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Illness Perception and Treatment Expectations in Lateral Elbow Pain (LEP-IPTE)

20. juli 2026 opdateret af: Hasan Gerçek, Acibadem University

Determining the Predictors of Illness Perception and Treatment Expectations in Individuals With Lateral Elbow Pain: A Cross-Sectional Study

This cross-sectional, correlational study aims to determine the predictors of illness perception and treatment expectations in adults with chronic lateral elbow pain. Sociodemographic characteristics, clinical findings (pain intensity, pain duration, elbow-specific function) and psychosocial variables (pain self-efficacy, fear-avoidance beliefs, pain catastrophizing) will be examined as candidate predictors of two patient-centred constructs: illness perception, measured with the Brief Illness Perception Questionnaire, and treatment expectation, measured with the Treatment Expectation Questionnaire. Data will be analysed using hierarchical multiple linear regression in three predictor blocks. The study is reported according to the STROBE statement.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Undersøgelsestype

Observationel

Tilmelding (Anslået)

137

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Adults presenting with lateral elbow pain to a physiotherapy and rehabilitation outpatient unit in Istanbul, Turkey. Consecutive, non-probability sampling of eligible patients who consent to participate.

Beskrivelse

Inclusion Criteria:

  • Aged 18 years or older
  • Diagnosis of lateral epicondylalgia or lateral elbow pain made by an orthopaedic surgeon or physiatrist
  • Pain intensity of at least 4 on the Numeric Rating Scale
  • Pain duration of at least 12 weeks (chronic)
  • Willing to provide written informed consent

Exclusion Criteria:

  • History of any surgical procedure of the upper extremity
  • Cervical spine pathology
  • Inflammatory arthritis affecting the wrist or finger joints (e.g. rheumatoid arthritis)
  • Active neurological disease or radiculopathy radiating to the upper extremity
  • Diagnosis of fibromyalgia or another widespread pain syndrome
  • Currently receiving active psychiatric treatment (e.g. psychosis, severe depression)
  • Pregnancy
  • Visual or cognitive impairment of a degree that would prevent completion of the questionnaires

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Adults with chronic lateral elbow pain
Adults aged 18 years or older, diagnosed with lateral epicondylalgia or lateral elbow pain by an orthopaedic surgeon or physiatrist, with pain of at least 4 out of 10 on the Numeric Rating Scale lasting 12 weeks or longer. Participants complete a single battery of self-report questionnaires; no intervention is applied.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Illness perception (Brief Illness Perception Questionnaire, B-IPQ)
Tidsramme: Single assessment at enrollment (Day 1)
The B-IPQ is a 9-item self-report instrument assessing cognitive and emotional representations of illness. Eight items are rated on a 0 to 10 numeric scale covering consequences, timeline, personal control, treatment control, identity, concern, coherence and emotional representation; the ninth item is open-ended and asks about perceived causes. The total score ranges from 0 to 80, with higher scores indicating a more threatening perception of the illness.
Single assessment at enrollment (Day 1)
Treatment expectation (Treatment Expectation Questionnaire, TEX-Q)
Tidsramme: Single assessment at enrollment (Day 1)
The TEX-Q assesses expectations of an upcoming treatment. Fifteen scored items are rated on an 11-point scale from 0 (no expectation at all) to 10 (expecting complete recovery from treatment); six additional items are not included in scoring. Higher scores indicate higher treatment expectation.
Single assessment at enrollment (Day 1)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain intensity (Numeric Rating Scale, NRS)
Tidsramme: Single assessment at enrollment (Day 1)
Self-reported lateral elbow pain intensity rated from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.
Single assessment at enrollment (Day 1)
Pain self-efficacy (Pain Self-Efficacy Questionnaire, PSEQ)
Tidsramme: Single assessment at enrollment (Day 1)
Ten items rated on a 7-point Likert scale (0 = not at all confident, 6 = completely confident), giving a total score of 0 to 60. Higher scores indicate greater confidence in performing activities despite pain.
Single assessment at enrollment (Day 1)
Fear-avoidance beliefs (Fear-Avoidance Beliefs Questionnaire, FABQ)
Tidsramme: Single assessment at enrollment (Day 1)
Sixteen items rated on a 7-point Likert scale from 0 (completely disagree) to 6 (completely agree), assessing beliefs about the effect of physical activity and work on pain. Higher scores indicate stronger fear-avoidance beliefs.
Single assessment at enrollment (Day 1)
Pain catastrophizing (Pain Catastrophizing Scale, PCS)
Tidsramme: Single assessment at enrollment (Day 1)
Thirteen items with helplessness, magnification and rumination subscales, each rated from 0 (never) to 4 (all the time), giving a total score of 0 to 52. Higher scores indicate greater pain catastrophizing.
Single assessment at enrollment (Day 1)
Elbow pain and function (Patient-Rated Tennis Elbow Evaluation, PRTEE)
Tidsramme: Single assessment at enrollment (Day 1)
Fifteen items covering pain (5 items) and function (6 specific activity items and 4 usual activity items) over the past week. The total score ranges from 0 to 100, with higher scores indicating greater pain and loss of function.
Single assessment at enrollment (Day 1)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Acibadem University

Efterforskere

  • Ledende efterforsker: Hasan Gercek, PhD, Acibadem University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

31. juli 2026

Primær færdiggørelse (Anslået)

1. december 2026

Studieafslutning (Anslået)

5. januar 2027

Datoer for studieregistrering

Først indsendt

20. juli 2026

Først indsendt, der opfyldte QC-kriterier

20. juli 2026

Først opslået (Faktiske)

23. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

23. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

20. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • AcibademHG1

Plan for individuelle deltagerdata (IPD)

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INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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