[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100634827":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":24,"locations":24,"responsibleParty":29,"collaborators":33,"id":37,"slug":38,"hasResults":39,"nctId":40,"briefTitle":41,"officialTitle":42,"acronym":24,"eligibilityCriteria":43,"healthyVolunteers":39,"sex":44,"minAge":45,"maxAge":24,"enrollmentInfo":46,"targetDuration":24,"studyType":49,"phases":50,"briefSummary":52,"conditions":53,"keywords":55,"overallStatus":60,"whyStopped":24,"lastUpdateSubmitDate":61,"lastUpdatePostDateStruct":62,"startDateStruct":65,"completionDateStruct":67,"leadSponsor":69,"locationsCount":24},{"fullName":5,"class":6},"Universidade Federal de Sao Carlos","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Biopsychosocial Pain-Centered Intervention Group","ACTIVE_COMPARATOR","Participants undergo an initial assessment focused on pain, including clinical history, pain characteristics, and psychosocial factors. Standardized instruments are used to evaluate pain intensity, impact, fear of movement, catastrophizing, central sensitization, sleep quality, anxiety, depression, and functional status.",[13],"Other: Pain-Centered Biopsychosocial Model",{"label":15,"type":10,"description":16,"interventionNames":17},"Biopsychosocial Functionality-Centered Intervention Group","Participants undergo an initial assessment focused on functionality, including clinical history and functional evaluation. In addition to pain-related measures, instruments assessing disability and quality of life (WHODAS 2.0 and WHOQOL) are applied. The most affected functional domains are identified and prioritized, guiding individualized goal-setting (SMART goals) and treatment planning. The interdisciplinary team develops a personalized intervention targeting functional improvement, with Pain Neuroscience Education integrated as appropriate.",[18],"Other: Functionality-Centered Biopsychosocial Model Group",[20,25],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"Pain-Centered Biopsychosocial Model","Participants receive a biopsychosocial intervention centered on pain. The process begins with a comprehensive pain-focused assessment, including pain intensity, location, frequency, and psychosocial factors (e.g., fear of movement, catastrophizing, anxiety, depression, and sleep quality). Based on this evaluation, treatment goals are collaboratively defined with emphasis on pain reduction and pain-related outcomes. Participants receive Pain Neuroscience Education and an individualized treatment plan developed by an interdisciplinary team.",[9],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Functionality-Centered Biopsychosocial Model Group","Participants receive a biopsychosocial intervention centered on functionality. After a comprehensive assessment, including measures of disability and quality of life, the most affected functional domains are identified using WHODAS 2.0. These domains guide the establishment of individualized SMART goals in collaboration with the patient. The interdisciplinary team develops a personalized treatment plan targeting improvement in functional performance and participation in daily activities. Pain Neuroscience Education is also included as part of the intervention, integrated according to the patient's needs.",[15],{"type":30,"investigatorFullName":31,"investigatorTitle":32,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"PRINCIPAL_INVESTIGATOR","Melina Nevoeiro Haik","Professor in the Department of Physical Therapy at the Federal University of São Carlos",[34],{"name":35,"class":36},"Fundação de Amparo à Pesquisa do Estado de São Paulo","OTHER_GOV","100634827","effects-of-biopsychosocial-models-based-on-pain-or-functionality-in-the-treatment-of-chronic-musculoskeletal-pain-100634827",false,"NCT07544745","Effects of Biopsychosocial Models Based on Pain or Functionality in the Treatment of Chronic Musculoskeletal Pain","Effects of a Biopsychosocial Model Centered on Functionality in the Care of Individuals With Chronic Musculoskeletal Pain in a Specialized Health Service: A Retrospective Cohort Study","Inclusion Criteria:\n\n* Aged 18 years or older\n* Chronic musculoskeletal pain\n* Have previously undergone unsuccessful pain treatment\n* Referred from the municipal healthcare system to the Pain Clinic\n* Undergo treatment at the Pain Clinic for a period of 3 months.\n\nExclusion Criteria:\n\n* Uncontrolled diabetes mellitus\n* Recent postoperative status\n* Neurological conditions with significant motor impairments\n* Individuals with oncological conditions\n* Dementia\n* Psychopathy\n* Schizophrenia\n* Other severe mental disorders\n* Individuals presenting only acute pain conditions.","ALL","18 Years",{"count":47,"type":48},24,"ESTIMATED","INTERVENTIONAL",[51],"NA","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:\n\nDoes the functionality-centered biopsychosocial model lead to a greater reduction in pain intensity compared to the pain-centered biopsychosocial model?\n\nDoes the functionality-centered biopsychosocial model lead to greater improvement in functionality and performance of daily activities in individuals with chronic pain?\n\nResearchers 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.\n\nParticipants will:\n\nAttend weekly interdisciplinary appointments in a specialized chronic pain service for approximately 3 months.\n\nUndergo clinical assessments recorded in their medical records, including measures of pain intensity, pain interference, and functional status.\n\nParticipate 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.",[54],"Chronic Pain",[56,57,58,59],"chronic pain","interdisciplinary healthcare team","cost-effectiveness","biopsychosocial model","NOT_YET_RECRUITING","2026-04-23",{"date":63,"type":64},"2026-04-29","ACTUAL",{"date":66,"type":48},"2026-04",{"date":68,"type":48},"2026-12",{"name":5,"class":6}]