Ignite Creation Date:
2024-10-26 @ 3:40 PM
Last Modification Date:
2024-10-26 @ 3:40 PM
Study NCT ID:
NCT06605729
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-09-04
Brief Title:
Exploring Physiotherapists Knowledge Attitudes Beliefs and Clinical Decision-making Regarding Physical Activity in Chronic Pain Management
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Physio Perspective Study
Status:
RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PPS
Brief Summary:
Chronic pain is a globally increasing problem with enormous impact on the individual and society Within the treatment of chronic pain physical activity is a key strategy to improve pain-related complaints There is ample evidence that physical activity has numerous benefits and few drawbacks However the literature shows that those who experience chronic pain experience difficulty performing and sustaining physical activity and several barriers emerge that hinder physical activity Patients indicate a need for the supportive role of the health care provider when it comes to guidance toward physically active lifestyle On the other hand caregivers find it difficult to fill this role This can cause frustration for both parties with a negative impact on the delivery of care
Within the treatment of chronic pain the physiotherapist is an important healthcare provider However it is currently not clear how physiotherapists fulfill their role in the treatment of a patient with chronic pain It is also not known what the current knowledge is among physiotherapists on chronic pain management what the perceptions and beliefs around physical activity in the treatment of chronic pain are and what the clinical decisions are that they make in the treatment of chronic pain in terms of physical activity
To obtain the best and broadest possible answers to these research questions this study will examine these themes among physiotherapists with respect to two patient groups namely patients who experience persistent pain after completing their cancer treatment and individuals with chronic low back pain
Demographic data such as age employment occupational specializations etc is gathered Furthermore knowledge of chronic pain underlying thoughts and perceptions around chronic pain and physical activity and clinical decisions of a physiotherapist in treating a patient with chronic pain including decisions about physical activity will be examined
In addition this study also investigates whether an elearning around chronic pain and physical activity has an effect on these knowledge and treatment actions
Participants will be asked to complete a set of questionnaires at 2 time points via an online platform A first measurement moment happens at the start of the study after this the participant gets access to the elearning the second measurement moment happens 30 days after the first measurement moment
Within the treatment of chronic pain the physiotherapist is an important healthcare provider However it is currently not clear how physiotherapists fulfill their role in the treatment of a patient with chronic pain It is also not known what the current knowledge is among physiotherapists on chronic pain management what the perceptions and beliefs around physical activity in the treatment of chronic pain are and what the clinical decisions are that they make in the treatment of chronic pain in terms of physical activity
To obtain the best and broadest possible answers to these research questions this study will examine these themes among physiotherapists with respect to two patient groups namely patients who experience persistent pain after completing their cancer treatment and individuals with chronic low back pain
Demographic data such as age employment occupational specializations etc is gathered Furthermore knowledge of chronic pain underlying thoughts and perceptions around chronic pain and physical activity and clinical decisions of a physiotherapist in treating a patient with chronic pain including decisions about physical activity will be examined
In addition this study also investigates whether an elearning around chronic pain and physical activity has an effect on these knowledge and treatment actions
Participants will be asked to complete a set of questionnaires at 2 time points via an online platform A first measurement moment happens at the start of the study after this the participant gets access to the elearning the second measurement moment happens 30 days after the first measurement moment
Detailed Description:
Pain is one of the most common complex and persisting symptoms worldwide Next to the debilitating impact on the individual pain also has a social and economic impact A classification of pain based on duration provides the distinction between acute and chronic pain with chronic pain described as persistent or recurrent pain for at least 3 months The chronic pain population consists of patients with a broad variety of medical conditions In the literature a discrimination based on the associated condition is often made with the most frequent distinction between non-cancer and cancer-related pain Cancer-related pain is a debilitating symptom with a pain prevalence of 393 after curative cancer treatment Within the non-cancer related pain spinal pain has the highest prevalence and low back pain leads the chart of the years with lived disability
Despite the different underlying condition physical activity and exercise are the main part of the best-evidence treatment for chronic pain both in the population of cancer survivors with chronic pain as well as in a population of chronic low back pain patients
It is evident that this effectiveness cannot be attained without a long-term engagement towards physical activity and exercise behavior Unfortunately patient adherence towards physical activity is low which is a problem in most exercise interventions in the population under study So despite the benefits of physical activity for chronic pain low physical activity levels are still reported across the span of these two populations
Undertaking physical activity is a complex behavior with many aspects that need to be considered Knowledge from qualitative studies clarify the self-reported barriers and facilitators towards physical activity that patients experience This reveals similarities between experienced barriers and facilitators in patients from both populations At a personal level it is seen that barriers on a physical level such as pain and barriers and on a psychological level such as low self-efficacy are similar What is also striking is that the health care provider HCP also has an important role to play in physical activity and exercise behavior Uncertainty a lack of clear information is experienced as a barrier and subsequently the need of supervision and support from an HCP is considered to be a facilitator Additionally previous evidence has already shown the influence of beliefs of HCPs on the beliefs of patients
The experience of the patient shows that the HCP is part of the key in motivating towards exercise behavior Yet the current research on physical activity and exercise behavior of patients with chronic pain lacks the perspective of the HCP It is known that HCPs with a biomedical view prescribe less active treatment strategies and more advice to rest in chronic low back pain patients However most research on physical activity prescription behavior stays quite general and therefore it is not known what exactly they do or dont prescribe Next to that it is unclear what the beliefs and attitudes are of the HCPs towards physical activity and exercise in chronic pain management and how that determines this prescription behavior A group of HCPs who are likely to prescribe and use exercise in their treatment are physiotherapists In line with research on other HCPs it remains unclear how physiotherapists actually recommend and organize physical activity for their patients with chronic pain Additionally it is not known whether the manner wherein they prescribe physical activity might differ based on their biomedical or biopsychosocial orientation on their beliefs of the associated condition and on the beliefs on physical activity in relation to chronic pain This knowledge will help to understand the physical activity and exercise prescription of physiotherapists and clarify how this might influence physical activity levels in the patient population of chronic pain more specifically chronic low back pain patients and cancer survivors with chronic pain The inclusion of these two population-groups both with varied challenges offers an opportunity to increase the generalizability of these findings across chronic pain conditions and to obtain broad insights into the experiences of people with chronic pain
Gaining more insight in the behavior the beliefs about and attitudes towards physical activity in physiotherapists who work with chronic pain patients is the first piece of the puzzle in better supporting patients with chronic pain in their physical activity journey
Thereforen this study has three objectives
1 To explore the knowledge the attitudes and beliefs and the clinical decision making in chronic pain management including physical activity as part of this management of physiotherapists with clinical expertise in
chronic low back pain
chronic pain in cancer survivorship
2 To compare the knowledge the attitudes and beliefs and the clinical decision making in chronic pain management between these two groups
3 To research if an eLearning can change knowledge the attitudes and beliefs and the clinical decision making in chronic pain management including physical activity as part of this management of physiotherapists with clinical expertise in
chronic low back pain
chronic pain in cancer survivorship
This is a uncontrolled clinical trial study design Physiotherapists interested in the study will be invited to connect to the online platform and read the informed consent about the study
The study will be conducted through an online survey consisting of questionnaires and a clinical case with questions Following data will be collected through the survey
1 Demographic data
2 Knowledge on chronic pain
3 Implicit and explicit beliefs and attitudes on chronic pain management including physical activity as part of pain management
4 Clinical decision making in chronic pain management including decisions on physical activity
Baseline assessment is completed in one sitting and is estimated to last 30 minutes After finishing this first part they will be invited for an eLearning The educational module consists of video-material implementation exercises and additional literature Each participant has an individual login on a protected digital platform from which content cannot be downloaded or shared and will be able to access the module for 30 days
After 30 days each participant will be asked to repeat the same questionnaires regardless if they completed the module or not
Despite the different underlying condition physical activity and exercise are the main part of the best-evidence treatment for chronic pain both in the population of cancer survivors with chronic pain as well as in a population of chronic low back pain patients
It is evident that this effectiveness cannot be attained without a long-term engagement towards physical activity and exercise behavior Unfortunately patient adherence towards physical activity is low which is a problem in most exercise interventions in the population under study So despite the benefits of physical activity for chronic pain low physical activity levels are still reported across the span of these two populations
Undertaking physical activity is a complex behavior with many aspects that need to be considered Knowledge from qualitative studies clarify the self-reported barriers and facilitators towards physical activity that patients experience This reveals similarities between experienced barriers and facilitators in patients from both populations At a personal level it is seen that barriers on a physical level such as pain and barriers and on a psychological level such as low self-efficacy are similar What is also striking is that the health care provider HCP also has an important role to play in physical activity and exercise behavior Uncertainty a lack of clear information is experienced as a barrier and subsequently the need of supervision and support from an HCP is considered to be a facilitator Additionally previous evidence has already shown the influence of beliefs of HCPs on the beliefs of patients
The experience of the patient shows that the HCP is part of the key in motivating towards exercise behavior Yet the current research on physical activity and exercise behavior of patients with chronic pain lacks the perspective of the HCP It is known that HCPs with a biomedical view prescribe less active treatment strategies and more advice to rest in chronic low back pain patients However most research on physical activity prescription behavior stays quite general and therefore it is not known what exactly they do or dont prescribe Next to that it is unclear what the beliefs and attitudes are of the HCPs towards physical activity and exercise in chronic pain management and how that determines this prescription behavior A group of HCPs who are likely to prescribe and use exercise in their treatment are physiotherapists In line with research on other HCPs it remains unclear how physiotherapists actually recommend and organize physical activity for their patients with chronic pain Additionally it is not known whether the manner wherein they prescribe physical activity might differ based on their biomedical or biopsychosocial orientation on their beliefs of the associated condition and on the beliefs on physical activity in relation to chronic pain This knowledge will help to understand the physical activity and exercise prescription of physiotherapists and clarify how this might influence physical activity levels in the patient population of chronic pain more specifically chronic low back pain patients and cancer survivors with chronic pain The inclusion of these two population-groups both with varied challenges offers an opportunity to increase the generalizability of these findings across chronic pain conditions and to obtain broad insights into the experiences of people with chronic pain
Gaining more insight in the behavior the beliefs about and attitudes towards physical activity in physiotherapists who work with chronic pain patients is the first piece of the puzzle in better supporting patients with chronic pain in their physical activity journey
Thereforen this study has three objectives
1 To explore the knowledge the attitudes and beliefs and the clinical decision making in chronic pain management including physical activity as part of this management of physiotherapists with clinical expertise in
chronic low back pain
chronic pain in cancer survivorship
2 To compare the knowledge the attitudes and beliefs and the clinical decision making in chronic pain management between these two groups
3 To research if an eLearning can change knowledge the attitudes and beliefs and the clinical decision making in chronic pain management including physical activity as part of this management of physiotherapists with clinical expertise in
chronic low back pain
chronic pain in cancer survivorship
This is a uncontrolled clinical trial study design Physiotherapists interested in the study will be invited to connect to the online platform and read the informed consent about the study
The study will be conducted through an online survey consisting of questionnaires and a clinical case with questions Following data will be collected through the survey
1 Demographic data
2 Knowledge on chronic pain
3 Implicit and explicit beliefs and attitudes on chronic pain management including physical activity as part of pain management
4 Clinical decision making in chronic pain management including decisions on physical activity
Baseline assessment is completed in one sitting and is estimated to last 30 minutes After finishing this first part they will be invited for an eLearning The educational module consists of video-material implementation exercises and additional literature Each participant has an individual login on a protected digital platform from which content cannot be downloaded or shared and will be able to access the module for 30 days
After 30 days each participant will be asked to repeat the same questionnaires regardless if they completed the module or not
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None