Pain Neuroscience Education in Old Adults.

Study Overview
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Brief Summary
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The primary objectives of this study are to: Evaluate the ability of the older adults to understand the biological processes underneath a pain experience. Evaluate their ability to modify their behaviors and beliefs about pain and health.

Detailed Description
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The purpose of this study is to test the effectivity of a single, group-based session of pain neuroscience education (PNE) on old adults. Participants will be 65 years or older, and they will be recruited from primary care medical clinics, public lectures, community centers and through the word of mouth. The intervention consist in one educational session of pain neuroscience education delivered by a physiotherapist. The study design is a single arm, crossover clinical trial, participants will be assessed in 3 different times (1 month before PNE ,pre-PNE, post-PNE) for knowledge of pain neuroscience, pain attitudes, pain catastrophizing and pain-related fear of movement.

Official Title
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A Study of the Effectiveness of Pain Neuroscience Education in the Elderly.

Conditions
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Healthy

Intervention / Treatment
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* Behavioral: PNE


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects 65 years old or more. Able to speak and read in Spanish. Exclusion Criteria: Cognitive impairment. Global Deterioration Scale and Functional Assessment Staging (GDS-FAST) will be used for the screening, excluding the subjects with a level 3 or above in the GDS-FAST scale.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PNE.<br>Procedure: This educational intervention is based in the latest evidence of pain neuroscience education, used in multiple rehabilitation programs. Its aim is to change the subject's pain understanding, teaching them the biological processes underneath the pain construct, as a mechanism to reduce itself and its related maladaptive thoughts and behaviors. | Behavioral: PNE<br>* The PNE will be delivered by a physiotherapist in a single, group-based session.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge of Pain Neuroscience. Changes from baseline to immediately after PNE. | Participants will be asked to complete the Neurophysiology of Pain Questionnaire (NPQ) (Spanish version) | baseline, pre-PNE, immediately after PNE | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Attitudes. | Participants will be asked to complete the Survey of Pain Attitudes Brief Version (SOPA-B) (Spanish version). | baseline, pre-PNE, immediately after PNE | 
| Pain Catastrophism. | Participants will be asked to complete the Pain Catastrophizing Scale (PCS) (Spanish version). | baseline, pre-PNE, immediately after PNE | 
| Pain-related Fear of Movement. | Participants will be asked to complete the Tampa Scale of Kinesiophobia (TSK-11) (Spanish version). | baseline, pre-PNE, immediately after PNE | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain Neuroscience Education, Elderly, Pain Education