Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled Trial
Self-efficacy beliefs are associated with less physical impairment and pain intensity in people with chronic pain. Interventions that build self-efficacy beliefs may foster behavioral changes among this population. A non-randomized trial has been carried out to evaluate the effectiveness of pain neu...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/7/2195 |
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| author | Antonio Rondon-Ramos Javier Martinez-Calderon Juan Luis Diaz-Cerrillo Francisco Rivas-Ruiz Gina Rocio Ariza-Hurtado Susana Clavero-Cano Alejandro Luque-Suarez |
| author_facet | Antonio Rondon-Ramos Javier Martinez-Calderon Juan Luis Diaz-Cerrillo Francisco Rivas-Ruiz Gina Rocio Ariza-Hurtado Susana Clavero-Cano Alejandro Luque-Suarez |
| author_sort | Antonio Rondon-Ramos |
| collection | DOAJ |
| description | Self-efficacy beliefs are associated with less physical impairment and pain intensity in people with chronic pain. Interventions that build self-efficacy beliefs may foster behavioral changes among this population. A non-randomized trial has been carried out to evaluate the effectiveness of pain neuroscience education (PNE) plus usual care in modifying self-efficacy beliefs, pain intensity, pain interference and analgesics consumption in people with chronic musculoskeletal pain. Participants were allocated to an experimental (PNE plus usual care, <i>n</i> = 49) and a control (usual care alone, <i>n</i> = 51) group. The primary outcome was self-efficacy beliefs (Chronic Pain Self-Efficacy Scale), and the secondary outcomes were pain intensity, pain interference (Graded Chronic Pain Scale) and analgesics consumption. The participant’s pain knowledge (revised Neurophysiology of Pain Questionnaire) after PNE intervention was also assessed to analyze its influence on every outcome measure. All the outcome measures were assessed at the baseline and at four-week and four-month follow-ups. PNE plus usual care was more effective than usual care alone to increase self-efficacy beliefs and decrease pain intensity and pain interference at all follow-up points. No differences between groups were found in terms of analgesics consumption. Knowledge of pain neurophysiology did not modify the effects of PNE plus usual care in any of the outcome measures. These results should be taken with caution because of the non-randomized nature of this design, the limited follow-ups and the uncertainty of the presence of clinical changes in self-efficacy for participants. Larger, methodological sound trials are needed. |
| first_indexed | 2024-03-10T18:32:34Z |
| format | Article |
| id | doaj.art-5ecfe8ac40b440cfa5bfcc127abb4b62 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T18:32:34Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5ecfe8ac40b440cfa5bfcc127abb4b622023-11-20T06:31:13ZengMDPI AGJournal of Clinical Medicine2077-03832020-07-0197219510.3390/jcm9072195Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled TrialAntonio Rondon-Ramos0Javier Martinez-Calderon1Juan Luis Diaz-Cerrillo2Francisco Rivas-Ruiz3Gina Rocio Ariza-Hurtado4Susana Clavero-Cano5Alejandro Luque-Suarez6Servicio Andaluz de Salud, Distrito de Atención Primaria Costa del Sol, U.G.C. Las Lagunas, 29650 Mijas, Málaga, SpainUniversidad de Málaga, Facultad de Ciencias de la Salud, Departamento de Fisioterapia, 29071 Málaga, SpainServicio Andaluz de Salud, Distrito de Atención Primaria Costa del Sol, U.G.C. La Carihuela, 29620 Torremolinos, Málaga, SpainResearch Unit, Agencia Sanitaria Costa del Sol, 29603 Marbella, Málaga, SpainServicio Andaluz de Salud, Distrito de Atención Primaria Costa del Sol, U.G.C. San Pedro de Alcántara, 29670 Marbella, Málaga, SpainServicio Andaluz de Salud, Distrito de Atención Primaria Costa del Sol, U.G.C. Las Albarizas, 29600 Marbella, Málaga, SpainUniversidad de Málaga, Facultad de Ciencias de la Salud, Departamento de Fisioterapia, 29071 Málaga, SpainSelf-efficacy beliefs are associated with less physical impairment and pain intensity in people with chronic pain. Interventions that build self-efficacy beliefs may foster behavioral changes among this population. A non-randomized trial has been carried out to evaluate the effectiveness of pain neuroscience education (PNE) plus usual care in modifying self-efficacy beliefs, pain intensity, pain interference and analgesics consumption in people with chronic musculoskeletal pain. Participants were allocated to an experimental (PNE plus usual care, <i>n</i> = 49) and a control (usual care alone, <i>n</i> = 51) group. The primary outcome was self-efficacy beliefs (Chronic Pain Self-Efficacy Scale), and the secondary outcomes were pain intensity, pain interference (Graded Chronic Pain Scale) and analgesics consumption. The participant’s pain knowledge (revised Neurophysiology of Pain Questionnaire) after PNE intervention was also assessed to analyze its influence on every outcome measure. All the outcome measures were assessed at the baseline and at four-week and four-month follow-ups. PNE plus usual care was more effective than usual care alone to increase self-efficacy beliefs and decrease pain intensity and pain interference at all follow-up points. No differences between groups were found in terms of analgesics consumption. Knowledge of pain neurophysiology did not modify the effects of PNE plus usual care in any of the outcome measures. These results should be taken with caution because of the non-randomized nature of this design, the limited follow-ups and the uncertainty of the presence of clinical changes in self-efficacy for participants. Larger, methodological sound trials are needed.https://www.mdpi.com/2077-0383/9/7/2195chronic painself-efficacymusculoskeletal paineducation |
| spellingShingle | Antonio Rondon-Ramos Javier Martinez-Calderon Juan Luis Diaz-Cerrillo Francisco Rivas-Ruiz Gina Rocio Ariza-Hurtado Susana Clavero-Cano Alejandro Luque-Suarez Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled Trial Journal of Clinical Medicine chronic pain self-efficacy musculoskeletal pain education |
| title | Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled Trial |
| title_full | Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled Trial |
| title_fullStr | Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled Trial |
| title_full_unstemmed | Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled Trial |
| title_short | Pain Neuroscience Education Plus Usual Care Is More Effective than Usual Care Alone to Improve Self-Efficacy Beliefs in People with Chronic Musculoskeletal Pain: A Non-Randomized Controlled Trial |
| title_sort | pain neuroscience education plus usual care is more effective than usual care alone to improve self efficacy beliefs in people with chronic musculoskeletal pain a non randomized controlled trial |
| topic | chronic pain self-efficacy musculoskeletal pain education |
| url | https://www.mdpi.com/2077-0383/9/7/2195 |
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