NCT03168165

Brief Summary

This is a cluster randomized trial that involves training regions of physical therapy clinics to use pain neuroscience education or continue with usual care. The investigators will examine outcomes for patients with chronic neck or back pain.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
316

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2017

Typical duration for not_applicable

Geographic Reach
1 country

41 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 23, 2017

Completed
1 day until next milestone

Study Start

First participant enrolled

May 24, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 30, 2017

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2019

Completed
Last Updated

July 29, 2020

Status Verified

July 1, 2020

Enrollment Period

2 years

First QC Date

May 23, 2017

Last Update Submit

July 28, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function

    Change score of Physical Function scores from baseline

    2 week and 12 week

Secondary Outcomes (4)

  • Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference

    2 week and 12 week

  • pain self-efficacy

    2 week and 12 week

  • Autonomous motivation

    2 week and 12 week

  • Therapeutic Alliance

    2 week and 12 week

Study Arms (2)

Usual Care

NO INTERVENTION

Usual care, no intervention

Pain Neuroscience Education Training

EXPERIMENTAL

The region of clinics randomized to this arm will receive PNE education, which consists of 6 weeks online training followed by an on-site training day.

Other: Pain neuroscience education training

Interventions

PNE training will consist of 6 weeks online training followed by one day training session.

Pain Neuroscience Education Training

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-75 at time of first physical therapy session
  • Primary reason for physical therapy is low back and/or neck pain
  • Meets the NIH definition of chronic pain (i.e., neck or back pain on at least half the days in the past 6 months.)

You may not qualify if:

  • No spinal surgery within the previous 12 months
  • No evidence of "red flag" conditions (e.g., cauda equine syndrome, cancer, fracture, infection or systemic disease) that requires immediate referral from physical therapy to medical care
  • Not currently known to be pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (41)

BenchMark

Birmingham, Alabama, 35242-8601, United States

Location

BenchMark

Birmingham, Alabama, 35243-2366, United States

Location

BenchMark

Helena, Alabama, 35080-3773, United States

Location

BenchMark

Hoover, Alabama, 35244-1254, United States

Location

BenchMark

Moody, Alabama, 35004-3101, United States

Location

BenchMark

Phenix City, Alabama, 36867-7484, United States

Location

Benchmark Physical Therapy

Acworth, Georgia, 30101-8352, United States

Location

BenchMark

Alpharetta, Georgia, 30005-4202, United States

Location

BenchMark

Atlanta, Georgia, 30306-4530, United States

Location

BenchMark

Atlanta, Georgia, 30308-1245, United States

Location

BenchMark

Atlanta, Georgia, 30316-6833, United States

Location

BenchMark

Atlanta, Georgia, 30318-3117, United States

Location

BenchMark

Atlanta, Georgia, 30319, United States

Location

BenchMark

Atlanta, Georgia, 30342-1461, United States

Location

BenchMark

Austell, Georgia, 30106-8531, United States

Location

BenchMark

Canton, Georgia, 30114-5603, United States

Location

BenchMark

Canton, Georgia, 30115-9376, United States

Location

BenchMark

Carrollton, Georgia, 30117-4456, United States

Location

BenchMark

Cartersville, Georgia, 30121-3305, United States

Location

BenchMark

Columbus, Georgia, 31909-5649, United States

Location

BenchMark

Dallas, Georgia, 30157-4702, United States

Location

BenchMark

Decatur, Georgia, 30033-5305, United States

Location

BenchMark

Dunwoody, Georgia, 30338-4163, United States

Location

BenchMark

Hiram, Georgia, 30141-2692, United States

Location

BenchMark

Jasper, Georgia, 30143-8704, United States

Location

BenchMark

Kennesaw, Georgia, 30144-3210, United States

Location

Rehab South

Lawrenceville, Georgia, 30046-8767, United States

Location

BenchMark

Marietta, Georgia, 30060-9412, United States

Location

BenchMark

Marietta, Georgia, 30062-4197, United States

Location

BenchMark

Marietta, Georgia, 30064-5037, United States

Location

BenchMark

Marietta, Georgia, 30067-8642, United States

Location

BenchMark

Marietta, Georgia, 30068-5418, United States

Location

Rehab South

Newnan, Georgia, 30265-6506, United States

Location

Rehab South

Peachtree City, Georgia, 30269-1571, United States

Location

BenchMark

Peachtree City, Georgia, 30269, United States

Location

BenchMark

Roswell, Georgia, 30075-7524, United States

Location

BenchMark

Roswell, Georgia, 30076-0929, United States

Location

BenchMark

Roswell, Georgia, 30076-3866, United States

Location

BenchMark

Smyrna, Georgia, 30080-9213, United States

Location

BenchMark

Suwanee, Georgia, 30024-9104, United States

Location

BenchMark

Tucker, Georgia, 30084-4916, United States

Location

Related Publications (2)

  • Lane E, Magel JS, Thackeray A, Greene T, Fino NF, Puentedura EJ, Louw A, Maddox D, Fritz JM. Effectiveness of training physical therapists in pain neuroscience education for patients with chronic spine pain: a cluster-randomized trial. Pain. 2022 May 1;163(5):852-860. doi: 10.1097/j.pain.0000000000002436.

  • Lane E, Fritz JM, Greene T, Maddox D. The effectiveness of training physical therapists in pain neuroscience education on patient reported outcomes for patients with chronic spinal pain: a study protocol for a cluster randomized controlled trial. BMC Musculoskelet Disord. 2018 Oct 25;19(1):386. doi: 10.1186/s12891-018-2269-2.

MeSH Terms

Conditions

Neck PainLow Back PainChronic Pain

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsBack Pain

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Cluster randomized trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
DPT

Study Record Dates

First Submitted

May 23, 2017

First Posted

May 30, 2017

Study Start

May 24, 2017

Primary Completion

June 1, 2019

Study Completion

June 1, 2019

Last Updated

July 29, 2020

Record last verified: 2020-07

Data Sharing

IPD Sharing
Will not share

Locations