Pain Rating Challenges and Patterns

NCT06115278 | Completed

• 1 other identifier: 2091563
• Study Type: observational
• Target: 191
• Locations: 1 country
• Sites: 1

Brief Summary

Our long-term goal is to improve pain communication for patients' health. For this project, we seek information on patients' and health care nurses' (1) mental effort when choosing or understanding, respectively, pain intensity ratings, and (2) confidence in the accuracy of pain intensity rating patterns. This information will clarify the importance of mental effort from pain ratings and the probability of pain intensity rating patterns. Our primary aim will compare patients' and nurses' perceptions of the mental effort of choosing (Aim 2a) and understanding (Aim 2b) pain intensity ratings. We hypothesize that patients will rate mental effort higher than nurses for choosing ratings and lower than nurses for understanding ratings. The results will inform future efforts to improve pain communication between patients and nurses.

Conditions

Chronic Pain

Outcome Measures

Primary Outcomes (2)

• mental effort

  ordinal self-report of expected amount of thought allocated to choosing a numeric pain intensity rating; higher scores mean more mental effort

  baseline

• importance of decreasing mental effort

  ordinal self-report of importance of decreasing amount of thought allocated to choosing or understanding a numeric pain intensity rating; higher scores mean more importance

  baseline

Secondary Outcomes (1)

• confidence in the accuracy of fictional pain intensity ratings

  baseline

Study Arms (2)

nurses

Our inclusion criteria for the nurses are the following: (1) 18 years old or older; (2) currently employed as a licensed nurse; and (3) current employment duties include routinely assessing the musculoskeletal pain of cognitively intact, adult outpatients. Our exclusion criteria for the nurses are the following: (1) currently managing a painful musculoskeletal condition; and (2) has ever felt musculoskeletal pain on most days for 3 months or longer.

Other: survey

patients

Our inclusion criteria for the patients are the following: (1) 18 years old or older; (2) currently being treated by a health care provider for a painful musculoskeletal condition; (3) has felt a usual musculoskeletal pain intensity rating of "2" or higher on a "0" to "10" scale over the last 24 hours; (4) has felt extreme pain that completely disappeared; (5) has felt musculoskeletal pain on most days of the last 3 months; (6) chronic musculoskeletal pain has increased and decreased during the last 3 months; and (6) has felt musculoskeletal pain in more than one location on most days of the last 3 months. Our exclusion criterion for the patients is ever employed as a licensed health care provider.

Other: survey

Interventions

survey OTHER

survey

nurses; patients

Eligibility Criteria

• Age: 18 Years - 110 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

patients with chronic pain \& nurses without chronic pain

You may qualify if:

• years old or older;
• currently being treated by a health care provider for a painful musculoskeletal condition;
• has felt a usual musculoskeletal pain intensity rating of "2" or higher on a "0" to "10" scale over the last 24 hours;
• has felt extreme pain that completely disappeared;
• has felt musculoskeletal pain on most days of the last 3 months;
• chronic musculoskeletal pain has increased and decreased during the last 3 months; and
• has felt musculoskeletal pain in more than one location on most days of the last 3 months.
• ever employed as a licensed health care provider.
• years old or older;
• currently employed as a licensed nurse; and
• current employment duties include routinely assessing the musculoskeletal pain of cognitively intact, adult outpatients.

You may not qualify if:

• currently managing a painful musculoskeletal condition; and
• has ever felt musculoskeletal pain on most days for 3 months or longer.

Sponsors & Collaborators

• University of Missouri-Columbia: lead

Study Sites (1)

University of Missouri - Columbia

Columbia, Missouri, 65211, United States

Location

MeSH Terms

Conditions

Chronic Pain

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor & Director Of Scholarly Activity

Study Record Dates

• First Submitted: October 25, 2023
• First Posted: November 2, 2023
• Study Start: March 21, 2023
• Primary Completion: February 24, 2024
• Study Completion: February 24, 2024
• Last Updated: July 12, 2024

Record last verified: 2024-07

Locations

US (1)