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Behavior Change Following Pain Neuroscience Education in Middle Schools: A Public Health Trial

Author

Listed:
  • Adriaan Louw

    (Evidence in Motion, Story City, IA 50248, USA)

  • Regina Landrus

    (Big Stone Therapies, Hendricks, MN 56136, USA)

  • Jessie Podolak

    (Evidence in Motion Pain Fellowship, San Antonio, TX 78232, USA)

  • Patricia Benz

    (Confluent Health, Siesta Key, FL 34242, USA)

  • Jen DeLorenzo

    (180 Therapy and Wellness, Alexandria, VA 22314, USA)

  • Christine Davis

    (St. Croix Regional Medical Center, St Croix Falls, WI 54024, USA)

  • Alison Rogers

    (SERC Physical Therapy, Webb City, MO 64870, USA)

  • Kathy Cooper

    (Physical Therapy of Concordia, Concordia, MO 64020, USA)

  • Colleen Louw

    (Ortho Spine and Pain Clinic, Story City, IA 50248, USA)

  • Kory Zimney

    (Department of Physical Therapy, School of Health Sciences, University of South Dakota, Vermillion, SD 57069, USA)

  • Emilio J. Puentedura

    (Doctor of Physical Therapy Program, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76798-7303, USA)

  • Merrill R. Landers

    (Department of Physical Therapy, School of Allied Health Sciences, University of Nevada Las Vegas, Las Vegas, NV 89154-3029, USA)

Abstract

Chronic pain and the opioid epidemic need early, upstream interventions to aim at meaningful downstream behavioral changes. A recent pain neuroscience education (PNE) program was developed and tested for middle-school students to increase pain knowledge and promote healthier beliefs regarding pain. In this study, 668 seventh-grade middle-school students either received a PNE lecture ( n = 220); usual curriculum school pain education (UC) ( n = 198) or PNE followed by two booster (PNEBoost) sessions ( n = 250). Prior to, immediately after and at six-month follow-up, pain knowledge and fear of physical activity was measured. Six months after the initial intervention school, physical education, recess and sports attendance/participation as well as healthcare choices for pain (doctor visits, rehabilitation visits and pain medication use) were measured. Students receiving PNEBoost used 30.6% less pain medication in the last 6 months compared to UC ( p = 0.024). PNEBoost was superior to PNE for rehabilitation visits in students experiencing pain ( p = 0.01) and UC for attending school in students who have experienced pain > 3 months ( p = 0.004). In conclusion, PNEBoost yielded more positive behavioral results in middle school children at six-month follow-up than PNE and UC, including significant reduction in pain medication use.

Suggested Citation

  • Adriaan Louw & Regina Landrus & Jessie Podolak & Patricia Benz & Jen DeLorenzo & Christine Davis & Alison Rogers & Kathy Cooper & Colleen Louw & Kory Zimney & Emilio J. Puentedura & Merrill R. Landers, 2020. "Behavior Change Following Pain Neuroscience Education in Middle Schools: A Public Health Trial," IJERPH, MDPI, vol. 17(12), pages 1-23, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4505-:d:375234
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    Cited by:

    1. Isabel Salvat & Cristina Adillón & Eva Maria Andrés & Sonia Monterde & Jordi Miró, 2021. "Development of the Conceptualization of Pain Questionnaire: A Measure to Study How Children Conceptualize Pain," IJERPH, MDPI, vol. 18(7), pages 1-11, April.

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