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An educational intervention on the neurophysiology of chronic pain will be provided. The content of the intervention will be identical in the experimental groups (group and individual). The intervention has an active educational approach based on reconceptualizing the maladaptive beliefs that influence the fear-avoidance behavior of the participants through updated contents of the neuroscience of pain.
The effects of the intervention will be compared between the groups and the influence of the social determinants of health on the effects will also be determined.
The investigators hypothesize that there will be significant differences in favor of the group intervention group over the individual intervention groups. Furthermore, the effects will be influenced by the social determinants of health in both experimental groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Pain Neuroscience Education | Experimental | A single face-to-face group session of approximately 60-80 minutes provided through active participation. Five key domains will be structured from the Fear and Belief Avoidance Questionnaire that will serve as a guide for the sessions through a Powerpoint presentation. In addition, participants will be encouraged to be active by walking for 20-30 minutes 3-5 times a week and will be taught an exercise to improve transverse abdominis activation (abdominal corset or follow-through). With the main ones, a brochure will be delivered and informative capsules will be made to which the participants will have access (5 videos of 15 minutes, one per domain). Participants will be instructed to record on a calendar the days they read the brochure and/or reviewed the information capsules to assess treatment compliance and for each domain invent a metaphor or script for how they would explain it to another person. This activity must be delivered in the second evaluation. |
|
| Individual Pain Neuroscience Education | Experimental | A single one-on-one face-to-face session of approximately 60-80 minutes provided through active participation. Five key domains will be structured from the Fear and Belief Avoidance Questionnaire that will serve as a guide for the sessions through a Powerpoint presentation. In addition, participants will be encouraged to be active by walking for 20-30 minutes 3-5 times a week and will be taught an exercise to improve transverse abdominis activation (abdominal corset or follow-through). With the main ones, a brochure will be delivered and informative capsules will be made to which the participants will have access (5 videos of 15 minutes, one per domain). Participants will be instructed to record on a calendar the days they read the brochure and/or reviewed the information capsules to assess treatment compliance and for each domain invent a metaphor or script for how they would explain it to another person. This activity must be delivered in the second evaluation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pain neuroscience Education | Other | A pain neuroscience education session geared towards fear-avoidance beliefs |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Fear avoidance beliefs | The Fear Avoidance Beliefs Questionnaire consists of two subscales: (1) a 7-item work subscale (FABQ-W) and (2) a 4-item physical activity subscale (FABQ-P). Both subscales score on a Likert-type scale from 0 to 6 points on each item. Higher scores indicate higher levels of fear-avoidance beliefs. | baseline, 1-week post-intervention, and 4 -weeks post-intervention |
| changes in pressure pain sensitivity | An algometer will be used to measure pressure pain sensitivity (SPD), which is defined as the amount of applied pressure required for a subject to report the onset of pain sensation. It will be applied three times for each moment of evaluation and the average of the three applications will be considered. The unit of measure kg/cm2/s will be used. | baseline, 1-week post-intervention, and 4 -weeks post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Pain Self-efficacy | Cain self-efficacy questionnaire (PSEQ) consists of 10 items rated on a 7-point Likert scale from 0 ("not at all sure") to 6 ("very sure"). Higher scores indicate stronger self-efficacy beliefs, while low scores indicate a subject more focused on their pain. | baseline, 1-week post-intervention, and 4 -weeks post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Employment status | employed versus unemployed | baseline |
| Educational level | participants were assigned to the lower educational level if they had not completed secondary education and to the higher educational level if they had completed secondary education or university studies |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JoaquÃn I Salazar, MSc | Contact | +569 73785287 | jsalazar13@santotomas.cl |
| Name | Affiliation | Role |
|---|---|---|
| JoaquÃn I Salazar, MSc | Universidad Santo Tomás | Principal Investigator |
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all collected IPD, all IPD that underlie results in a publication
from 6 months after publication. They will be available for one year.
will be provided to any researcher who requires it via email
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Control | No Intervention | no intervention |
| Changes in Catastrophizing | Pain Catastrophizing Scale (PCS) consists of 13 items on a 5-point Likert scale ranging from (0) never to (4) all the time. Higher scores indicate more catastrophic thoughts. | baseline, 1-week post-intervention, and 4 -weeks post-intervention |
| Changes in Pain intensity | Numerical Rating Scale (NRS). It consists of a number line from 0 to 10. Higher scores indicate greater intensity of pain. | baseline, 1-week post-intervention, and 4 -weeks post-intervention |
| Treatment expectation | The treatment expectation questionnaire (TEX-Q). This questionnaire consists of 15 questions with a Likert scale of 0-10. higher scores indicate a better expectation of treatment. | baseline |
| baseline |
| economic income | individual monthly taxable income | baseline |