Knowledge, attitude and related practices about chronic pain conditions and pain clinic among undergraduate students in a medical college
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260059Keywords:
Chronic pain, Pain clinic, Knowledge, Attitude and practice, Undergraduate medical studentsAbstract
Background: Objectives were to evaluate the knowledge, attitude, and related practices about chronic pain conditions and pain clinics among undergraduate medical students in a medical college.
Methods: This cross-sectional, questionnaire-based study was conducted among 226 final-year undergraduate students and interns at Heritage Institute of Medical Sciences, Varanasi. Data were collected through a Google Form questionnaire designed to assess basic knowledge, attitudes, and practices related to chronic pain and pain clinic awareness. Descriptive statistics were applied to analyze the responses.
Results: Most participants correctly defined chronic pain (88.9%) and a pain clinic (87.6%), though only 37.6% identified a validated pain assessment scale. Arthritis was the most commonly identified chronic pain condition. Despite 127 students or family members reporting chronic pain, only 11 had ever consulted a pain clinic. The mean Likert score for perception of pain physicians’ competence was 3.82, while agreement on including chronic pain education in the medical curriculum scored 4.09, indicating a strongly positive attitude.
Conclusions: Although conceptual awareness of chronic pain and pain clinics was high among participants, significant gaps were found in applied knowledge and exposure to multidisciplinary pain care. The findings underscore the need for integrating structured pain management education and clinical exposure into undergraduate medical training in India.
Metrics
References
Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003-7. DOI: https://doi.org/10.1097/j.pain.0000000000000160
Zuccaro SM, Vellucci R, Sarzi-Puttini P, Cherubino P, Labianca R, Fornasari D. Barriers to pain management: focus on opioid therapy. Clin Drug Investig. 2012;32:11-9. DOI: https://doi.org/10.2165/11630040-000000000-00000
Kress HG, Aldington D, Alon E, Coaccioli S, Collett B, Coluzzi F, et al. A holistic approach to chronic pain management that involves all stakeholders: change is needed. Curr Med Res Opin. 2015;31(9):1743-54. DOI: https://doi.org/10.1185/03007995.2015.1072088
Lacasse A, Bourgault P, Choinière M. Fibromyalgia-related costs and loss of productivity: a substantial societal burden. BMC Musculoskelet Disord. 2016;17:1-9. DOI: https://doi.org/10.1186/s12891-016-1027-6
Chenaf C, Kabore JL, Delorme J, Pereira B, Mulliez A, Roche L, et al. Incidence of tramadol shopping behavior in a retrospective cohort of chronic non-cancer pain patients in France. Pharmacoepidemiol Drug Saf. 2016;25(9):1088-98. DOI: https://doi.org/10.1002/pds.4056
Cohen M, Quintner J, Buchanan D, Nielsen M, Guy L. Stigmatization of patients with chronic pain: the extinction of empathy. Pain Med. 2011;12(11):1637-43. DOI: https://doi.org/10.1111/j.1526-4637.2011.01264.x
Lalonde L, Choinière M, Martin E, Lévesque L, Hudon E, Bélanger D, et al. Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program. J Pain Res. 2015;8:203-15. DOI: https://doi.org/10.2147/JPR.S78177
Afshan G, Hussain AM, Azam SI. Knowledge about pain clinics and pain physician among general practitioners: a cross sectional survey. Pain Ther. 2013;2(2):105-11. DOI: https://doi.org/10.1007/s40122-013-0014-y
Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, et al. Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. 2011;41(6):1073-93. DOI: https://doi.org/10.1016/j.jpainsymman.2010.08.016
Chiarotto A, Maxwell LJ, Terwee CB, Wells GA, Tugwell P, Ostelo RW. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the Brief Pain Inventory in patients with low back pain: a systematic review. J Pain. 2019;20(3):245-63. DOI: https://doi.org/10.1016/j.jpain.2018.07.009
Karcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: which to use? Am J Emerg Med. 2018;36(4):707-14. DOI: https://doi.org/10.1016/j.ajem.2018.01.008
Saxena AK, Jain PN, Bhatnagar S. The prevalence of chronic pain among adults in India Indian J Palliat Care. 2018;24(4):472-7. DOI: https://doi.org/10.4103/IJPC.IJPC_141_18
Thejaswi SG, Mukerji A, Baliga S, Dewan SK, Verma A. Musculoskeletal pain among medical students and its association with perceived stress level: A cross-sectional study. J Educ Health Promot. 2023;12:143. DOI: https://doi.org/10.4103/jehp.jehp_1237_22
Jain PN. Pain education in India: hope or hype? Indian J Pain. 2023;37(1):1-3. DOI: https://doi.org/10.4103/ijpn.ijpn_28_23
Bakshi SG, Dharmalingam M, Rajeshwari S. An assessment of basic pain knowledge and impact of a short education programme among Indian anaesthesiologists. Indian J Anaesth. 2014;58(5):629-34. DOI: https://doi.org/10.4103/0019-5049.130805
Shipton EE, Bate F, Garrick R, Steketee C, Visser EJ, Smith AJ. Systematic review of pain medicine content, teaching, and assessment in medical school curricula internationally. Pain Ther. 2018;7(2):139-61. DOI: https://doi.org/10.1007/s40122-018-0103-z
Watt-Watson J, McGillion M, Hunter J, Choinière M, Clark AJ, Dewar A, et al. A survey of prelicensure pain curricula in health science faculties in Canadian universities. Pain Res Manag. 2009;14(6):439-44. DOI: https://doi.org/10.1155/2009/307932