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Completed

NCT Number: NCT06946862

Factors Affecting Treatment Expectations in Chronic Neck Pain

The aim of this study was to determine which factors affect treatment expectations in individuals with chronic neck pain.

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Key information

Conditions

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Kto Karatay Üniversitesi

Karatay, Konya, 42000, Turkey (Türkiye)

About this study

This study aims to investigate the factors that influence treatment expectations in individuals with chronic neck pain.

Neck pain is one of the most common musculoskeletal conditions and a major public health issue that significantly affects quality of life and imposes economic burdens due to healthcare costs and productivity loss. It is considered the fourth leading cause of disability worldwide. Chronic neck pain is increasingly prevalent due to modern lifestyle factors, such as prolonged use of smartphones and computers, and is most often classified as nonspecific, mechanical, or postural in origin.

Numerous biopsychosocial factors have been associated with the onset and persistence of neck pain, including age, gender, occupation, duration of sitting or sedentary work, smoking, stress, anxiety, depression, personality traits, emotional state, and levels of physical activity.

Treatment expectations are a key determinant of treatment response and clinical outcomes in musculoskeletal disorders. Positive expectations have been shown to enhance treatment effects, while negative expectations (nocebo effects) may worsen outcomes. Understanding these expectations may aid in tailoring treatment approaches and improving communication between patients and healthcare providers.

This study will evaluate demographic, psychological, and behavioral factors that may influence the treatment expectations of patients with chronic neck pain. The findings may contribute to improving treatment planning, patient education, and shared decision-making in clinical practice.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Having been diagnosed with chronic neck pain by a Physical Medicine and Rehabilitation Specialist
  • Being between 18 and 80 years of age
  • Signing a consent form after receiving verbal information

Exclusion criteria

  • Presence of instability in the neck joints
  • Trauma within the last year
  • Advanced osteoporosis
  • Previous neck surgery
  • Physical therapy within the last 6 months
  • Neurological findings or radiculopathy

Treatment and study plan

no treatment, medication or intervention

Other

will make an observational assessment of the participants' treatment expectations. Participants will not be subjected to any treatment or intervention, only their current situation will be observed.

Primary outcomes

  1. Treatment Expectation Questionnaire

    Time frame: Baseline

    Developed by Shedden-Mora et al. (2023) (15), it is a psychological assessment tool used to measure patients' expectations about treatment before starting a treatment process. The Turkish validity and reliability study of the questionnaire was conducted by Çakır et al. (2024) (24). Validity Measurements The main items of the questionnaire, which consists of 15 main items and 6 additional questions, are structured as a scale in which the patient marks his/her expectation between 0 and 10. The questionnaire consists of treatment benefit (items 1-3), positive effect (items 4-6), negative events (items 7-9), negative effect (items 10-11), process (items 12-13) and behaviour control (items 14-15) subscales.

Secondary outcomes

  1. Pain Beliefs Scale

    Time frame: Baseline

    It was developed by Edwards et al. (1992) to evaluate beliefs about the cause and treatment of pain (25). The Turkish validity and reliability study of the questionnaire was conducted by Berk (2006). The scale has a total of 12 items and consists of two test domains: 8-item Organic Beliefs and 4-item Psychological Beliefs. Participants are asked to tick the most appropriate one for themselves from 6 options ranging from 1. 'never' to 6. 'always'. Each item is given a score between 1 and 6, and the score of each subtest is calculated by averaging the scores of the items belonging to that subtest. There is no cut-off point for the scale and high scores indicate high pain beliefs and low scores indicate low pain beliefs. The highest score for organic and psychological beliefs is 6 and the lowest score is 1.

  2. Pain Self-Efficacy Questionnaire

    Time frame: Baseline

    It is a questionnaire developed by Michael K. Nicholas (1989), consisting of 10 items, easy to understand, can be applied without taking time, evaluates the role of pain in establishing social relationships, doing hobbies or housework, and questions the use of analgesics in coping with pain. The Turkish validity and reliability study of the questionnaire was conducted by Doğan (2019). Individuals with chronic pain are asked to score how safely they can perform the defined activities despite their pain. Scoring is done on a 7-point Likert scale, where 0 = 'completely unsafe' and 6 = 'completely safe'. By summing the scores of 10 items, a high score indicates a strong self-efficacy belief according to the total score between 0 and 60.

  3. Hospital Anxiety and Depression Scale

    Time frame: Baseline

    It was developed by Zigmond and Snaith (1983) to determine the risk of anxiety and depression and to measure the level and change in severity. The Turkish validity and reliability study of the scale was conducted by Aydemir et al. (1997) (30). It consists of 14 items, 7 of which investigate symptoms of depression and 7 of which investigate symptoms of anxiety. Odd numbers measure anxiety and even numbers measure depression. Responses are evaluated in a 4-point Likert scale and scored between 0-3. Patients score between 0 and 21 on both subscales. The cut-off points of the Turkish form of the HADÖ were determined as 10 for the anxiety subscale and 7 for the depression subscale. Scores above these values are considered as risk for depression and anxiety.

  4. Visual Analogue Scale

    Time frame: Baseline

    It is a scale developed by Price et al. (1983) to measure the severity of pain in individuals. The scale consists of a 10 cm horizontally positioned line on the page. The number '0', which is the starting point on this line, represents that the patient does not feel any pain, and the number '10' represents the worst pain experienced by the patient within his/her own experience. The patient is asked to mark anywhere on this straight line between 0 and 10 to indicate the pain he/she had at the time the test was administered. Then, with the help of a ruler, the distance of the point marked by the patient to the starting point, the number 0, is measured in cm and the intensity of the pain is determined.

Sponsors and collaborators

Lead sponsor

KTO Karatay University

Other

Registry information

Official study title

Investigation of Factors Influencing Treatment Expectations in Individuals With Chronic Neck Pain

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Apr 27, 2025
Registry last updated
Aug 6, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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