Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial
Low back pain stands as a prevalent contributor to pain-related disability on a global scale. In addressing chronic low back pain (CLBP), there is a growing emphasis on incorporating psychological strategies into the management process. Among these, pain education interventions strive to reshape pai...
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| Veröffentlicht in: | PloS one 2024-05, Vol.19 (5), p.e0294302-e0294302 |
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| creator | Sidiq, Mohammad Muzaffar, Tufail Janakiraman, Balamurugan Masoodi, Shariq Vasanthi, Rajkumar Krishnan Ramachandran, Arunachalam Bansal, Nitesh Chahal, Aksh Kashoo, Faizan Zaffar Rizvi, Moattar Raza Sharma, Ankita Rai, Richa Hirendra Verma, Rituraj Sharma, Monika Alam, Sajjad Vajrala, Krishna Reddy Sharma, Jyoti Muthukrishnan, Ramprasad |
| description | Low back pain stands as a prevalent contributor to pain-related disability on a global scale. In addressing chronic low back pain (CLBP), there is a growing emphasis on incorporating psychological strategies into the management process. Among these, pain education interventions strive to reshape pain beliefs and mitigate the perceived threat of pain. This randomized controlled trial sought to assess the effects of pain education on various aspects, including pain levels, disability, quality of life, self-efficacy, and prognostic characteristics in individuals grappling with CLBP.
The clinical trial, retrospectively registered with the Clinical Trials Registry of India (CTRI/2021/08/035963), employed a two-arm parallel randomized design. Ninety-two participants with CLBP were randomly assigned to either the standard physiotherapy care with a pain education program or the control group. Both groups underwent a 6-week intervention. Assessment of pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using the general self-efficacy scale), and well-being (using WHO 5I) occurred both before and after the 6-week study intervention.
Post-intervention score comparisons between the groups revealed that the pain education intervention led to a significant reduction in disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size Cohen d = 0.75), a decrease in pain intensity (mean difference 3.5, p < 0.001, effect size Cohen d = 0.82), and an improvement in the well-being index (mean difference 13.7, p < 0.001, effect size Cohen d = 0.58).
The findings suggest that integrating a pain education program enhances the therapeutic benefits of standard physiotherapy care for individuals dealing with chronic LBP. In conclusion, the clinical benefits of pain education become apparent when delivered in conjunction with standard care physiotherapy during the management of chronic low back pain. |
| doi_str_mv | 10.1371/journal.pone.0294302 |
| format | Article |
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The clinical trial, retrospectively registered with the Clinical Trials Registry of India (CTRI/2021/08/035963), employed a two-arm parallel randomized design. Ninety-two participants with CLBP were randomly assigned to either the standard physiotherapy care with a pain education program or the control group. Both groups underwent a 6-week intervention. Assessment of pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using the general self-efficacy scale), and well-being (using WHO 5I) occurred both before and after the 6-week study intervention.
Post-intervention score comparisons between the groups revealed that the pain education intervention led to a significant reduction in disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size Cohen d = 0.75), a decrease in pain intensity (mean difference 3.5, p < 0.001, effect size Cohen d = 0.82), and an improvement in the well-being index (mean difference 13.7, p < 0.001, effect size Cohen d = 0.58).
The findings suggest that integrating a pain education program enhances the therapeutic benefits of standard physiotherapy care for individuals dealing with chronic LBP. In conclusion, the clinical benefits of pain education become apparent when delivered in conjunction with standard care physiotherapy during the management of chronic low back pain.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0294302</identifier><identifier>PMID: 38805446</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Back pain ; Backache ; Biology and Life Sciences ; Care and treatment ; Chronic pain ; Chronic Pain - psychology ; Chronic Pain - therapy ; Clinical trials ; Curricula ; Disability ; Disability Evaluation ; Disabled Persons - psychology ; Education ; Effectiveness ; Female ; Humans ; Intervention ; Low back pain ; Low Back Pain - psychology ; Low Back Pain - therapy ; Male ; Medicine and Health Sciences ; Middle Aged ; Pain ; Pain Management - methods ; Pain Measurement ; Patient Education as Topic - methods ; Physical therapy ; Physical Therapy Modalities ; Power ; Quality of Life ; Self Efficacy ; Social Sciences ; Therapeutics, Physiological ; Well being</subject><ispartof>PloS one, 2024-05, Vol.19 (5), p.e0294302-e0294302</ispartof><rights>Copyright: © 2024 Sidiq et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Sidiq et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Sidiq et al 2024 Sidiq et al</rights><rights>2024 Sidiq et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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In addressing chronic low back pain (CLBP), there is a growing emphasis on incorporating psychological strategies into the management process. Among these, pain education interventions strive to reshape pain beliefs and mitigate the perceived threat of pain. This randomized controlled trial sought to assess the effects of pain education on various aspects, including pain levels, disability, quality of life, self-efficacy, and prognostic characteristics in individuals grappling with CLBP.
The clinical trial, retrospectively registered with the Clinical Trials Registry of India (CTRI/2021/08/035963), employed a two-arm parallel randomized design. Ninety-two participants with CLBP were randomly assigned to either the standard physiotherapy care with a pain education program or the control group. Both groups underwent a 6-week intervention. Assessment of pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using the general self-efficacy scale), and well-being (using WHO 5I) occurred both before and after the 6-week study intervention.
Post-intervention score comparisons between the groups revealed that the pain education intervention led to a significant reduction in disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size Cohen d = 0.75), a decrease in pain intensity (mean difference 3.5, p < 0.001, effect size Cohen d = 0.82), and an improvement in the well-being index (mean difference 13.7, p < 0.001, effect size Cohen d = 0.58).
The findings suggest that integrating a pain education program enhances the therapeutic benefits of standard physiotherapy care for individuals dealing with chronic LBP. 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Arunachalam</au><au>Bansal, Nitesh</au><au>Chahal, Aksh</au><au>Kashoo, Faizan Zaffar</au><au>Rizvi, Moattar Raza</au><au>Sharma, Ankita</au><au>Rai, Richa Hirendra</au><au>Verma, Rituraj</au><au>Sharma, Monika</au><au>Alam, Sajjad</au><au>Vajrala, Krishna Reddy</au><au>Sharma, Jyoti</au><au>Muthukrishnan, Ramprasad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-05-28</date><risdate>2024</risdate><volume>19</volume><issue>5</issue><spage>e0294302</spage><epage>e0294302</epage><pages>e0294302-e0294302</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Low back pain stands as a prevalent contributor to pain-related disability on a global scale. In addressing chronic low back pain (CLBP), there is a growing emphasis on incorporating psychological strategies into the management process. Among these, pain education interventions strive to reshape pain beliefs and mitigate the perceived threat of pain. This randomized controlled trial sought to assess the effects of pain education on various aspects, including pain levels, disability, quality of life, self-efficacy, and prognostic characteristics in individuals grappling with CLBP.
The clinical trial, retrospectively registered with the Clinical Trials Registry of India (CTRI/2021/08/035963), employed a two-arm parallel randomized design. Ninety-two participants with CLBP were randomly assigned to either the standard physiotherapy care with a pain education program or the control group. Both groups underwent a 6-week intervention. Assessment of pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using the general self-efficacy scale), and well-being (using WHO 5I) occurred both before and after the 6-week study intervention.
Post-intervention score comparisons between the groups revealed that the pain education intervention led to a significant reduction in disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size Cohen d = 0.75), a decrease in pain intensity (mean difference 3.5, p < 0.001, effect size Cohen d = 0.82), and an improvement in the well-being index (mean difference 13.7, p < 0.001, effect size Cohen d = 0.58).
The findings suggest that integrating a pain education program enhances the therapeutic benefits of standard physiotherapy care for individuals dealing with chronic LBP. In conclusion, the clinical benefits of pain education become apparent when delivered in conjunction with standard care physiotherapy during the management of chronic low back pain.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>38805446</pmid><doi>10.1371/journal.pone.0294302</doi><tpages>e0294302</tpages><orcidid>https://orcid.org/0000-0003-2448-8971</orcidid><orcidid>https://orcid.org/0000-0001-6866-8224</orcidid><orcidid>https://orcid.org/0000-0002-8272-674X</orcidid><orcidid>https://orcid.org/0009-0000-2810-0909</orcidid><orcidid>https://orcid.org/0000-0003-0839-5943</orcidid><orcidid>https://orcid.org/0000-0002-4758-3720</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2024-05, Vol.19 (5), p.e0294302-e0294302 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3069289670 |
| source | PubMed (Medline); PLoS; MEDLINE; DOAJ Directory of Open Access Journals; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library |
| subjects | Adult Back pain Backache Biology and Life Sciences Care and treatment Chronic pain Chronic Pain - psychology Chronic Pain - therapy Clinical trials Curricula Disability Disability Evaluation Disabled Persons - psychology Education Effectiveness Female Humans Intervention Low back pain Low Back Pain - psychology Low Back Pain - therapy Male Medicine and Health Sciences Middle Aged Pain Pain Management - methods Pain Measurement Patient Education as Topic - methods Physical therapy Physical Therapy Modalities Power Quality of Life Self Efficacy Social Sciences Therapeutics, Physiological Well being |
| title | Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial |
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