Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol.
<h4>Introduction</h4>Pain is one of the most persistent symptoms after cancer treatment. The central nervous system can erroneously stay in its alarm phase, altering the pain experience of patients who have cancer. Pain neuroscience education (PNE) with multimodal approaches may benefit...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0290096 |
| _version_ | 1797349349413355520 |
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| author | Miguel Ángel Fernández-Gualda Patrocinio Ariza-Vega Mario Lozano-Lozano Irene Cantarero-Villanueva Lydia Martín-Martín Eduardo Castro-Martín Manuel Arroyo-Morales Isabel Tovar-Martín Maria Lopez-Garzon Paula Postigo-Martin Ángela González-Santos Francisco Artacho-Cordón Lucía Ortiz-Comino Noelia Galiano-Castillo Carolina Fernández-Lao |
| author_facet | Miguel Ángel Fernández-Gualda Patrocinio Ariza-Vega Mario Lozano-Lozano Irene Cantarero-Villanueva Lydia Martín-Martín Eduardo Castro-Martín Manuel Arroyo-Morales Isabel Tovar-Martín Maria Lopez-Garzon Paula Postigo-Martin Ángela González-Santos Francisco Artacho-Cordón Lucía Ortiz-Comino Noelia Galiano-Castillo Carolina Fernández-Lao |
| author_sort | Miguel Ángel Fernández-Gualda |
| collection | DOAJ |
| description | <h4>Introduction</h4>Pain is one of the most persistent symptoms after cancer treatment. The central nervous system can erroneously stay in its alarm phase, altering the pain experience of patients who have cancer. Pain neuroscience education (PNE) with multimodal approaches may benefit these patients.<h4>Objective</h4>This protocol aims to determine the effectiveness of a PNE tool on pain, physical function and quality of life, as a supplement to a multimodal rehabilitation (MR) program in patients who had breast cancer (BC).<h4>Methods</h4>An 8-week double-blinded randomized controlled trial will be conducted, including 72 participants who had BC and who have persistent pain, randomized into three groups: PNE program + MR program, traditional biomedical information + MR program and control group. The PNE program will include educational content that participants will learn through a mobile app and the MR program will include a concurrent exercise program and manual therapy. The primary outcome will be the perceived pain assessed using the Visual Analogue Scale and secondary outcomes are others related to pain, physical function and quality of life. All outcomes will be evaluated at baseline, at the end of the intervention and 6 months after the end of intervention.<h4>Discussion</h4>The proposed study may help BC patients with persistent pain improve their pain experience, quality of life and provide for more adaptive pain-coping strategies. This protocol could propose an action guide to implement different integral approaches for the treatment of sequelae. This treatment option could be offered to this patient profile and it could be easily implemented in the healthcare systems due to its low costs.<h4>Trial registration</h4>ClinicalTrials.gov, NCT04877860. (February18, 2022). |
| first_indexed | 2024-03-08T12:29:05Z |
| format | Article |
| id | doaj.art-31bcc9047ccb4cf9bdfe06b7f813b3bf |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-08T12:29:05Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-31bcc9047ccb4cf9bdfe06b7f813b3bf2024-01-22T05:31:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01188e029009610.1371/journal.pone.0290096Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol.Miguel Ángel Fernández-GualdaPatrocinio Ariza-VegaMario Lozano-LozanoIrene Cantarero-VillanuevaLydia Martín-MartínEduardo Castro-MartínManuel Arroyo-MoralesIsabel Tovar-MartínMaria Lopez-GarzonPaula Postigo-MartinÁngela González-SantosFrancisco Artacho-CordónLucía Ortiz-CominoNoelia Galiano-CastilloCarolina Fernández-Lao<h4>Introduction</h4>Pain is one of the most persistent symptoms after cancer treatment. The central nervous system can erroneously stay in its alarm phase, altering the pain experience of patients who have cancer. Pain neuroscience education (PNE) with multimodal approaches may benefit these patients.<h4>Objective</h4>This protocol aims to determine the effectiveness of a PNE tool on pain, physical function and quality of life, as a supplement to a multimodal rehabilitation (MR) program in patients who had breast cancer (BC).<h4>Methods</h4>An 8-week double-blinded randomized controlled trial will be conducted, including 72 participants who had BC and who have persistent pain, randomized into three groups: PNE program + MR program, traditional biomedical information + MR program and control group. The PNE program will include educational content that participants will learn through a mobile app and the MR program will include a concurrent exercise program and manual therapy. The primary outcome will be the perceived pain assessed using the Visual Analogue Scale and secondary outcomes are others related to pain, physical function and quality of life. All outcomes will be evaluated at baseline, at the end of the intervention and 6 months after the end of intervention.<h4>Discussion</h4>The proposed study may help BC patients with persistent pain improve their pain experience, quality of life and provide for more adaptive pain-coping strategies. This protocol could propose an action guide to implement different integral approaches for the treatment of sequelae. This treatment option could be offered to this patient profile and it could be easily implemented in the healthcare systems due to its low costs.<h4>Trial registration</h4>ClinicalTrials.gov, NCT04877860. (February18, 2022).https://doi.org/10.1371/journal.pone.0290096 |
| spellingShingle | Miguel Ángel Fernández-Gualda Patrocinio Ariza-Vega Mario Lozano-Lozano Irene Cantarero-Villanueva Lydia Martín-Martín Eduardo Castro-Martín Manuel Arroyo-Morales Isabel Tovar-Martín Maria Lopez-Garzon Paula Postigo-Martin Ángela González-Santos Francisco Artacho-Cordón Lucía Ortiz-Comino Noelia Galiano-Castillo Carolina Fernández-Lao Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol. PLoS ONE |
| title | Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol. |
| title_full | Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol. |
| title_fullStr | Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol. |
| title_full_unstemmed | Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol. |
| title_short | Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol. |
| title_sort | persistent pain management in an oncology population through pain neuroscience education a multimodal program pained randomized clinical trial protocol |
| url | https://doi.org/10.1371/journal.pone.0290096 |
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