Which Patients With Chronic Pain Are More Likely to Improve Pain Biology Knowledge Following Education?

Pate, JW; Veage, S; Lee, S; Hancock, MJ; Hush, JM; Pacey, V

Which Patients With Chronic Pain Are More Likely to Improve Pain Biology Knowledge Following Education?

Pate, JW

Veage, S Lee, S Hancock, MJ Hush, JM Pacey, V

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Publication Type:: Journal Article
Citation:: Pain Practice, 2019, 19 (4), pp. 363 - 369
Issue Date:: 2019-04-01

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Field	Value	Language
dc.contributor.author	Pate, JW https://orcid.org/0000-0002-1049-3916	en_US
dc.contributor.author	Veage, S	en_US
dc.contributor.author	Lee, S	en_US
dc.contributor.author	Hancock, MJ	en_US
dc.contributor.author	Hush, JM	en_US
dc.contributor.author	Pacey, V	en_US
dc.date.available	2018-11-14	en_US
dc.date.issued	2019-04-01	en_US
dc.identifier.citation	Pain Practice, 2019, 19 (4), pp. 363 - 369	en_US
dc.identifier.issn	1530-7085	en_US
dc.identifier.uri	http://hdl.handle.net/10453/138043
dc.description.abstract	© 2018 World Institute of Pain Background: Pain education is an important part of multidisciplinary management of chronic pain. The characteristics of people likely to have more improvement in pain biology knowledge following pain education are unknown. Objective: To identify the 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 score 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, his or her rNPQ score changed on average by 0.5 (0.1 to 0.8) points less. In the multivariable model, only the education level remained significant, explaining 17% of the variance (R 2 = 0.17). The clinical variables that were assessed (pain severity, pain interference, pain self-efficacy, depression, anxiety, and pain catastrophizing) did not predict any 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.	en_US
dc.relation.ispartof	Pain Practice	en_US
dc.relation.isbasedon	10.1111/papr.12748	en_US
dc.subject.classification	Anesthesiology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Patient Education as Topic	en_US
dc.subject.mesh	Pain Management	en_US
dc.subject.mesh	Chronic Pain	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Which Patients With Chronic Pain Are More Likely to Improve Pain Biology Knowledge Following Education?	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	19	en_US
utslib.for	1109 Neurosciences	en_US
utslib.for	1116 Medical Physiology	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	19	en_US

Abstract:

© 2018 World Institute of Pain Background: Pain education is an important part of multidisciplinary management of chronic pain. The characteristics of people likely to have more improvement in pain biology knowledge following pain education are unknown. Objective: To identify the 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 score 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, his or her rNPQ score changed on average by 0.5 (0.1 to 0.8) points less. In the multivariable model, only the education level remained significant, explaining 17% of the variance (R 2 = 0.17). The clinical variables that were assessed (pain severity, pain interference, pain self-efficacy, depression, anxiety, and pain catastrophizing) did not predict any 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.

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http://hdl.handle.net/10453/138043