Introduction and Aim

Persistent musculoskeletal pain is when people have pain in their bones, joints, muscles, tendons or other soft tissues for three months or longer. It is one of the world’s biggest causes of disability and many people with the condition need rehabilitation.

Pain management programmes provide rehabilitation for people with persistent musculoskeletal pain and support them to self-manage their condition. Physical activity is an essential self-management strategy facilitated on these programmes as it can:  

Reduce pain
Improve and maintain physical
and psychological function
Improve and maintain quality of life
Prevent and manage other health
problems, including mental health conditions

Physical activity includes any movement of the body that uses energy and includes exercise, leisure activities, active transport (e.g., walking to work) or work-related activities.
It needs to be kept up long-term to continue to benefit from it. 

However, our previous research has shown that existing interventions do not help people with persistent musculoskeletal pain to keep up physical activity long-term. It has also found that people can find it difficult to keep active long-term after pain management programmes and there are many possible obstacles to being active.

We believe that improving self-management for people with persistent musculoskeletal pain is likely to improve the quality of life of people with the condition and save money for the NHS. 

Therefore, the PAMPER project aims to develop an intervention (support package) to help people with persistent musculoskeletal pain keep up physical activity after a pain management programme. 

The PAMPER project is split into 3 parts, called work packages: 

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Work package 1:

Qualitative study: experiences, barriers and facilitators to physical activity maintenance for people with persistent musculoskeletal and potential characteristics of a support package.

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Work package 2:

Prospective longitudinal pilot study: factors associated with keeping up physical activity after a pain management programme and potential characteristics of a support package.

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Work package 3:

Development of the support package. Work package 3 will consist of 3 phases. It will be guided by the Behaviour Change Wheel intervention development framework.

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Meet the Team

Each member of our team brings a unique blend of expertise, compassion, and dedication to their role, united by a common commitment to excellence in healthcare delivery.

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Greg Booth

Lead Researcher / Chief Investigator

NIHR Doctoral Fellow / Highly Specialised Physiotherapist (Pain Management and Rehabilitation) – Royal National Orthopaedic Hospital NHS Trust and St. George’s, University of London

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Professor Micheal Ussher

Primary Academic Supervisor

St. George’s, University of London

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Professor Lindsay Bearne

Academic Supervisor

St. George’s, University of London

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Dr Danielle D’Lima

Academic Supervisor

University College London

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Dr Mohammed Hudda

Statistical Support

Dasman Diabetes Institute

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Victoria Curtis

Patient member

PPI Group

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Julie Bullen

Patient member

PPI Group

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Irene Porteous

Patient member

PPI Group

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Cristiana Camisotti

Patient Member

PPI Group

Funding Disclaimer

This project is funded by the NIHR Doctoral Fellowship awarded to Gregory Booth (NIHR303240). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

Related Publications

Booth, G., Di Rosa, A., Corcoran, P., Hallisey, C., Lucas, A., & Zarnegar, R. (2024). Patient perspectives on the unwanted effects of multidisciplinary pain management programmes: A qualitative study. Clinical Rehabilitation, 02692155241254250. Patient perspectives on the unwanted effects of multidisciplinary pain management programmes: A qualitative study - Gregory Booth, Amanda Di Rosa, Paula Corcoran, Charlotte Hallisey, Andrew Lucas, Roxaneh Zarnegar, 2024 (sagepub.com)

Booth, G., D’Lima, D., Gilbert, A., Greenwood, J., Sharma, N., Howarth, A., ... & Ussher, M. (2023). Barriers and facilitators to physical activity for people with persistent musculoskeletal pain: systematic review and synthesis using the Theoretical Domains Framework. European Journal of Physiotherapy, 1-14. Barriers and facilitators to physical activity for people with persistent musculoskeletal pain: systematic review and synthesis using the Theoretical Domains Framework: European Journal of Physiotherapy: Vol 0, No 0 (tandfonline.com)

Booth, G., Howarth, A., Stubbs, B., & Ussher, M. (2022). The effectiveness of interventions and intervention components for increasing physical activity and reducing sedentary behaviour in people with persistent musculoskeletal pain: a systematic review and meta-analysis. The Journal of Pain, 23(6), 929-957. The Effectiveness of Interventions and Intervention Components for Increasing Physical Activity and Reducing Sedentary Behaviour in People With Persistent Musculoskeletal Pain: A Systematic Review and Meta-Analysis - ScienceDirect

The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7 4LP

gregory.booth@nhs.net 

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