About this trial
Brief Summary:
The goal of this observational study (case series) is to determine whether Pain Neuroscience Education (PNE) can influence memory function and sensory awareness in adults (18 years and older) experiencing chronic pain lasting more than one year.
The main questions it aims to answer are:
Does a single PNE session improve memory performance, as measured by the Montreal Cognitive Assessment (MoCA)?
Does PNE change sensory awareness, as represented by alterations in body pain drawings using a grid overlay method?
Participants will:
Complete pre-intervention assessments, including:
Numeric Pain Rating Scale (NPRS)
Body chart drawing to map pain area
Montreal Cognitive Assessment (MoCA)
Pain Catastrophization Scale (PCS)
Receive a 10-15 minute standardized PNE session delivered by a licensed clinician trained in pain science
Complete the same assessments immediately after the intervention to identify any changes in memory, sensory awareness, and pain perception
This study aims to explore whether PNE can positively impact cognitive and sensory functions affected by chronic pain, beyond its already-established effects on movement and pain intensity.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 and above
Chronic pain > 1 year
Provide written consent
Proficient in reading and understanding English
Disqualifiers
Not willing to participate in the study
Have received PNE as a treatment before
Trial design
Single group
Treatments tested in this trial
Pain Neuroscience Education (PNE)
BehavioralA 10-15 minute individualized educational session focusing on the neuroscience of pain. The session aims to reconceptualize the patient's understanding of their chronic pain by explaining the underlying biological, cognitive, and emotional mechanisms involved. Clinicians use a standardized checklist of metaphors and teaching tools tailored to the patient's clinical presentation.
Treatment groups
Trial outcomes
Primary outcomes
Memory Function (Montreal Cognitive Assessment - MoCA)
Description: Change in MoCA score to assess improvement or decline in cognitive function, particularly memory, associated with chronic pain. The MoCA is scored out of 30; a change of 2 points or more is considered clinically meaningful.
Sensory Awareness (Body Chart Pain Area - Grid Overlay Count)
Change in the number of grid blocks marked on the body pain chart to quantify alteration in perceived pain area, reflecting somatosensory representation changes.
Secondary outcomes
Self-Reported Pain Intensity (Numeric Pain Rating Scale - NPRS)
Change in pain intensity reported by the patient on an 11-point scale (0-10). The minimal clinically important difference (MCID) is 1.7 points.
Pain Catastrophization (Pain Catastrophization Scale - PCS)
Change in PCS scores assessing catastrophic thinking related to pain on a 13-item, 5-point Likert scale. Higher scores indicate greater catastrophizing.
Other outcomes
Demographic and Clinical Characteristics
Age, gender, ethnicity, pain location, pain duration, family history of pain, presence of memory loss, and spreading of pain since onset.
Clinician Checklist
Clinician-reported pain phenotype, diagnosis, metaphors used during PNE, and rating of therapeutic alliance to explore potential influences on intervention effectiveness
Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Evidence In Motion
Lead sponsor
University of Nevada, Las Vegas
Collaborator
Southwest Baptist University
Collaborator
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