Pain Neuroscience Education in elective surgery patients: study protocol for a randomised controlled trial

• Published in: BMJ open 2024-03, Vol.14 (3), p.e078743-e078743
• Main Authors: de Souza, Raquel Pereira, Lopes, Laura Borges, Carmo, Anne Caroline Nunes, Machado, Paula Muniz, de Andrade, Joanlise Marco Leon, Funez, Mani Indiana
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Analgesics; Anxiety; Chronic pain; Clinical trials; Data analysis; Data collection; Education; Emotions; Female; Health Education; Humans; Intervention; Male; Middle Aged; Multicenter Studies as Topic; Neurosciences; Nurses; Nursing; Nursing Care; Pain; PAIN MANAGEMENT; Patients; Perioperative care; Postoperative period; Psychological aspects; Randomized Controlled Trials as Topic; Sociodemographics; Software; Surgery; Young Adult
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2023-078743

BackgroundPain Neuroscience Education (PNE) consists of an educational strategy that seeks to understand the biological processes of pain and how to control it. The main objective of this study will be to evaluate the impact of PNE on outcomes related to the postoperative period. The hypothesis is that the intervention may positively influence postoperative recovery, contributing to pain control, clinical indications, acceptance and consumption of analgesics and other pharmacological drugs that contribute to its control, as well as psychological aspects, such as anxiety, depression and pain catastrophising.Methods and analysisThis will be an open, parallel, multicentre and randomised controlled clinical trial. A total of 100 participants aged between 18 and 59 years of age, of both genders, who are going to have elective general surgery will be evaluated. The intervention group will participate in a preoperative pain neuroscience educational session and also receive usual preoperative care, while the control group receives usual preoperative care as well. The educational session will last 30 min and consists of a video (5:20 min), a questionnaire about the content, time for participants to express their beliefs, thoughts and doubts. Participants will be evaluated preoperatively and there will be one postintervention evaluation. The intensity and characteristics of pain and anxiety are evaluated as primary outcomes. As secondary outcomes, pain catastrophising and depression are taken into account.Ethics and disseminationThe project was approved by the Research Ethics Committee of the Faculty of Ceilandia, the Research Ethics Committee of the Institute of Strategic Health Management of the Federal District and the Research Council of the Hospital of Brasília—Rede Dasa (CAAE: 28572420.3.0000.8093). Recruitment began in June of 2023. All participants were included in the study only after their written consent. All data obtained will be analysed and distributed through publication in journals and at scientific events.Trial registration numberBrazilian Registry of Clinical Trials (ReBEC) (RBR-23mr7yy).