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CompletedNCT06115278Updated Jul 12, 2024

Pain Rating Challenges and Patterns

An observational study in Chronic Pain, sponsored by University of Missouri-Columbia. Completed at 1 site in United States. Open to participants aged 18 Years to 110 Years. Per ClinicalTrials.gov, last updated 2024-07-12.

Sponsored by University of Missouri-Columbia · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
191
Ages
18 Years to 110 Years
Sex
All
01

Study summary

Our long-term goal is to improve pain communication for patients' health. For this project, we seek information on patients' and health care nurses' (1) mental effort when choosing or understanding, respectively, pain intensity ratings, and (2) confidence in the accuracy of pain intensity rating patterns. This information will clarify the importance of mental effort from pain ratings and the probability of pain intensity rating patterns.

Our primary aim will compare patients' and nurses' perceptions of the mental effort of choosing (Aim 2a) and understanding (Aim 2b) pain intensity ratings. We hypothesize that patients will rate mental effort higher than nurses for choosing ratings and lower than nurses for understanding ratings. The results will inform future efforts to improve pain communication between patients and nurses.

Read the detailed description

Our long-term goal is to improve pain communication for patients' health. For this project, we seek information on patients' and health care nurses' {1} mental effort when choosing or understanding, respectively, pain intensity ratings, and {2} confidence in the accuracy of pain intensity rating patterns. This information will clarify the importance of mental effort from pain ratings and the probability of pain intensity rating patterns.

Aim 1 {exploratory} will compare the mental effort of choosing {Aim 1a} and understanding {Aim1b different pain intensity rating scales. We hypothesize mental effort will be lower for {a} the "worst pain you have ever felt" scale than "worst pain you can think of" scale, {b} a 7-day recall period than a 1-month recall period, and {c} focus on one body area than summarizing across body areas. The results will clarify the impact of pain intensity scales' characteristics on mental effort.

Aim 2 {primary} will compare patients' and nurses' perceptions of the mental effort of choosing {Aim 2a} and understanding {Aim 2b} pain intensity ratings. We hypothesize that patients will rate mental effort higher than nurses for choosing ratings and lower than nurses for understanding ratings. The results will inform future efforts to improve pain communication between patients and nurses.

Aim 3 {exploratory} will determine the relationship between perceptions of mental effort and the importance of decreasing that mental effort for patients {Aim 3a} and nurses {Aim 3b}. We hypothesize perceptions of mental effort will positively correlate with the importance of decreasing mental effort. The results will clarify the importance of mental effort for pain intensity ratings.

Aim 4 {exploratory} will evaluate the equivalence of patients' and nurses' confidence in the accuracy of fictional pain intensity rating patterns. We hypothesize that patients' and nurses' confidence in the accuracy will be equally low because the patterns tested should be improbable. Future studies may investigate the ability of improbable pain intensity rating patterns to evaluate the usability and psychometrics of pain measures.

Aim 5 {exploratory} will test the relationship between confidence in the accuracy of fictional pain intensity rating patterns and the importance of increasing that confidence for patients {Aim 5a} and nurses {Aim 5b}. We hypothesize confidence will negatively correlate with the importance of increasing confidence. The results will clarify the importance of confidence in pain intensity rating accuracy.

02

Conditions studied

  • Chronic Pain

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03

In context

Chronic Pain

2,998 studies on the registry are indexed under Chronic Pain; 706 are open to participants now.

This study's enrollment of 191 is above the median of 128 across 706 observational studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

University of Missouri-Columbia is the lead sponsor of 364 studies on the registry; 70 are open to participants now.

Of its 42 completed or terminated interventional studies of FDA-regulated products, 29 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 110 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

patients with chronic pain \& nurses without chronic pain

Eligibility criteria

Our inclusion criteria for the patients are the following:

  • 18 years old or older;
  • currently being treated by a health care provider for a painful musculoskeletal condition;
  • has felt a usual musculoskeletal pain intensity rating of "2" or higher on a "0" to "10" scale over the last 24 hours;
  • has felt extreme pain that completely disappeared;
  • has felt musculoskeletal pain on most days of the last 3 months;
  • chronic musculoskeletal pain has increased and decreased during the last 3 months; and
  • has felt musculoskeletal pain in more than one location on most days of the last 3 months.

Our exclusion criterion for the patients is:

  • ever employed as a licensed health care provider.

Our inclusion criteria for the nurses are the following:

  • 18 years old or older;
  • currently employed as a licensed nurse; and
  • current employment duties include routinely assessing the musculoskeletal pain of cognitively intact, adult outpatients.

Our exclusion criteria for the nurses are the following:

  • currently managing a painful musculoskeletal condition; and
  • has ever felt musculoskeletal pain on most days for 3 months or longer.
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
191 participants (actual)
Patient registry
No

Groups and cohorts

  • nurses

    Our inclusion criteria for the nurses are the following: (1) 18 years old or older; (2) currently employed as a licensed nurse; and (3) current employment duties include routinely assessing the musculoskeletal pain of cognitively intact, adult outpatients. Our exclusion criteria for the nurses are the following: (1) currently managing a painful musculoskeletal condition; and (2) has ever felt musculoskeletal pain on most days for 3 months or longer.

    Other: survey

  • patients

    Our inclusion criteria for the patients are the following: (1) 18 years old or older; (2) currently being treated by a health care provider for a painful musculoskeletal condition; (3) has felt a usual musculoskeletal pain intensity rating of "2" or higher on a "0" to "10" scale over the last 24 hours; (4) has felt extreme pain that completely disappeared; (5) has felt musculoskeletal pain on most days of the last 3 months; (6) chronic musculoskeletal pain has increased and decreased during the last 3 months; and (6) has felt musculoskeletal pain in more than one location on most days of the last 3 months. Our exclusion criterion for the patients is ever employed as a licensed health care provider.

    Other: survey

Interventions

  • Othersurvey

    survey

06

What researchers measure

Primary outcomes

  1. mental effort

    ordinal self-report of expected amount of thought allocated to choosing a numeric pain intensity rating; higher scores mean more mental effort

    Time frame: baseline

  2. importance of decreasing mental effort

    ordinal self-report of importance of decreasing amount of thought allocated to choosing or understanding a numeric pain intensity rating; higher scores mean more importance

    Time frame: baseline

Secondary outcomes

  1. confidence in the accuracy of fictional pain intensity ratings

    ordinal self-report of confidence in numeric pain intensity ratings; higher scores mean more confidence

    Time frame: baseline

07

Study locations

1 site
  • University of Missouri - Columbia
    Columbia, Missouri 65211, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2023 to primary completion in Feb 2024, 11 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 25, 2023
First posted
Nov 2, 2023
StartActual
Mar 21, 2023
Primary completionActual
Feb 24, 2024
CompletionActual
Feb 24, 2024
Last update
Jul 12, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06115278
Responsible party
Erin Dannecker (Associate Professor & Director Of Scholarly Activity, University of Missouri-Columbia) — Principal investigator
First posted
Nov 2, 2023
Start date
Mar 21, 2023
Primary completion
Feb 24, 2024
Completion
Feb 24, 2024
Last update
Jul 12, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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