Pain Neuroscience Education for Older Adults
- Conditions
- Chronic Pain
- Interventions
- Other: Pain neuroscience education and exerciseOther: Usual Care
- Registration Number
- NCT04528160
- Lead Sponsor
- Aveiro University
- Brief Summary
This study aims to investigate the feasibility of using pain neuroscience education for older adults with chronic pain from primary care services. It will have a group of participants receiving pain neuroscience education and exercise and a group receiving usual care.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 24
- be able to read and write and have chronic pain (defined as pain lasting 3 months or more and felt at least once a week during these 3 months ) anywhere in the body.
- presence of pathology of the nervous or cardiovascular systems, cancer, or having had a surgery in the last 6 months or the presence of a condition for which the practice of therapeutic exercise could be contraindicated.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Pain neuroscience education and exercise Pain neuroscience education and exercise This group will receive an 8-week intervention (1 session per week) of pain neuroscience education and exercise. PNE will be conducted in line with international guidelines and will cover the neurophysiology of pain, transition from acute to chronic pain and the nervous system ability to modulate the pain experience. Exercise will include mobility, balance and strength exercises. Usual care Usual Care This group will receive usual care administered by general practitioners at primary care.
- Primary Outcome Measures
Name Time Method Exclusion rate 9 weeks ratio between the number of individuals excluded for not meeting the inclusion criteria and the total number of individuals contacted
Dropout rate 9 weeks ratio between the number of participants who abandoned the study and the number of participants who completed the initial assessment
Perception of participants towards the intervention structure and content 9 weeks Semi-structured interviews with participants on the structure and content of the intervention
Inclusion rate 9 weeks ratio between the number of participants included in the study and the total number of people contacted
Refusal rate 9 weeks ratio between the number of individuals who refused to participate in the study and the number of individuals contacted
Number of participants reporting adverse events 9 weeks Self-report of any adverse event perceived as being related to the intervention
Retention rate 9 weeks ratio between the number of participants who completed the final assessment and the number of participants who completed the initial assessment
- Secondary Outcome Measures
Name Time Method Depression 6 months Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression)
Gait velocity 6 months Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters
Knowledge of pain neuroscience 6 months Assessed using the pain neurophysiology questionnaire (range 0-19 and higher values are indicative of more knowledge on pain neurophysiology)
Perception of change 6 months Assessed using the Global Perception of Change scale (answer is given using a 7-point likert scale from 1- no change to 7 - a great deal better and a considerable improvement that has made all the difference)
Pain catastrophizing 6 months Assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing)
Fear of movement 6 months Assessed using the TAMPA Scale, which assesses fear of movement (range: 13-52 and higher values are indicative of higher levels of fear of movement)
Postural control 6 months Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair.
Self-perceived disability 6 months assessed using the World Health Organization Disability Assessment Schedule 2.0 - 12-item version of WHODAS 2.0) questionnaire (range: 12-60 and higher values are indicative of higher levels of disability)
Pain severity and interference 6 months Assessed using the Brief Pain Inventory questionnaire (range 0-110 and higher values are indicative of higher pain severity and interference)
Trial Locations
- Locations (1)
School of Health Sciences
🇵🇹Aveiro, Portugal