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

April 27, 2026 updated by: Francesc Valenzuela Pascual, Universitat de Lleida

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.

Study Overview

Status

Not yet recruiting

Conditions

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:

  1. To assess the current knowledge of pain neurophysiology among primary care professionals (medicine, physiotherapy, nursing, nutrition, and psychology) in Spain.
  2. To evaluate attitudes and beliefs about chronic low back pain among primary care professionals (medicine, physiotherapy, nursing, nutrition, and psychology) in Spain.
  3. 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 Type

Observational

Enrollment (Estimated)

300

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Spain
      • Lleida, Spain, 25198
        • Universitat de Lleida
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

N/A

Sampling Method

Non-Probability Sample

Study Population

Professionals in medicine, physiotherapy, nursing, psychology, and nutrition working in Primary Care Centers in Spain

Description

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:

-

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
One-time assessment at enrollment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
One-time assessment at enrollment
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.
One-time assessment at enrollment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Universitat de Lleida

Investigators

  • Principal Investigator: Fran Valenzuela-Pascual, Dr., Universitat de Lleida

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

June 1, 2026

Primary Completion (Estimated)

November 1, 2026

Study Completion (Estimated)

March 1, 2027

Study Registration Dates

First Submitted

March 14, 2025

First Submitted That Met QC Criteria

March 26, 2025

First Posted (Actual)

March 28, 2025

Study Record Updates

Last Update Posted (Actual)

May 1, 2026

Last Update Submitted That Met QC Criteria

April 27, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CACDAPES-ULleida

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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