Patricia  Benz,Adriaan Louw,Anne  Kruse,Colleen  Louw,Jessie  Podolak,Kory  Zimney,
A Randomized Trial of Live versus Video Delivery of Pain Neuroscience Education for Middle School Children
Psychological Disorders and Research
2019
2674-2470
http://dx.doi.org/10.31487/j.PDR.2019.02.03
https://www.sciencerepository.org/a-randomized-trial-of-live-versus-video-delivery-of-pain-neuroscience-education-for-middle-school-children_PDR-2019-2-103 
Abstract: Objectives: To compare if a video-delivered pain neuroscience education (PNE) session yield comparable
results to a live-PNE session delivered to middle school students in terms of pain knowledge and attitudes
and beliefs regarding pain.
Methods: Two hundred and fifty-one 5th through 8th grade middle school students were randomly assigned
to receive a live (n = 147) or video-delivered (n = 104) presentation (30 minutes). Prior to and immediately
following the lectures, students completed a knowledge of pain questionnaire (Neurophysiology of Pain
Questionnaire – NPQ) and beliefs regarding pain questionnaire (Health Care Provider’s Pain and
Impairment Relationship Scale - HC-PAIRS).
Results: Both video (p < 0.001) and live presentations (p < 0.001) yielded significant increases in pain
knowledge and both showed large effect sizes (video 0.81 and live 0.82) as well. Pain beliefs questions of
“You can control how much pain you feel” and “Your brain decides if you feel pain, not your tissues” both
had significant changes (both groups p < 0.001), with moderate effect size for both groups (video .45 and
.56; live .51 and 68).
Conclusion: A 30-minute video-delivered PNE resulted in similar changes to a live, in-person PNE session.
The results from this study may help PNE approaches for middle schools to become standardized, costeffective and scalable. Larger trials with long-term follow-up are needed to determine if video-delivery PNE
is effective in altering behavior change.
Keywords: Pain, epidemic, education, school, attitudes, beliefs