Evidence in Motion, Story City, IA 50248, USA.
Big Stone Therapies, Hendricks, MN 56136, USA.
Int J Environ Res Public Health. 2020 Jun 23;17(12):4505. doi: 10.3390/ijerph17124505.
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 ( = 220); usual curriculum school pain education (UC) ( = 198) or PNE followed by two booster (PNEBoost) sessions ( = 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 ( = 0.024). PNEBoost was superior to PNE for rehabilitation visits in students experiencing pain ( = 0.01) and UC for attending school in students who have experienced pain > 3 months ( = 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.
慢性疼痛和阿片类药物泛滥需要早期的上游干预，以实现有意义的下游行为改变。最近开发并测试了一种针对中学生的疼痛神经科学教育（PNE）计划，以增加疼痛知识并促进对疼痛的更健康信念。在这项研究中，668 名七年级中学生接受了 PNE 讲座（= 220）；常规课程学校疼痛教育（UC）（= 198）或 PNE 后加两个强化课程（PNEBoost）（= 250）。在干预前、干预后即刻和 6 个月随访时，测量疼痛知识和对身体活动的恐惧。在初始干预后的 6 个月，测量体育课、课间休息和运动的出勤率/参与率以及疼痛的医疗保健选择（就诊、康复就诊和使用止痛药）。在过去的 6 个月中，接受 PNEBoost 的学生比 UC 组（= 0.024）使用的止痛药减少了 30.6%。对于有疼痛经历的学生，PNEBoost 在康复就诊方面优于 PNE（= 0.01），而对于疼痛持续超过 3 个月的学生，UC 在上学方面优于 PNE（= 0.004）。总之，在 6 个月的随访中，PNEBoost 比 PNE 和 UC 产生了更积极的行为结果，包括止痛药使用的显著减少。
