The objective of this study is to evaluate whether a functionality-centered biopsychosocial model can improve clinical outcomes in the care of individuals with chronic musculoskeletal pain treated in a specialized healthcare service. The main questions it aims to answer are:
Does the functionality-centered biopsychosocial model lead to a greater reduction in pain intensity compared to the pain-centered biopsychosocial model?
Does the functionality-centered biopsychosocial model lead to greater improvement in functionality and performance of daily activities in individuals with chronic pain?
Researchers will compare individuals treated using a functionality-centered biopsychosocial model with individuals treated using a pain-centered biopsychosocial model to determine whether the functionality-centered model results in better clinical outcomes and greater treatment adherence.
Participants will:
Attend weekly interdisciplinary appointments in a specialized chronic pain service for approximately 3 months.
Undergo clinical assessments recorded in their medical records, including measures of pain intensity, pain interference, and functional status.
Participate in interdisciplinary therapeutic interventions based on the biopsychosocial model, which may include pain neuroscience education, therapeutic exercises, behavioral strategies, and the establishment of functional goals.
Aged 18 years or older
Chronic musculoskeletal pain
Have previously undergone unsuccessful pain treatment
Referred from the municipal healthcare system to the Pain Clinic
Uncontrolled diabetes mellitus
Recent postoperative status
Neurological conditions with significant motor impairments
Individuals with oncological conditions
Universidade Federal de Sao Carlos
Lead sponsor
Fundação de Amparo à Pesquisa do Estado de São Paulo
Collaborator