The Effect of Pain Neuroscience Education on Preoperative Anxiety and Postoperative Recovery in Patients Scheduled for Orthopedic Surgery

NCT07107360 | Completed

• 1 other identifier: Pain Neuroscience Education
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to investigate the effects of preoperative PNE on preoperative anxiety, pain-related beliefs, and postoperative functional outcomes in patients undergoing upper extremity orthopedic surgery.

Conditions

Orthopaedic Surgery; Upper Extremity

Keywords

pain neuroscience education; preoperative anxiety; recovery; orthopaedic surgery

Outcome Measures

Primary Outcomes (1)

• pain-related beliefs

  Pain Catastrophizing: The Pain Catastrophizing Scale (PCS) was developed in 1995 by Michael J. L. Sullivan and colleagues (Sullivan et al., 1995). The PCS is a 13-item self-report measure that assesses the extent of catastrophizing in the context of actual or anticipated pain. It conceptualizes catastrophizing as a multidimensional construct, measured across three subscales: rumination, magnification, and helplessness. Rumination refers to the tendency to focus on pain-related thoughts, helplessness reflects a perceived inability to cope with painful situations, and magnification represents an exaggerated interpretation of the threat value of pain.

  Assessments were performed at two time points: one hour prior to surgery and one month after surgery.

Study Arms (2)

Pain Neuroscience Education Group

EXPERIMENTAL

received pain neuroscience education in addition to conventional preoperative education

Other: Pain Neuroscience Education

Control Group

ACTIVE COMPARATOR

received conventional preoperative education

Other: Conventional preoperative education

Interventions

Pain Neuroscience Education OTHER

The study included two groups, consisting of participants who met the inclusion criteria and adhered to the procedures. Participants in the intervention group received a 20-minute Pain Neuroscience Education (PNE) session delivered face-to-face one hour prior to their scheduled surgery. The PNE focused on the biopsychosocial aspects of pain and included both theoretical and practical strategies for postoperative pain management.

Pain Neuroscience Education Group

Conventional preoperative education OTHER

Participants in the experimental group received pain neuroscience education, while participants in the control group received a booklet summarizing this education in addition to routine preoperative care.

Control Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged between 18 and 65 years
• scheduled for upper extremity orthopedic surgery; able to communicate effectively (i.e., speaks Turkish fluently,
• understands verbal and written instructions, and has no speech impairments);
• willing to voluntarily participate in the study.

You may not qualify if:

• any mental or cognitive impairments
• currently using medication for anxiety or related conditions
• taking painkillers regularly
• have undergone any surgical procedures within the past year.

Sponsors & Collaborators

• Atlas University: lead

Study Sites (1)

Istanbul Atlas University

Istanbul, Kagıthane, 34413, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: asst. prof.

Study Record Dates

• First Submitted: July 30, 2025
• First Posted: August 6, 2025
• Study Start: January 6, 2025
• Primary Completion: May 15, 2025
• Study Completion: May 15, 2025
• Last Updated: August 6, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

TU (1)