Evidence map›Paper›PMID 39544229›Full record

ArticlePain reports2024

Why might fears and worries persist after a pain education-grounded multimodal intervention for chronic back pain? A qualitative study.

Rodrigo R N Rizzo, Benedict M Wand, Hayley B Leake, Edel T O'Hagan, Adrian C Traeger, Sylvia M Gustin, G Lorimer Moseley, Saurab Sharma, Aidan G Cashin, Matthew K Bagg and 2 more

Abstract read
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In one paragraph

Article in Pain reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rodrigo R N RizzoSchool of Health Sciences, Faculty of Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0002-9624-6210
Benedict M WandFaculty of Medicine, Nursing & Midwifery and Health Sciences, The University of Notre Dame Australia, Fremantle, Australia.
Hayley B LeakeIIMPACT in Health, University of South Australia, Kaurna Country, Adelaide, Australia.
Edel T O'HaganWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Adrian C TraegerSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Sylvia M GustinCentre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.
G Lorimer MoseleyIIMPACT in Health, University of South Australia, Kaurna Country, Adelaide, Australia.
Saurab SharmaSchool of Health Sciences, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Aidan G CashinSchool of Health Sciences, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Matthew K BaggFaculty of Medicine, Nursing & Midwifery and Health Sciences, The University of Notre Dame Australia, Fremantle, Australia.
James H McAuleySchool of Health Sciences, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Samantha BunzliSchool of Health Sciences and Social Work, Griffith University, Nathan Campus, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The effect of pain education (PE) on pain intensity and function diminishes after a few months in people with chronic low back pain (CLBP). One possible explanation is the return of underlying fears and worries related to the condition. Objective: To explore topics related to participants' beliefs and feelings that might explain why fears and worries persist after a PE-grounded intervention for CLBP. Methods: We conducted a qualitative study involving semistructured interviews with participants from the active arm of a randomised controlled trial who received an individualised PE-grounded intervention for adults with CLBP. We used reflexive thematic analysis with an inductive approach. Results: Twenty participants were interviewed (9 women and 11 men, median age = 54 years, median pain duration = 4 years, 13 reporting at least 30% pain reduction on the trial primary outcome). Three themes were identified: 1) "Are you implying my pain is not real?": a few participants believed the validity of their pain was being questioned. 2) "You don't understand, my pain is different": most participants considered the influence of an altered nervous system but did not exclude the possibility of having structural and biomechanical influences for the persistence of their back pain. 3) "I am unsure how to fit it into my daily life": fear and worries persisted when participants could not figure out how to apply an alternative way of making sense of pain in their daily lives. Conclusion: Patients' perceptions about PE should be monitored and might be addressed with communication strategies, educational content that matches patients' characteristics, and reinforcements over time.

Indexed as

Chronic painLow back painPain managementPatient educationQualitative research

Identifiers

PMID39544229
PMCPMC11563001

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.