Pediatric Pain Screening Tool: rapid identification of risk in youth with pain complaints.

Simons, LE; Smith, A; Ibagon, C; Coakley, R; Logan, DE; Schechter, N; Borsook, D; Hill, JC

doi:10.1097/j.pain.0000000000000199

Construct and discriminant validity of STarT Back Screening Tool – Brazilian version (2017)
Journal Article
Hill, J. (2017). Construct and discriminant validity of STarT Back Screening Tool – Brazilian version. Brazilian Journal of Physical Therapy, 69 - 73. https://doi.org/10.1016/j.bjpt.2016.12.006

Background The STarT Back Screening Tool (SBST) was developed to stratify low back pain patients according to their risk of future physical disability so that prognostic subgroups can receive matched treatments in primary care. Objective To meas... Read More about Construct and discriminant validity of STarT Back Screening Tool – Brazilian version.

Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis (2017)
Journal Article
Beneciuk, J., Hill, J., Campbell, P., Afolabi, E., George, S., Dunn, K., & Foster, N. (2017). Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis. Journal of Pain, 54-65. https://doi.org/10.1016/j.jpain.2016.10.002

Identification of patient characteristics influencing treatment outcomes is a top low back pain (LBP) research priority. Results from the STarT Back Trial support the effectiveness of prognostic stratified care for LBP compared to current best care,... Read More about Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis.

PMS74 - Development of the Musculoskeletal Health Questionnaire (MSK-HQ) for Use in Different Conditions and Different Healthcare Pathways (2016)
Journal Article
Hill, J., Kang, S., Benedetto, E., Myers, H., Blackburn, S., Smith, S., …Price, A. (2016). PMS74 - Development of the Musculoskeletal Health Questionnaire (MSK-HQ) for Use in Different Conditions and Different Healthcare Pathways. Value in Health, 19(7), 544 - 544. https://doi.org/10.1016/j.jval.2016.09.1142

Objectives Musculoskeletal pain is the single greatest cause of years lived with disability. This can include osteoarthritis, inflammatory disorders and musculoskeletal disorders such as back, neck, shoulder, hip, and knee pain. The Arthritis UK Mus... Read More about PMS74 - Development of the Musculoskeletal Health Questionnaire (MSK-HQ) for Use in Different Conditions and Different Healthcare Pathways.

Does a modified STarT Back Tool predict outcome with a broader group of musculoskeletal patients than back pain? A secondary analysis of cohort data. (2016)
Journal Article
Hill, J., Afolabi, E. K., Lewis, M., Dunn, K., Roddy, E., Van Der Windt, D., & Foster, N. E. (2016). Does a modified STarT Back Tool predict outcome with a broader group of musculoskeletal patients than back pain? A secondary analysis of cohort data. BMJ Open, e012445 - ?. https://doi.org/10.1136/bmjopen-2016-012445

OBJECTIVES: The STarT Back Tool has good predictive performance for non-specific low back pain in primary care. We therefore aimed to investigate whether a modified STarT Back Tool predicted outcome with a broader group of musculoskeletal patients, a... Read More about Does a modified STarT Back Tool predict outcome with a broader group of musculoskeletal patients than back pain? A secondary analysis of cohort data..

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.

Evaluation of a risk-stratification strategy to improve primary care for low back pain: the MATCH cluster randomised trial protocol (2016)
Journal Article
Cherkin, D., Balderson, B., Brewer, G., Cook, A., Talbert Estlin, K., Evers, S., …Yeoman, J. (2016). Evaluation of a risk-stratification strategy to improve primary care for low back pain: the MATCH cluster randomised trial protocol. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-016-1219-0

Background Despite numerous options for treating back pain and the increasing healthcare resources devoted to this problem, the prevalence and impact of back pain-related disability has not improved. It is now recognized that psychosocial factors, a... Read More about Evaluation of a risk-stratification strategy to improve primary care for low back pain: the MATCH cluster randomised trial protocol.

Exploring what factors mediate treatment effect: Example of the STarT Back study high-risk intervention (2016)
Journal Article
Mansell, G., Hill, J., Main, C., Vowles, K. E., & Van Der Windt, D. (2016). Exploring what factors mediate treatment effect: Example of the STarT Back study high-risk intervention. Journal of Pain, 17(11), 1237-1245. https://doi.org/10.1016/j.jpain.2016.08.005

Interventions developed to improve disability outcomes for low back pain (LBP) often show only small effects. Mediation analysis was used to investigate what led to the effectiveness of the STarT Back trial, a large primary care-based trial that trea... Read More about Exploring what factors mediate treatment effect: Example of the STarT Back study high-risk intervention.

Exploring What Factors Mediate Treatment Effect: Example of the STarT Back Study High-Risk Intervention. (2016)
Journal Article
Mansell, G., Hill, J. C., Main, C., Vowles, K. E., & van der Windt, D. (2016). Exploring What Factors Mediate Treatment Effect: Example of the STarT Back Study High-Risk Intervention. Journal of Pain, 17(11), 1237-1245. https://doi.org/10.1016/j.jpain.2016.08.005

Interventions developed to improve disability outcomes for low back pain (LBP) often show only small effects. Mediation analysis was used to investigate what led to the effectiveness of the STarT Back trial, a large primary care-based trial that trea... Read More about Exploring What Factors Mediate Treatment Effect: Example of the STarT Back Study High-Risk Intervention..

Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. (2016)
Journal Article
Hill, J., Kang, S., Benedetto, E., Myers, H., Blackburn, S., Smith, S., …Price, A. (2016). Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. BMJ Open, 6(8), Article e012331. https://doi.org/10.1136/bmjopen-2016-012331

OBJECTIVES: Current musculoskeletal outcome tools are fragmented across different healthcare settings and conditions. Our objectives were to develop and validate a single musculoskeletal outcome measure for use throughout the pathway and patients wit... Read More about Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways..

German physiotherapists' views on a single appointment for low-risk patients within the start-back approach. (2016)
Journal Article
Kuithan, P., Krug, K., Hill, J., Szecsenyi, J., Steinhaeuser, J., Joos, S., & Karstens, S. (2016). German physiotherapists' views on a single appointment for low-risk patients within the start-back approach. Manual Therapy, 25, e150. https://doi.org/10.1016/j.math.2016.05.290

Background: The STarT-Back-Tool (Subgroups for Targeted Treatment) classifies patients with low back pain depending on their risk of a poor prognosis into low-, medium- and high-risk subgroups in order to deliver matched targeted treatment pathways.... Read More about German physiotherapists' views on a single appointment for low-risk patients within the start-back approach..

THU0631-HPR Validation of the Swedish Version of Start Back Tool Against the Short Version of The ÖRebro Musculoskeletal Pain Screening Questionnaire in Patients with Back and/or Neck Pain in Primary Health Care (2016)
Presentation / Conference
Forsbrand, M., Grahn, B., Hill, J., Peterson, I., Post Sennehed, C., & Stigmar, K. (2016, June). THU0631-HPR Validation of the Swedish Version of Start Back Tool Against the Short Version of The ÖRebro Musculoskeletal Pain Screening Questionnaire in Patients with Back and/or Neck Pain in Primary Health Care. Poster presented at Annual European Congress of Rheumatology (EULAR 2016), ExCeL London, UK

Background Patients with low back pain (LBP) and neck pain (NP) are frequently seen in primary health care practice. Clinicians need to find brief, practical tools to help identify patients that are at risk for long-term pain and functional impairmen... Read More about THU0631-HPR Validation of the Swedish Version of Start Back Tool Against the Short Version of The ÖRebro Musculoskeletal Pain Screening Questionnaire in Patients with Back and/or Neck Pain in Primary Health Care.

Are Small Effects for Back Pain Interventions Really Surprising? (2016)
Journal Article
Hill, J. (2016). Are Small Effects for Back Pain Interventions Really Surprising?. Journal of Orthopaedic & Sports Physical Therapy, 317-319. https://doi.org/10.2519/jospt.2016.0604

There is reasonably strong evidence that some physical therapy interventions are effective (compared to minimal or no intervention) for patients with low back pain (LBP); however, the effect sizes are typically small. Many clinicians argue that this... Read More about Are Small Effects for Back Pain Interventions Really Surprising?.

Start: Stratifying Back Pain—The Science (2016)
Conference Proceeding
Hill, J. (2016). Start: Stratifying Back Pain—The Science.

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.

Validation of the German version of the STarT-Back Tool (STarT-G): a cohort study with patients from primary care practices (2015)
Journal Article
Karstens, S., Krug, K., Hill, J. C., Stock, C., Steinhaeuser, J., Szecsenyi, J., & Joos, S. (2015). Validation of the German version of the STarT-Back Tool (STarT-G): a cohort study with patients from primary care practices. BMC Musculoskeletal Disorders, 16, https://doi.org/10.1186/s12891-015-0806-9

BACKGROUND: Current research emphasizes the high prevalence and costs of low back pain (LBP). The STarT Back Tool was designed to support primary care decision making for treatment by helping to determine the treatment prognosis of patients with non-... Read More about Validation of the German version of the STarT-Back Tool (STarT-G): a cohort study with patients from primary care practices.

Using an internet intervention to support self-management of low back pain in primary care: Protocol for a randomised controlled feasibility trial (supportback) (2015)
Journal Article
Geraghty, A. W. A., Stanford, R., Little, P., Roberts, L., Foster, N. E., Hill, J. C., …Yardley, L. (2015). Using an internet intervention to support self-management of low back pain in primary care: Protocol for a randomised controlled feasibility trial (supportback). BMJ Open, 5(9), https://doi.org/10.1136/bmjopen-2015-009524

Introduction Low back pain (LBP) is a prevalent and costly condition. The majority of patients experiencing LBP are managed in primary care, where first-line care recommendations consist of advice to self-manage and remain active. Internet interventi... Read More about Using an internet intervention to support self-management of low back pain in primary care: Protocol for a randomised controlled feasibility trial (supportback).

General Practitioners Views of Implementing a Stratified Treatment Approach for Low Back Pain in Germany: A Qualitative Study (2015)
Journal Article
Hill, J. (2015). General Practitioners Views of Implementing a Stratified Treatment Approach for Low Back Pain in Germany: A Qualitative Study. PLoS ONE, https://doi.org/10.1371/journal.pone.0136119

Background and Objective The STarT Back stratified primary care approach has demonstrated clinical and cost effectiveness in the UK, and is commonly used by General Practitioners (GPs). However, it remains unknown how this approach could be implemen... Read More about General Practitioners Views of Implementing a Stratified Treatment Approach for Low Back Pain in Germany: A Qualitative Study.

Pediatric Pain Screening Tool: rapid identification of risk in youth with pain complaints. (2015)
Journal Article
Simons, L., Smith, A., Ibagon, C., Coakley, R., Logan, D., Schechter, N., …Hill, J. (2015). Pediatric Pain Screening Tool: rapid identification of risk in youth with pain complaints. PAIN, 156(8), 1511-1518. https://doi.org/10.1097/j.pain.0000000000000199

Moderate to severe chronic pain is a problem for 1.7 million children, costing $19.5 billion annually in the United States alone. Risk-stratified care is known to improve outcomes in adults with chronic pain. However, no tool exists to stratify youth... Read More about Pediatric Pain Screening Tool: rapid identification of risk in youth with pain complaints..

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