Fear AvoidanceCACDAPESNCT06900231
Knowledge, Attitudes, and Beliefs About Musculoskeletal Pain Among Primary Care Health Professionals in Spain.
An observational study of Fear Avoidance, run by Universitat de Lleida at 1 site in Spain.
Trial summary
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. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Fear Avoidance
- How many people
- 300 participants
- Where
- 1 siteSpain
- Study dates
- Jun 2026to Mar 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Child, Adult, Older adult
Study population: Professionals in medicine, physiotherapy, nursing, psychology, and nutrition working in Primary Care Centers in Spain
Who may be able to join
- 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.
Who cannot join
- -
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Spain1 site
Universitat de Lleida
Lleida, 25198
Fran Valenzuela-Pascual, Dr., +34 973 702 459, fran.valenzuela@udl.cat
About this study
Official title: Knowledge, Attitudes, and Beliefs About Musculoskeletal Pain Among Primary Care Health Professionals in Different Autonomous Communities of Spain: A Cross-Sectional Study
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.
Read the detailed description
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.
- Conditions
- Fear Avoidance
- Keywords
- Pain Management, Primary Health Care, Musculoskeletal Pain, Health Professionals, Fear-Avoidance, Pain Neurophysiology Knowledge
- Medical subject headings
- Agnosia, Musculoskeletal Pain
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain Neurophysiology Knowledge Questionnaire
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.
Measured: One-time assessment at enrollment
Secondary outcomes (2)
HC-PAIRS
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.
Measured: One-time assessment at enrollment
Fear-Avoidance believes
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.
Measured: One-time assessment at enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Mar 2025
- Study startJun 2026 (estimated)
- Primary completionNov 2026 (estimated)
- Study completionMar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Fear AvoidanceStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Universitat de Lleida
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Francesc Valenzuela Pascual, Universitat de Lleida
- Investigators
- Fran Valenzuela-Pascual, Dr., Principal investigator, Universitat de Lleida
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06900231
- Sponsor's protocol ID
- CACDAPES-ULleida
- Acronym
- CACDAPES
- Status last verified
- Apr 2026
- First submitted
- 14 Mar 2025
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Knowledge, Attitudes, and Beliefs About Musculoskeletal Pain Among Primary Care Health Professionals in Different Autonomous Communities of Spain: A Cross-Sectional Study
- ClinicalTrials.gov ID
- NCT06900231
- Acronym / sponsor ID
- CACDAPES / CACDAPES-ULleida
- Conditions
- Fear Avoidance
- Keywords
- Pain Management, Primary Health Care, Musculoskeletal Pain, Health Professionals, Fear-Avoidance, Pain Neurophysiology Knowledge
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- Universitat de LleidaUniversity, hospital or other
- Study start
- Jun 2026 (estimated)
- Primary completion
- Nov 2026 (estimated)
- Study completion
- Mar 2027 (estimated)
- First posted
- 28 Mar 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
Who may qualify
- Sex
- All
- Age groups
- Child, Adult, Older adult
- Study population
- Professionals in medicine, physiotherapy, nursing, psychology, and nutrition working in Primary Care Centers in Spain
Key inclusion criteria (2 listed)
- 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.
Key exclusion criteria (1 listed)
- -
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
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.
2 secondary outcomes
HC-PAIRS
Time frame: One-time assessment at enrollment
Fear-Avoidance believes
Time frame: One-time assessment at enrollment
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Fran Valenzuela-Pascual, Dr. principal investigator
Universitat de Lleida
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Fear Avoidance, run by Universitat de Lleida at 1 site in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Fran Valenzuela-Pascual, Dr. (+34 973 702 459, fran.valenzuela@udl.cat), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain Neurophysiology Knowledge Questionnaire (time frame: One-time assessment at enrollment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2026.