Proactive clinical Review of patients taking Opioid Medicines long-term for persistent Pain led by clinical Pharmacists in primary care Teams (PROMPPT). A non-randomised Mixed Methods Feasibility Study.

Ashworth, Julie; Cornwall, Nicola; Harrisson, Sarah A; Woodcock, Charlotte; Nicholls, Elaine; Lancaster, Gillian; Wathall, Simon; Laing, Libby; Helliwell, Toby; Jowett, Sue; Kigozi, Jesse; Mallen, Christian D; Avery, Anthony; Knaggs, Roger; Pincus, Tamar; White, Simon; Jinks, Clare

doi:10.21203/rs.3.rs-4984904/v1

The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine (2025)
Journal Article
Bullock, L., Tyler, N., Fleming, J., Clark, E. M., Thomas, S., Gidlow, C., Iglesias-Urrutia, C. P., Horne, R., Bentley, I., Hawarden, A., Peel, N., Gregson, C. L., Ralston, S. H., Protheroe, J., Lefroy, J., Ryan, S., O’Neill, T. W., Mallen, C., Jinks, C., & Paskins, Z. (2025). The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine. Rheumatology, https://doi.org/10.1093/rheumatology/keaf413

Objectives Only 12% of people recommended fracture prevention medicines remain on treatment 1 year post fracture. The improving uptake of Fracture Prevention treatments (iFraP) intervention aims to improve shared decision-making (SDM) about, and upta... Read More about The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine.

Osteoporosis care in primary care settings: a national UK e-survey (2025)
Journal Article
Hawarden, A., Bullock, L., Cox, N. M., Nicholls, E., Protheroe, J., Jinks, C., & Paskins, Z. (2025). Osteoporosis care in primary care settings: a national UK e-survey. Archives of Osteoporosis, 20(1), Article 109. https://doi.org/10.1007/s11657-025-01591-8

Summary: An electronic survey of 341 UK primary care staff identified barriers to evidence-based osteoporosis care including low confidence in clinical skills, the complex nature of decision-making, insufficient incentivisation and lack of systematic... Read More about Osteoporosis care in primary care settings: a national UK e-survey.

Involving public contributors in decision aid development: reflections from the iFrap study (2025)
Presentation / Conference Contribution
Bullock, L., Bentley, I., Worrall, A., Haines, R., Jinks, C., Moult, A., Fleming, J., Clark, E., Nicholls, E., Leyland, S., Thomas, S., Iglesias-Urrutia, C., O’Neill, T., Mallen, C., & Paskins, Z. (2024, September). Involving public contributors in decision aid development: reflections from the iFrap study. Presented at International Conference on Communication in Healthcare, Zaragoza, Spain

The role of clinician training to facilitate shared decision-making: findings from the iFraP study (2025)
Presentation / Conference Contribution
Bullock, L., Jinks, C., Lefroy, J., Protheroe, J., Dale, N., Ryan, S., Leyland, S., Thomas, S., Gidlow, C., Fleming, J., Clark, E., Horne, R., Iglesias-Urrutia, C., O’Neill, T., Mallen, C., & Paskins, Z. (2024, September). The role of clinician training to facilitate shared decision-making: findings from the iFraP study. Presented at International Conference on Communication in Healthcare, Zaragoza, Spain

Combining multiple methods to develop the iFraP osteoporosis shared decision-making intervention (2025)
Presentation / Conference Contribution
Paskins, Z., Bullock, L., Fleming, J., Clark, E., Leyland, S., Thomas, S., Gidlow, C., O'Neil, T., Iglesias-Urrutia, C., Hawarden, A., Manning, F., Protheroe, J., Lefroy, J., Ryan, S., Horne, R., Mallen, C., & Jinks, C. (2024, September). Combining multiple methods to develop the iFraP osteoporosis shared decision-making intervention. Presented at International Conference on Communication in Healthcare (ICCH 2024), ZarZagoza, Spain at the Residencia de Estudiantes Ramón Pignatelli Zaragoza

Explaining osteoarthritis: what do patients want and need to support self-management? (2025)
Presentation / Conference Contribution
Jinks, C., Campbell, L., Croft, P., Dziedzic, K., Grossmann, H., Maddison, J., Main, C., McRobert, C., Nicolls, E., Paskins, Z., Peat, G., Porcheret, M., Protheroe, J., Quicke, J., Shivji, N., & Cottrell, E. (2024, September). Explaining osteoarthritis: what do patients want and need to support self-management?. Presented at International Conference on Communication in Healthcare (ICCH 2024), ZarZagoza, Spain at the Residencia de Estudiantes Ramón Pignatelli Zaragoza

Development of recommendations for media reporting of osteoporosis and its treatment (2025)
Presentation / Conference Contribution
Jones, R., Jinks, C., Holohan, S., & Paskins, Z. (2024, September). Development of recommendations for media reporting of osteoporosis and its treatment. Presented at International Conference on Communication in Healthcare (ICCH 2024), Zaragoza, Spain at the Residencia de Estudiantes Ramón Pignatelli Zaragoza

Getting to what matters with people with osteoporosis in consultations: an observational study (2025)
Presentation / Conference Contribution
Paskins, Z., Bullock, L., Hawarden, A., Leon-Garcia, M., Hartasanchez, S., Hargraves, I., Horne, R., Maraboto, A., Kunneman, M., & Jinks, C. (2024, September). Getting to what matters with people with osteoporosis in consultations: an observational study. Presented at International Conference on Communication in Healthcare (ICCH 2024), Zaragoza, Spain at the Residencia de Estudiantes Ramón Pignatelli Zaragoza

Evaluating a primary care pharmacist-led intervention to reduce opioid use for persistent non-cancer pain: the PROMPPT cluster randomised controlled trial protocol [version 1; peer review: awaiting peer review] (2025)
Journal Article
Ashworth, J., Cornwall, N., Harrisson, S. A., Woodcock, C., Nicholls, E., Hughes, G., Marshall, E., Lawton, S. A., Wathall, S., Helliwell, T., Jowett, S., Avery, A. J., Knaggs, R., Hussain, B., Santer, M., Pincus, T., White, S., Sillitto, C., Jinks, C., & Mallen, C. D. (2025). Evaluating a primary care pharmacist-led intervention to reduce opioid use for persistent non-cancer pain: the PROMPPT cluster randomised controlled trial protocol [version 1; peer review: awaiting peer review]. NIHR Open Research, 5(54), https://doi.org/10.3310/nihropenres.13961.1

Background
Addressing the need for evidence-based interventions to reduce opioid use for persistent pain, we developed the PROMPPT intervention (Proactive clinical Review of patients taking Opioid Medicines long-term for persistent Pain led by clini... Read More about Evaluating a primary care pharmacist-led intervention to reduce opioid use for persistent non-cancer pain: the PROMPPT cluster randomised controlled trial protocol [version 1; peer review: awaiting peer review].

Impact of a comprehensive review template on personalised care in general practice for patients with multiple long-term conditions: a mixed-methods evaluation. (2025)
Journal Article
Coope, C., Baker, D., Lippiett, K. A., Moult, A., Scott, L. J., Chilcott, S., Turner, A., Jinks, C., Portillo, M. C., Dziedzic, K., Mann, C., Byng, R., Scrimgeour, G., Salisbury, C., & Johnson, R. (in press). Impact of a comprehensive review template on personalised care in general practice for patients with multiple long-term conditions: a mixed-methods evaluation. British Journal of General Practice Open (BJGP Open), Article BJGPO.2025.0022. https://doi.org/10.3399/BJGPO.2025.0022

Primary care is in urgent need of more effective and efficient ways of managing the care of people living with multiple long-term conditions (multimorbidity). Personalised care organised around an individual's needs and conditions, taking account of... Read More about Impact of a comprehensive review template on personalised care in general practice for patients with multiple long-term conditions: a mixed-methods evaluation..

Getting to what matters for people with osteoporosis in clinical consultations with and without conversation aids: A videographic analysis (2025)
Journal Article
Hawarden, A., Bullock, L., García, M. L., Hartasanchez, S. A., Maraboto, A., Jinks, C., Kunneman, M., Hargraves, I., Horne, R., Montori, V. M., & Paskins, Z. (2025). Getting to what matters for people with osteoporosis in clinical consultations with and without conversation aids: A videographic analysis. Patient Education and Counseling, 137(August 2025), Article 109171. https://doi.org/10.1016/j.pec.2025.109171

To evaluate if, and how, clinicians elicit and address health and medicine beliefs in osteoporosis consultations, and to evaluate the impact of a conversation aid (CA) on clinician behaviour. Secondary analysis of 107 video-recorded consultations fro... Read More about Getting to what matters for people with osteoporosis in clinical consultations with and without conversation aids: A videographic analysis.

P084 Implementing an osteoporosis shared decision-making intervention in Fracture Liaison Services: interview findings from the iFraP process evaluation (2025)
Presentation / Conference Contribution
Bullock, L., Cherrington, A., Clark, E. M., Fleming, J., Bentley, I., Nicholls, E., Webb, D., Smith, J., Lewis, S., Horne, R., O’Neill, T. W., Mallen, C. D., Jinks, C., & Paskins, Z. (2025, April). P084 Implementing an osteoporosis shared decision-making intervention in Fracture Liaison Services: interview findings from the iFraP process evaluation. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims High quality shared decision-making (SDM) conversations involve people with or at risk of osteoporosis and clinicians working together to reach decisions about care. The improving uptake of Fracture Prevention drug treatments (iFraP)... Read More about P084 Implementing an osteoporosis shared decision-making intervention in Fracture Liaison Services: interview findings from the iFraP process evaluation.

E054 Routine osteoporosis care in UK primary care settings: a national e-survey (2025)
Presentation / Conference Contribution
Hawarden, A., Cox, N., Bullock, L., Protheroe, J., Jinks, C., & Paskins, Z. (2025, April). E054 Routine osteoporosis care in UK primary care settings: a national e-survey. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Osteoporosis care is primarily delivered in primary care settings, but little is known about routine practice and implementation of evidence-based care in the UK. This e-survey aimed to examine current practice and perceptions of oste... Read More about E054 Routine osteoporosis care in UK primary care settings: a national e-survey.

E055 Exploring patient and clinician understanding of bone density (DXA) scan results: qualitative findings from the INDEX study (2025)
Presentation / Conference Contribution
Kettle, C., Manning, F., Henderson, B., Griffin, J., Knapp, K., Butterworth, J., Jinks, C., Bullock, L., & Paskins, Z. (2025, April). E055 Exploring patient and clinician understanding of bone density (DXA) scan results: qualitative findings from the INDEX study. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Dual-energy X-ray absorptiometry (DXA) scans are routinely performed to assess bone mineral density (BMD), diagnose osteoporosis, refine fracture risk assessment and inform osteoporosis medicine decisions. The INDEX (understandINg bon... Read More about E055 Exploring patient and clinician understanding of bone density (DXA) scan results: qualitative findings from the INDEX study.

Stakeholder Involvement in the Development of a New Proactive Clinical Review of Patients Prescribed Opioid Medicines Long‐Term for Persistent Pain in Primary Care (2025)
Journal Article
Harrisson, S. A., Jinks, C., Cornwall, N., Woodcock, C., Dikomitis, L., Helliwell, T., Higginbottom, A., Lefroy, J., Knaggs, R., Pincus, T., Santar, M., Sillitto, C., Webb, M., White, S., Mallen, C. D., & Ashworth, J. (2025). Stakeholder Involvement in the Development of a New Proactive Clinical Review of Patients Prescribed Opioid Medicines Long‐Term for Persistent Pain in Primary Care. Health Expectations, 28(3), Article e70264. https://doi.org/10.1111/hex.70264

Background: Stakeholder involvement is a core element of the Medical Research Council (MRC) framework for developing and evaluating complex interventions, but approaches to involve stakeholders are not well‐reported. We outline how stakeholders contr... Read More about Stakeholder Involvement in the Development of a New Proactive Clinical Review of Patients Prescribed Opioid Medicines Long‐Term for Persistent Pain in Primary Care.

Proactive clinical review of patients taking opioid medicines long term for persistent pain led by clinical pharmacists in primary care teams (PROMPPT): a non-randomised mixed methods feasibility study (2025)
Journal Article
Ashworth, J., Cornwall, N., Harrisson, S., Woodcock, C., Nicholls, E., Lancaster, G., Wathall, S., Laing, L., Helliwell, T., Jowett, S., Kigozi, J., Mallen, C., Avery, A., Knaggs, R., Pincus, T., White, S., & Jinks, C. (2025). Proactive clinical review of patients taking opioid medicines long term for persistent pain led by clinical pharmacists in primary care teams (PROMPPT): a non-randomised mixed methods feasibility study. Pilot and Feasibility Studies, 11(1), Article 53. https://doi.org/10.1186/s40814-025-01636-2

Background: Given the poor long-term effectiveness of opioids for persistent non-cancer pain, and their potential for harm, evidence-based interventions to address opioid overprescribing for persistent pain are needed. This study aimed to explore the... Read More about Proactive clinical review of patients taking opioid medicines long term for persistent pain led by clinical pharmacists in primary care teams (PROMPPT): a non-randomised mixed methods feasibility study.

The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine using a person-centred approach (2025)
Preprint / Working Paper
Bullock, L., Tyler, N., Clark, E. M., Thomas, S., Gidlow, C., Bentley, I., Hawarden, A., Peel, N., Gregson, C. L., Ralston, S. H., Protheroe, J., Lefroy, J., O’Neill, T. W., Mallen, C., Clare, J., & Paskins, Z. (in press). The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine using a person-centred approach

Objectives The improving uptake of Fracture Prevention treatments (iFraP) intervention consists of an osteoporosis decision support tool (DST), clinician skills training, and information resources, to improve shared decision-making (SDM) about, and u... Read More about The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine using a person-centred approach.

How Do Individuals Perceive Diagnostic Labels and Explanations for Hip Pain? A Qualitative Study Among Adults With Persistent Hip Pain (2025)
Journal Article
Haber, T., Hinman, R. S., Hall, M., Lawford, B. J., Zhu, S. J., Bunzli, S., Jinks, C., O’Keeffe, M., & Dobson, F. (in press). How Do Individuals Perceive Diagnostic Labels and Explanations for Hip Pain? A Qualitative Study Among Adults With Persistent Hip Pain. Clinical Orthopaedics & Related Research, https://doi.org/10.1097/corr.0000000000003445

Background Depending on how clinicians label and explain hip pain, patients may form different beliefs about hip pain and its management. When clinicians describe hip pain as a problem of passive “wear and tear,” patients may be more likely to believ... Read More about How Do Individuals Perceive Diagnostic Labels and Explanations for Hip Pain? A Qualitative Study Among Adults With Persistent Hip Pain.

A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol (2024)
Journal Article
Bullock, L., Nicholls, E., Cherrington, A., Butler-Walley, S., Clark, E. M., Fleming, J., Leyland, S., Bentley, I., Thomas, S., Iglesias-Urrutia, C. P., Webb, D., Smith, J., Bathers, S., Lewis, S., Clifford, A., Siciliano, M., Protheroe, J., Ryan, S., Lefroy, J., Dale, N., …Paskins, Z. (2024). A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol. NIHR Open Research, https://doi.org/10.3310/nihropenres.13571.2

Background
Good quality shared decision-making (SDM) conversations involve people with, or at risk of osteoporosis and clinicians collaborating to decide, where appropriate, which evidence-based medicines best fit the person’s life, beliefs, and val... Read More about A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol.

Proactive clinical Review of patients taking Opioid Medicines long-term for persistent Pain led by clinical Pharmacists in primary care Teams (PROMPPT). A non-randomised Mixed Methods Feasibility Study. (2024)
Preprint / Working Paper
Ashworth, J., Cornwall, N., Harrisson, S. A., Woodcock, C., Nicholls, E., Lancaster, G., Wathall, S., Laing, L., Helliwell, T., Jowett, S., Kigozi, J., Mallen, C. D., Avery, A., Knaggs, R., Pincus, T., White, S., & Jinks, C. (2024). Proactive clinical Review of patients taking Opioid Medicines long-term for persistent Pain led by clinical Pharmacists in primary care Teams (PROMPPT). A non-randomised Mixed Methods Feasibility Study

Background:

Given the poor long-term effectiveness of opioids for persistent non-cancer pain, and their potential for harm, evidence–based interventions to address opioid overprescribing for persistent pain are needed. This study aimed to explore... Read More about Proactive clinical Review of patients taking Opioid Medicines long-term for persistent Pain led by clinical Pharmacists in primary care Teams (PROMPPT). A non-randomised Mixed Methods Feasibility Study..

All Outputs (170)