Clinical trial NCT03493308: Pain Neuroscience Education and Exercise in Institutionalized Older Adults With Pain
Official title: Pain Neuroscience Education and Exercise in Institutionalized Older Adults With Pain: A Feasibility Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Pain
Lead sponsor: Aveiro University
Sponsor class: OTHER
First posted: 2018-04-10
Enrollment: 9
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The primary objectives of this study are to:

* Evaluate recruitment procedures and adherence rates;
* Evaluate the ability to understand the concepts of pain neurophysiology;
* Evaluate the acceptability of an intervention program based on pain neuroscience education and exercise by institutionalized older adults and the institutions where they are.

Detailed description: Participants will be older adults with pain that are institutionalized and assess the feasibility of implementing an intervention consisting of pain neuroscience education in addition to exercise. It is antecipated that the intervention will consist of 1 to 2 sessions per week during 8 weeks and will be delivered in small groups. Participants will be assessed for pain intensity, duration, catastrophizing, fear of movement, knowledge of pain neuroscience, depression and performance.

Eligibility criteria: Inclusion Criteria:

* Be institutionalized in any type of response (nursing home, day care, ...), be able to read and write, 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, and have a statement from the institution's physician authorizing participation in the exercise sessions.

Exclusion Criteria:

* Have any contra-indication to exercise and have cognitive limitations (evaluated through the Montreal Cognitive Assessment questionnaire).

Primary outcomes:
measure: Pain intensity
timeFrame: Baseline
measure: Pain intensity
timeFrame: 9 weeks
measure: Pain intensity
timeFrame: 3 months
Secondary outcomes:
measure: Pain location
timeFrame: Baseline
measure: Pain location
timeFrame: 9 weeks
measure: Pain location
timeFrame: 3 months
measure: Pain frequency
timeFrame: Baseline
measure: Pain frequency
timeFrame: 9 weeks
measure: Pain frequency
timeFrame: 3 months
measure: Depression
timeFrame: Baseline
measure: Depression
timeFrame: 9 weeks
measure: Depression
timeFrame: 3 months
measure: Knowledge of pain neuroscience
timeFrame: Baseline
measure: Knowledge of pain neuroscience
timeFrame: 9 weeks
measure: Knowledge of pain neuroscience
timeFrame: 3 months
measure: Pain catastrophizing
timeFrame: Baseline
measure: Pain catastrophizing
timeFrame: 9 weeks
measure: Pain catastrophizing
timeFrame: 3 months
measure: Fear of movement
timeFrame: Baseline
measure: Fear of movement
timeFrame: 9 weeks
measure: Fear of movement
timeFrame: 3 months
measure: Gait velocity
timeFrame: Baseline
measure: Gait velocity
timeFrame: 9 weeks
measure: Gait velocity
timeFrame: 3 months
measure: Postural control
timeFrame: Baseline
measure: Postural control
timeFrame: 9 weeks
measure: Postural control
timeFrame: 3 months
Other outcomes:
Locations:
city: Águeda
country: Portugal
facility: Lar de Fermentelos
Study officials:
affiliation: Aveiro University
name: Anabela Silva, PhD
role: PRINCIPAL_INVESTIGATOR
References: