https://doi.org/10.1093/rheumatology/kew140.011

Background: This paper reports on an expert consensus exercise to agree matched treatment options for subgroups of patients based on prognostic risk of persistent disabling pain. As part of the Stratified Primary Care for Musculoskeletal Pain researc... Read More about 048 A Consensus Group Approach to Agreeing Matched Treatment Options for Musculoskeletal Pain of Patients Stratified According to Prognostic Risk.