Implementation of an online pain science education for chronic musculoskeletal pain in Brazilian public health system: protocol for a hybrid type III randomised controlled trial with economic evaluation

Although clinical practice guidelines recommend pain education as the first-line option for the management of chronic musculoskeletal pain, there is a lack of pain education programmes in healthcare. Thus, digital health programmes can be an effective tool for implementing pain education strategies...

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Bibliographic Details
Published in:	BMC musculoskeletal disorders Vol. 24; no. 1; p. 277
Main Authors:	Baroni, Marina P, Hespanhol, Luiz, Miyamoto, Gisela C, Daniel, Christiane R, Fernandes, Lívia G, Dos Reis, Felipe J J, Pate, Joshua W, Saragiotto, Bruno T
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 10-04-2023 BioMed Central BMC
Subjects:	Activities of daily living Adult Brazil Care and treatment Causes of Chronic pain Chronic Pain - diagnosis Chronic Pain - therapy Clinical practice guidelines Consent Cost-Benefit Analysis E-books GDP Gross Domestic Product Health care Health education Humans Implementation science Low income groups Musculoskeletal diseases Musculoskeletal Pain - diagnosis Musculoskeletal Pain - therapy Physical therapy Practice guidelines (Medicine) Prevention Primary health care Primary healthcare Public Health Quality of Life Randomized Controlled Trials as Topic Risk factors Science education Services Study Protocol Telehealth Telemedicine User needs Brazil Telehealth Health education Primary healthcare Chronic pain Public health Implementation science
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Summary:	Although clinical practice guidelines recommend pain education as the first-line option for the management of chronic musculoskeletal pain, there is a lack of pain education programmes in healthcare. Thus, digital health programmes can be an effective tool for implementing pain education strategies for public health. This trial will aim to analyse the implementation and effectiveness outcomes of three online pain science education strategies in the Brazilian public health system (SUS) for individuals with chronic musculoskeletal pain. We will conduct a hybrid type III effectiveness-implementation randomised controlled trial with economic evaluation. We will include adult individuals with chronic musculoskeletal pain, recruited from primary healthcare in the city of Guarapuava, Brazil. Individuals will be randomised to three implementation groups receiving a pain science education intervention (EducaDor) but delivered in different modalities: group 1) synchronous online; group 2) asynchronous videos; and group 3) interactive e-book only. Implementation outcomes will include acceptability, appropriateness, feasibility, adoption, fidelity, penetration, sustainability, and costs. We will also assess effectiveness outcomes, such as pain, function, quality of life, sleep, self-efficacy, and adverse effects. Cost-effectiveness and cost-utility analyses will be conducted from the SUS and societal perspectives. The evaluations will be done at baseline, post-intervention (10 weeks), and 6 months. This study will develop and implement a collaborative intervention model involving primary healthcare professionals, secondary-level healthcare providers, and patients to enhance self-management of chronic pain. In addition to promoting better pain management, this study will also contribute to the field of implementation science in public health by generating important insights and recommendations for future interventions. ClinicalTrials.gov (NCT05302180; 03/29/2022).
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	1471-2474 1471-2474
DOI:	10.1186/s12891-023-06360-7