[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100631925":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":39,"locations":45,"responsibleParty":66,"collaborators":26,"id":70,"slug":71,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":75,"acronym":76,"eligibilityCriteria":77,"healthyVolunteers":78,"sex":79,"minAge":80,"maxAge":26,"enrollmentInfo":81,"targetDuration":26,"studyType":84,"phases":85,"briefSummary":87,"conditions":88,"keywords":90,"overallStatus":98,"whyStopped":26,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"Universitat de Lleida","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"PainTrain-AI Educational Training (Cluster Implementation Arm)","EXPERIMENTAL","Participants in Primary Care centers allocated to the intervention cluster receive the PainTrain-AI behavioral educational training. The intervention consists of simulated clinical encounters with virtual standardized patients and interactive micromodules, using a RAG-fenced architecture restricted to validated clinical content. All participants in this arm complete T0, T1, and T2 assessments.",[13],"Behavioral: PainTrain-AI Educational Training",{"label":15,"type":16,"description":17,"interventionNames":18},"Usual Training \u002F Standard Practice (Control Arm)","ACTIVE_COMPARATOR","Participants in Primary Care centers allocated to the control cluster follow usual training and standard practice available at their institution. No exposure to the PainTrain-AI platform occurs during the study period. Centers continue their routine continuing medical education activities. All participants complete T0-T1-T2 assessments with the same standardized clinical cases and rubric. This arm serves as the active comparator for evaluating changes in clinical adequacy, low-value practice indicators, and gender-related decision patterns.",[19],"Behavioral: Usual Training \u002F Standard Practice",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","PainTrain-AI Educational Training","PainTrain-AI is a behavioral educational intervention delivered through a digital clinical simulation platform. The system uses a retrieval-augmented generation (RAG) safety architecture that restricts all outputs to validated clinical content; the platform is non-diagnostic and does not generate new clinical information. Participants complete simulated consultations with virtual standardized patients and a series of brief micromodules designed to train biopsychosocial clinical reasoning for chronic musculoskeletal pain. The intervention is used exclusively for professional training and does not involve patient data. All participants in the intervention arm complete assessments at T0, T1, and T2.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Usual Training \u002F Standard Practice","Participants continue with usual training and standard practice available at their institution.\n\nNo exposure to PainTrain-AI occurs. This arm serves as the active comparator.",[15],[32,36],{"name":33,"affiliation":34,"role":35},"Fran Valenzuela-Pascual, PhD","IRBLleida \u002F Universitat de Lleida","STUDY_DIRECTOR",{"name":37,"affiliation":38,"role":35},"Ester García Martínez, PhD","Universitat de Lleida \u002F IDIAP Jordi Gol",[40],{"name":41,"role":42,"phone":43,"phoneExt":26,"email":44},"Fran Valenzuela Pascual, PhD","CONTACT","+34 973 702 459","fran.valenzuela@udl.cat",[46,59],{"facility":47,"status":26,"city":48,"state":48,"zip":26,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"Institut Català de la Salut (ICS) - Primary Care Network","Lleida","Spain","ES",{"type":52,"coordinates":53},"Point",[54,55],0.62218,41.61674,{"lat":55,"lon":54},[58],{"name":41,"role":42,"phone":43,"phoneExt":26,"email":44},{"facility":60,"status":26,"city":48,"state":48,"zip":26,"country":49,"countryCode":50,"cosmosGeoPoint":61,"geoPoint":63,"contacts":64},"Specialized Care Comparative Setting",{"type":52,"coordinates":62},[54,55],{"lat":55,"lon":54},[65],{"name":41,"role":42,"phone":43,"phoneExt":26,"email":44},{"type":67,"investigatorFullName":68,"investigatorTitle":69,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","Francesc Valenzuela Pascual","Principal Investigator (Sponsor-Investigator)","100631925","paintrain-ai-implementation-trial-in-primary-care-competency-gaps-and-gender-bias-100631925",false,"NCT07507019","PainTrain-AI Implementation Trial in Primary Care (Competency Gaps and Gender Bias)","Implementation of the Digital Intervention PainTrain-AI in Primary Care: Competency Gaps and Gender Bias in the Management of Chronic Musculoskeletal Pain","PT-AI-IMP","Inclusion Criteria:\n\n* Health professionals (medicine, nursing, physiotherapy, psychology, nutrition) working at participating Primary Care centers.\n* Active clinical practice during the study period.\n* Ability to access and use the digital platform (PainTrain-AI) and complete online assessments (T0, T1, T2).\n* Provides informed consent.\n\nExclusion Criteria:\n\n* Prior exposure to the PainTrain-AI platform within the previous 12 months (risk of contamination).\n* Planned absence or temporary leave during the evaluation windows (T0, T1, T2).\n* Inability to use the digital platform for technical reasons not solvable by support.\n* Declines participation.",true,"ALL","18 Years",{"count":82,"type":83},185,"ESTIMATED","INTERVENTIONAL",[86],"NA","Cluster trial to assess the effect of a digital clinical simulation (PainTrain AI) on clinical adequacy (0-100 rubric) across T0-T1-T2 in Primary Care. Secondary endpoints: SUS, adherence, low value practice indicators, and latency\u002Ffriction. The intervention is educational\u002Fbehavioral; the platform is non diagnostic and RAG fenced to validated content. Analysis per protocol: DiD and LMM\u002FGLMM.",[89],"Educational Intervention for Primary Care Professionals on Chronic Musculoskeletal Pain",[91,92,93,94,95,96,97],"chronic musculoskeletal pain","clinical simulation","digital training","primary care professionals","educational intervention","usability SUS","concept shift","NOT_YET_RECRUITING","2026-03-28",{"date":101,"type":102},"2026-04-02","ACTUAL",{"date":104,"type":83},"2029-03",{"date":106,"type":83},"2030-12",{"name":68,"class":6},2]