Which patients with chronic pain are more likely to improve pain biology knowledge following education?

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Pain education is an important part of multidisciplinary management of chronic pain. The characteristics of people likely to have the most improvement in pain biology knowledge following pain education are unknown.

Objective: To identify baseline factors predicting changes in pain biology knowledge in adults with chronic pain following a 2‐hour multidisciplinary pain education session.

Methods: Fifty‐five adults with chronic pain attended a 2‐hour pain education session prior to a multidisciplinary assessment at a pain clinic. Patients completed the 12‐item revised Neurophysiology of Pain Questionnaire (rNPQ, score /12) before and after the pain education session. The primary outcome was change in pain biology knowledge, evaluated with the change in rNPQ score. Ten preselected predictors were investigated using univariate models followed by multivariable models with a manual forwards‐building process.

Results: Education level and age were significantly associated with change in rNPQ in the univariate models. Participants with higher levels of education had, on average, 1.96 (0.68 to 3.23) points more improvement in rNPQ score than those with lower levels of education. For every 10 years older a participant was, their rNPQ scores changed on average by 0.5 (0.1 to 0.8) points less. In the multivariable model, only education level remained significant, explaining 17% of the variance (R2 =0.17). Clinical variables assessed (pain severity, pain interference, pain self‐efficacy, depression, anxiety, and pain catastrophizing) did not predict knowledge change.

Conclusion: This study suggests that, of those patients with chronic pain who choose to attend pain education, more educated patients are more likely to improve their pain biology knowledge after a pain education session.
LanguageEnglish
Pages363-369
Number of pages7
JournalPain Practice
Volume19
Issue number4
DOIs
Publication statusPublished - 1 Apr 2019

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Chronic Pain
Education
Pain
Catastrophization
Pain Clinics
Neurophysiology
Self Efficacy
Anxiety

Cite this

@article{5d928e1c21dd4f5cb5f200619c3b8e59,
title = "Which patients with chronic pain are more likely to improve pain biology knowledge following education?",
abstract = "Background: Pain education is an important part of multidisciplinary management of chronic pain. The characteristics of people likely to have the most improvement in pain biology knowledge following pain education are unknown.Objective: To identify baseline factors predicting changes in pain biology knowledge in adults with chronic pain following a 2‐hour multidisciplinary pain education session.Methods: Fifty‐five adults with chronic pain attended a 2‐hour pain education session prior to a multidisciplinary assessment at a pain clinic. Patients completed the 12‐item revised Neurophysiology of Pain Questionnaire (rNPQ, score /12) before and after the pain education session. The primary outcome was change in pain biology knowledge, evaluated with the change in rNPQ score. Ten preselected predictors were investigated using univariate models followed by multivariable models with a manual forwards‐building process.Results: Education level and age were significantly associated with change in rNPQ in the univariate models. Participants with higher levels of education had, on average, 1.96 (0.68 to 3.23) points more improvement in rNPQ score than those with lower levels of education. For every 10 years older a participant was, their rNPQ scores changed on average by 0.5 (0.1 to 0.8) points less. In the multivariable model, only education level remained significant, explaining 17{\%} of the variance (R2 =0.17). Clinical variables assessed (pain severity, pain interference, pain self‐efficacy, depression, anxiety, and pain catastrophizing) did not predict knowledge change.Conclusion: This study suggests that, of those patients with chronic pain who choose to attend pain education, more educated patients are more likely to improve their pain biology knowledge after a pain education session.",
keywords = "chronic pain, multidisciplinary pain clinic, neurophysiology of pain questionnaire, pain biology knowledge, pain education",
author = "Pate, {Joshua W.} and Stephanie Veage and Susan Lee and Hancock, {Mark J.} and Hush, {Julia M.} and Verity Pacey",
year = "2019",
month = "4",
day = "1",
doi = "10.1111/papr.12748",
language = "English",
volume = "19",
pages = "363--369",
journal = "Pain Practice",
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}

Which patients with chronic pain are more likely to improve pain biology knowledge following education? / Pate, Joshua W.; Veage, Stephanie; Lee, Susan; Hancock, Mark J.; Hush, Julia M.; Pacey, Verity.

In: Pain Practice, Vol. 19, No. 4, 01.04.2019, p. 363-369.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Which patients with chronic pain are more likely to improve pain biology knowledge following education?

AU - Pate,Joshua W.

AU - Veage,Stephanie

AU - Lee,Susan

AU - Hancock,Mark J.

AU - Hush,Julia M.

AU - Pacey,Verity

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Background: Pain education is an important part of multidisciplinary management of chronic pain. The characteristics of people likely to have the most improvement in pain biology knowledge following pain education are unknown.Objective: To identify baseline factors predicting changes in pain biology knowledge in adults with chronic pain following a 2‐hour multidisciplinary pain education session.Methods: Fifty‐five adults with chronic pain attended a 2‐hour pain education session prior to a multidisciplinary assessment at a pain clinic. Patients completed the 12‐item revised Neurophysiology of Pain Questionnaire (rNPQ, score /12) before and after the pain education session. The primary outcome was change in pain biology knowledge, evaluated with the change in rNPQ score. Ten preselected predictors were investigated using univariate models followed by multivariable models with a manual forwards‐building process.Results: Education level and age were significantly associated with change in rNPQ in the univariate models. Participants with higher levels of education had, on average, 1.96 (0.68 to 3.23) points more improvement in rNPQ score than those with lower levels of education. For every 10 years older a participant was, their rNPQ scores changed on average by 0.5 (0.1 to 0.8) points less. In the multivariable model, only education level remained significant, explaining 17% of the variance (R2 =0.17). Clinical variables assessed (pain severity, pain interference, pain self‐efficacy, depression, anxiety, and pain catastrophizing) did not predict knowledge change.Conclusion: This study suggests that, of those patients with chronic pain who choose to attend pain education, more educated patients are more likely to improve their pain biology knowledge after a pain education session.

AB - Background: Pain education is an important part of multidisciplinary management of chronic pain. The characteristics of people likely to have the most improvement in pain biology knowledge following pain education are unknown.Objective: To identify baseline factors predicting changes in pain biology knowledge in adults with chronic pain following a 2‐hour multidisciplinary pain education session.Methods: Fifty‐five adults with chronic pain attended a 2‐hour pain education session prior to a multidisciplinary assessment at a pain clinic. Patients completed the 12‐item revised Neurophysiology of Pain Questionnaire (rNPQ, score /12) before and after the pain education session. The primary outcome was change in pain biology knowledge, evaluated with the change in rNPQ score. Ten preselected predictors were investigated using univariate models followed by multivariable models with a manual forwards‐building process.Results: Education level and age were significantly associated with change in rNPQ in the univariate models. Participants with higher levels of education had, on average, 1.96 (0.68 to 3.23) points more improvement in rNPQ score than those with lower levels of education. For every 10 years older a participant was, their rNPQ scores changed on average by 0.5 (0.1 to 0.8) points less. In the multivariable model, only education level remained significant, explaining 17% of the variance (R2 =0.17). Clinical variables assessed (pain severity, pain interference, pain self‐efficacy, depression, anxiety, and pain catastrophizing) did not predict knowledge change.Conclusion: This study suggests that, of those patients with chronic pain who choose to attend pain education, more educated patients are more likely to improve their pain biology knowledge after a pain education session.

KW - chronic pain

KW - multidisciplinary pain clinic

KW - neurophysiology of pain questionnaire

KW - pain biology knowledge

KW - pain education

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U2 - 10.1111/papr.12748

DO - 10.1111/papr.12748

M3 - Article

VL - 19

SP - 363

EP - 369

JO - Pain Practice

T2 - Pain Practice

JF - Pain Practice

SN - 1530-7085

IS - 4

ER -