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NCT Number: NCT06900231

Knowledge, Attitudes, and Beliefs About Musculoskeletal Pain Among Primary Care Health Professionals in Spain.

Pain is influenced by psychological and emotional factors, and healthcare professionals may unintentionally contribute to chronic disability by reinforcing fear and limiting normal activity. Patients with chronic pain often feel they lack adequate information to manage their condition.

This study aims to:

* Assess primary care professionals' knowledge of pain neurophysiology in Spain. * Evaluate their attitudes and beliefs about chronic low back pain. * Examine their fear-avoidance beliefs related to pain. A cross-sectional study will gather data from primary care providers. The results will help guide educational strategies and policies to improve musculoskeletal pain management. This will be the first study in Spain to analyze these aspects among primary care professionals.

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Key information

Conditions

Fear Avoidance Agnosia Muscular Diseases Musculoskeletal Diseases Musculoskeletal Pain Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Perceptual Disorders Signs and Symptoms

Sex eligibility

All sexes

Study type

Observational

Primary location

About this study

Background: Pain is a multifactorial experience where psychological and emotional factors influence the transition from acute to chronic pain, prognosis, and the adoption of inappropriate self-management strategies. In addition to psychological and emotional factors, healthcare professionals can contribute to the development of chronic disabilities in their patients by promoting hypervigilance and restricting normal activities, potentially reinforcing or altering patients' perceptions, leading to limited mobility. Existing scientific literature suggests that patients with chronic pain often feel they do not receive sufficient information from healthcare professionals that could help them better understand and manage pain, thereby improving their quality of life.

Objectives:

  • To assess the current knowledge of pain neurophysiology among primary care professionals (medicine, physiotherapy, nursing, nutrition, and psychology) in Spain.
  • To evaluate attitudes and beliefs about chronic low back pain among primary care professionals (medicine, physiotherapy, nursing, nutrition, and psychology) in Spain.
  • To examine fear-avoidance beliefs related to pain among primary care professionals (medicine, physiotherapy, nursing, nutrition, and psychology) in Spain.

Methodology: A cross-sectional descriptive study will be conducted to collect information from primary care health professionals (medicine, physiotherapy, psychology, nutrition, and nursing) in Spain, focusing on their current knowledge, attitudes, and beliefs about musculoskeletal pain.

Applicability: This study will provide valuable insights into the current state of knowledge, attitudes, and beliefs about musculoskeletal pain among primary care health professionals in Spain. The findings will guide future educational interventions and policy recommendations to improve the management of musculoskeletal pain in primary care settings in Spain.

Relevance: Scientifically, this will be the first study to evaluate the knowledge of primary care health professionals in Spain regarding pain neurophysiology, attitudes and beliefs about chronic low back pain, and fear-avoidance attitudes.

Who can participate

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

Inclusion criteria

  • Graduates in medicine or residents specializing in family and community medicine.

Graduates in physiotherapy. Graduates in nursing or residents specializing in family and community nursing. Graduates in psychology. Graduates in nutrition.

Exclusion criteria

-

Treatment and study plan

Primary outcomes

  1. Pain Neurophysiology Knowledge Questionnaire

    Time frame: One-time assessment at enrollment

    The questionnaire consists of 19 questions that require true, false, or undecided answers, with a maximum score of 19 points. Higher scores mean better knowledge.

Secondary outcomes

  1. HC-PAIRS

    Time frame: One-time assessment at enrollment

    The questionnaire consists of 15 statements on a 7-point Likert scale (1 = completely disagree, 4 = neither agree nor disagree, and 7 = completely agree), with a maximum score of 105 points. Higher scores indicate a greater degree of beliefs about the relationship between chronic pain, functional limitation, and disability.

  2. Fear-Avoidance believes

    Time frame: One-time assessment at enrollment

    The questionnaire is divided into two subscales, FABQ-Physical Activity (questions 1-5) and FABQ-Work (questions 6-16), and consists of a total of 16 statements that require responses on a 6-point Likert scale (0 = completely disagree and 6 = completely agree), with a maximum score of 96 points. Higher scores indicate a greater degree of fear-avoidance beliefs.

Study contacts

Contact information is provided by the study sponsor or research team.

Fran Valenzuela-Pascual, Dr.

CONTACT

[email protected]

+34 973 702 459

Sponsors and collaborators

Lead sponsor

Universitat de Lleida

Other

Registry information

Official study title

Knowledge, Attitudes, and Beliefs About Musculoskeletal Pain Among Primary Care Health Professionals in Different Autonomous Communities of Spain: A Cross-Sectional Study

Acronym: CACDAPES

Important dates

Study start
2026
Primary completion
2026
Study completion
2027
First posted
Mar 28, 2025
Registry last updated
May 1, 2026

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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