Chronic PainNCT03522857
Healthcare Professional Students' Knowledge and Attitudes Towards Chronic Pain Management.
An observational study of Chronic Pain and Student Education, run by Teesside University at 1 site in United Kingdom.
Trial summary
Chronic pain affects from one third to one half of the population in the UK (Fayaz et al, 2016). The cost and burden of chronic pain is significant to health services worldwide. The affects of chronic pain are widespread upon the lives of those affected. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Pain, Student Education, Knowledge, Attitudes, Practice
- How many people
- 1,150 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 15 Nov 2017to 30 Sep 2019
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Adult, Older adult
Study population: University students in UK and Ireland.
Who may be able to join
- pre-registration healthcare student, BSc or MSc.
Who cannot join
- post-registration students
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Measuring Healthcare Professional Students Knowledge and Attitudes Towards Chronic Pain Management.
Chronic pain affects from one third to one half of the population in the UK (Fayaz et al, 2016). The cost and burden of chronic pain is significant to health services worldwide. The affects of chronic pain are widespread upon the lives of those affected. Health professionals need to be better equipped than at present to manage pain and current chronic pain management knowledge in healthcare is poor. Briggs et al 2011 described the hours of pain education delivered at undergraduate level as 'woefully inadequate'. The International Association for Study of Pain (IASP) defined curricula for pain education at undergraduate level 6 years ago but current levels of knowledge at undergraduate health professional level are not widely known. This study aims to establish this at the outset of a pre-registration health professional courses and at the end of these courses.
This study aims to identify the baseline knowledge and attitudes of pre-registration healthcare students in Universities throughout UK and Ireland toward chronic pain management. The disciplines targeted are nursing, midwifery, physiotherapy, occupational therapy, diagnostic radiography and paramedics.
It is a cross sectional study that compares attitudes and knowledge of first year and final year pre-registration healthcare students in the UK and Ireland. These parameters are measured using the HC-PAIRS measure and Revised Neurophysiology Questionnaire respectively. In addition anonymous data is collected pertaining to participant characteristics which are institute of study, age, gender, level and discipline of study to enable a comparison between these parameters.
Read the detailed description
Chronic pain is characterised by a protective mechanism of the neuro-immune-endocrine systems potentially exacerbated by loading exposures, conditioning, psychological, socio-economic, lifestyle, comorbid mental health and non-modifiables such as genetics, (O'Sullivan et al 2016). Pain education can be a useful basis for helping patients to manage their symptoms and return to good daily function. However a biomedical approach to chronic pain persists in medical communities, whilst persistent pain populations increase and incidences of opioid addiction are growing secondary to poor pain management. Biomedical models of pain are likely to induce fear avoidant behaviour and exacerbate chronicity (Wertli et al 2014). In order to change the prevailing biomedical approach to chronic pain the International Association for the Study of Pain (IASP) have provided detailed pain curricula content for different medical and allied health professional courses. Briggs et al (2015) found that out of 15 'representative European countries' less than a handful of universities from 3 countries had implemented distinctly identifiable pain education teaching. However they may be other forms of pain education that are taking place in pre-registration healthcare professional education. This study aims to establish the levels of chronic pain management knowledge and attitudes prevail in the UK and Ireland amongst pre-registration healthcare professionals.
- Medical subject headings
- Chronic Pain, Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Teesside University | nursing, midwifery, physiotherapy, occupational therapy, diagnostic radiography, paramedics | |
| Glasgow Caledonian University | nursing, midwifery, physiotherapy, occupational therapy, diagnostic radiography, paramedics | |
| Northumbria University | nursing, midwifery, physiotherapy, occupational therapy | |
| University of Nottingham | Physiotherapy, nursing and midwifery | |
| Curtin University | Physiotherapy | |
| Notre Dame University | Physiotherapy | |
| University College Dublin | Physiotherapists | |
| Leeds Beckett University | Physiotherapists | |
| University College Cork | Physiotherapists | |
| Robert Gordon University | OT, Physio, Midwifery, Nursing, Diagnostic radiography | |
| University of Ulster | Physiotherapy | |
| University of Limerick | OT, Physio, Midwifery, Nursing, Diagnostic radiography, paramedic |
What is being measured
The primary outcome is the main question the study is designed to answer.
Revised Neurophysiology Quiz
12 point pain knowledge quiz devised originally by Moseley 2003 to assess knowledge of biological mechanisms of pain. Revised and reduced in 2013 by Catley et al. The lowest score is 0 and the highest would be 12 on a scale of 0-12. There are no subscales.
Measured: 1 day
Health care providers Pain and Impairment Relationship Scale
A 13 question, 7 point Likert scale and a validated questionnaire to assess health care providers' attitudes and beliefs about the relationship between pain and impairment. The scale ranges in outcome from 0-90, higher scores representing a stronger belief in the relationship between chronic pain and disability (a 'worse outcome') and lower scores representing a reduced belief on this relationship thus a 'better outcome'. There are no subscales.
Measured: 1 day
Secondary outcomes (6)
Biographic data
age in years
Measured: 1 day
Biographic data (gender)
gender (male/female)
Measured: 1 day
Biographic data (discipline)
discipline (nursing, midwifery, physiotherapy, occupational therapy, paramedics, diagnostic radiotherapy)
Measured: 1 day
Biographic data (Degree qualification)
level of study (BSc/MSc)
Measured: 1 day
Biographic data (stage of study)
Year of study (first or final year)
Measured: 1 day
Biographic data (Institute)
University of study
Measured: 1 day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 May 2018
- Study start15 Nov 2017
- Primary completion30 Sep 2019
- Study completion30 Sep 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 1,150 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teesside University
- Sponsor type
- University, hospital or other
- Collaborators
- King's College London, Glasgow Caledonian University, University of Nottingham, Northumbria University, Leeds Beckett University
- Responsible party
- Principal investigator, Mrs Jagjit Mankelow, Teesside University
- Investigators
- Jagjit Mankelow, MSc, Principal investigator, Teesside University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03522857
- Sponsor's protocol ID
- SA 144/17
- Status last verified
- Oct 2019
- First submitted
- 18 Apr 2018
- Last updated
- 15 Oct 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Mankelow J, Ryan CG, Taylor PC, Casey MB, Naisby J, Thompson K, McVeigh JG, Seenan C, Cooper K, Hendrick P, Brown D, Gibson W, Travers M, Kennedy N, O'Riordan C, Martin D. International, multi-disciplinary, cross-section study of pain knowledge and attitudes in nursing, midwifery and allied health professions students. BMC Med Educ. 2022 Jul 15;22(1):547. doi: 10.1186/s12909-022-03488-3.
PubMed 35840942
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Measuring Healthcare Professional Students Knowledge and Attitudes Towards Chronic Pain Management.
- ClinicalTrials.gov ID
- NCT03522857
- Acronym / sponsor ID
- SA 144/17
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,150 participants (actual)
- Lead sponsor
- Teesside UniversityUniversity, hospital or other
- Collaborators
- King's College London, Glasgow Caledonian University, University of Nottingham, Northumbria University, Leeds Beckett University
- Study start
- 15 Nov 2017 (actual)
- Primary completion
- 30 Sep 2019 (actual)
- Study completion
- 30 Sep 2019 (actual)
- First posted
- 11 May 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Chronic pain affects from one third to one half of the population in the UK (Fayaz et al, 2016). The cost and burden of chronic pain is significant to health services worldwide. The affects of chronic pain are widespread upon the lives of those affected. Health professionals need to be better equipped than at present to manage pain and current chronic pain management knowledge in healthcare is poor. Briggs et al 2011 described the hours of pain education delivered at undergraduate level as 'woefully inadequate'. The International Association for Study of Pain (IASP) defined curricula for pain education at undergraduate level 6 years ago but current levels of knowledge at undergraduate health professional level are not widely known. This study aims to establish this at the outset of a pre-registration health professional courses and at the end of these courses.
This study aims to identify the baseline knowledge and attitudes of pre-registration healthcare students in Universities throughout UK and Ireland toward chronic pain management. The disciplines targeted are nursing, midwifery, physiotherapy, occupational therapy, diagnostic radiography and paramedics.
It is a cross sectional study that compares attitudes and knowledge of first year and final year pre-registration healthcare students in the UK and Ireland. These parameters are measured using the HC-PAIRS measure and Revised Neurophysiology Questionnaire respectively. In addition anonymous data is collected pertaining to participant characteristics which are institute of study, age, gender, level and discipline of study to enable a comparison between these parameters.
Detailed description
Chronic pain is characterised by a protective mechanism of the neuro-immune-endocrine systems potentially exacerbated by loading exposures, conditioning, psychological, socio-economic, lifestyle, comorbid mental health and non-modifiables such as genetics, (O'Sullivan et al 2016). Pain education can be a useful basis for helping patients to manage their symptoms and return to good daily function. However a biomedical approach to chronic pain persists in medical communities, whilst persistent pain populations increase and incidences of opioid addiction are growing secondary to poor pain management. Biomedical models of pain are likely to induce fear avoidant behaviour and exacerbate chronicity (Wertli et al 2014). In order to change the prevailing biomedical approach to chronic pain the International Association for the Study of Pain (IASP) have provided detailed pain curricula content for different medical and allied health professional courses. Briggs et al (2015) found that out of 15 'representative European countries' less than a handful of universities from 3 countries had implemented distinctly identifiable pain education teaching. However they may be other forms of pain education that are taking place in pre-registration healthcare professional education. This study aims to establish the levels of chronic pain management knowledge and attitudes prevail in the UK and Ireland amongst pre-registration healthcare professionals.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Number of arms
- 12
| Arm | Type | Receives |
|---|---|---|
| Teesside University | – | –nursing, midwifery, physiotherapy, occupational therapy, diagnostic radiography, paramedics |
| Glasgow Caledonian University | – | –nursing, midwifery, physiotherapy, occupational therapy, diagnostic radiography, paramedics |
| Northumbria University | – | –nursing, midwifery, physiotherapy, occupational therapy |
| University of Nottingham | – | –Physiotherapy, nursing and midwifery |
| Curtin University | – | –Physiotherapy |
| Notre Dame University | – | –Physiotherapy |
| University College Dublin | – | –Physiotherapists |
| Leeds Beckett University | – | –Physiotherapists |
| University College Cork | – | –Physiotherapists |
| Robert Gordon University | – | –OT, Physio, Midwifery, Nursing, Diagnostic radiography |
| University of Ulster | – | –Physiotherapy |
| University of Limerick | – | –OT, Physio, Midwifery, Nursing, Diagnostic radiography, paramedic |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- University students in UK and Ireland.
Key inclusion criteria (1 listed)
- pre-registration healthcare student, BSc or MSc.
Key exclusion criteria (1 listed)
- post-registration students
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Revised Neurophysiology Quiz
Time frame: 1 day
12 point pain knowledge quiz devised originally by Moseley 2003 to assess knowledge of biological mechanisms of pain. Revised and reduced in 2013 by Catley et al. The lowest score is 0 and the highest would be 12 on a scale of 0-12. There are no subscales.
Health care providers Pain and Impairment Relationship Scale
Time frame: 1 day
A 13 question, 7 point Likert scale and a validated questionnaire to assess health care providers' attitudes and beliefs about the relationship between pain and impairment. The scale ranges in outcome from 0-90, higher scores representing a stronger belief in the relationship between chronic pain and disability (a 'worse outcome') and lower scores representing a reduced belief on this relationship thus a 'better outcome'. There are no subscales.
6 secondary outcomes
Biographic data
Time frame: 1 day
Biographic data (gender)
Time frame: 1 day
Biographic data (discipline)
Time frame: 1 day
Biographic data (Degree qualification)
Time frame: 1 day
Biographic data (stage of study)
Time frame: 1 day
Biographic data (Institute)
Time frame: 1 day
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2019.
- Derived from this study: PubMed 35840942Mankelow J, Ryan CG, Taylor PC, Casey MB, Naisby J, Thompson K, McVeigh JG, Seenan C, Cooper K, Hendrick P, Brown D, Gibson W, Travers M, Kennedy N, O'Riordan C, Martin D. International, multi-disciplinary, cross-section study of pain knowledge and attitudes in nursing, midwifery and allied health professions students. BMC Med Educ. 2022 Jul 15;22(1):547. doi: 10.1186/s12909-022-03488-3.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jagjit Mankelow, MSc principal investigator
Teesside University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Chronic Pain and Student Education, run by Teesside University at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Revised Neurophysiology Quiz (time frame: 1 day). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03522857, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2019.