An interventional study of Pain neuroscience education and Red Flag Education in Pain, Chronic and Education, sponsored by Teesside University. Completed at 4 sites in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-20.
Sponsored by Teesside University · Not applicable, Interventional, and Health services research
Chronic pain is the leading cause of disability worldwide affecting just under 28 million people in the UK. Chronic pain conditions require a biopsychosocial rather than a biomedical model of care. Biomedical management lacks evidence of effectiveness but also has the potential to exacerbate the condition by raising fears and anxiety about potential pathological abnormalities.
Thus, the pre-registration phase is an important point where an individual's understanding of, and beliefs about, pain and people with pain may be shaped for the future. The need for improved and better education of healthcare professionals to support best practice for low back pain with the aim of integrating professionals' management of low back pain and fostering innovation in practice is well recognised. Pain education research with pre-registration chiropractors is lacking.
Therefore, this study aims to:
To compare the effect of two pain education intervention, through a multi-site randomised control trial, on the following three questionnaire based outcome measures:
In 2011 Briggs et al described pain education at undergraduate level for healthcare professionals as 'woefully inadequate'. Pain Neurophysiology Education (PNE) can improve undergraduates' pain understanding/management, however previous RCTs used single discipline groups and immediate follow-up. Investigation of the effectiveness of this education on students across the multi-professional team with medium-to-long-term follow-up will provide important new information on the generalisability of existing data and whether or not any changes in pain understanding/management are maintained over time.
This study aims to contribute to the development of neuromusculoskeletal chiropractic education by identifying whether or not this education, which aims to up skill healthcare professionals of the future, is effective and can change their behaviours in practice to enhance patient care in chronic pain management. PNE has been shown to be useful in patient care in conjunction with other treatment methods. If this intervention is successful in altering pain attitudes and knowledge in keeping with modern science then students may feel more confident and able to manage pain post qualification. The findings of this study will support or refute the addition of PNE into healthcare professional undergraduate programmes
2,930 studies on the registry are indexed under Chronic Pain; 701 are open to participants now.
This study's enrollment of 60 is close to the median of 60 across 2,161 interventional studies indexed under Chronic Pain.
Browse Chronic Pain studies →Teesside University is the lead sponsor of 54 studies on the registry; 10 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Pain neuroscience education group. One-off, 70 minute duration session delivered by Dr Cormac Ryan.
Other: Pain neuroscience education
Red flags education group. One-off 70 minute duration session delivered by Dr Cormac Ryan.
Other: Red Flag Education
Pain neuroscience education lecture
Red Flag education lecture
The 12-item Revised Pain Neurophysiology Quiz (change assessed)
This is a validated tool for assessing knowledge of pain physiology. Measures knowledge of pain physiology using a 12 point validated questionnaire. Low score is poor sign. Scores range from 0-12.
Time frame: Immediate and 6-month follow-up
The 10-item Red Flags knowledge questionnaire (change assessed)
This is a questionnaire containing 10 yes/no questions to assess participants knowledge of red flags. Low score is a poor sign. Scores range from 0-10.
Time frame: Immediate and 6-month follow-up
The 13-item Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) (change assessed)
this a validated measure of health care professionals attitudes towards the ability of patients with pain to function despite their pain. The Health Care Providers Pain and Impairment Relationship Scale assesses attitudes and beliefs towards pain using a 13 item validated questionnaire. High score is a worse outcome. Scores range from 13-91.
Time frame: Immediate and 6-month follow-up
Case vignette (change assessed)
Measures clinical practise behaviours in pain management. A validated proxy measure of clinical behaviour, MCQ weighted as appropriate or inappropriate according to current national clinical guidelines. A low score is considered good, and scores range from 4 to 20.
Time frame: Immediate and 6-month follow-up
Semi-structured Interviews
Participants will be invited to take part in a semi-structured interview based in realtion to their knowledge retention and subject understanding.
Time frame: 6-month follow-up
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Teesside University