Can teaching pain science rewire how older adults think about knee arthritis?
NCT ID NCT07823673
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Many older adults with knee osteoarthritis believe their pain comes mainly from joint wear and tear, which can lead to fear of movement and less activity. Researchers at McMaster University are comparing two web-based education programs: one that explains pain as a mix of biological, psychological, and social factors, and one that focuses on joint damage. The trial enrolls 82 community-dwelling adults aged 55 and older with knee osteoarthritis and measures changes in how they understand their condition, along with nervous system responses, movement, sleep, and pain.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pain Science Education, a web-based program that teaches how the brain, body, and life factors shape pain
- What this could lead to
- If pain science education changes how older adults think about knee arthritis, it could become a low-cost first-line tool that helps them stay active and manage pain without surgery.
- What could go wrong
- This is a small, short study of 82 people, and changing beliefs does not always change pain or behavior. The web-based format may not suit everyone, and any benefits seen in a controlled setting may fade in daily life.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 82 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2027
An estimate. Start dates often move.
- Expected to finish
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Apr 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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55 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Community-dwelling adults aged 55 years and older. * Self-reported diagnosis of knee osteoarthritis by a physician and/or fulfillment of the National Institute for Health and Care Excellence (NICE) clinical criteria for knee osteoarthritis (activity-related joint pain and either no morning joint-related stiffness or morning stiffness lasting no longer than 30 minutes). * Able to provide informed consent. * Able to read and speak English. Exclusion Criteria: * Previous exposure to Pain Science Education (PSE), as determined by self-report. * Eyeglass prescription exceeding ±6 diopters for spherical correction and/or ±3 diopters for astigmatism, due to eye-tracking equipment requirements.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Talking through pain: could counseling unlock better exercise for knee arthritis?
- Can education boost exercise compliance for chronic pain sufferers?
- Could a simple X-Ray measurement outperform BMI in knee surgery safety?
- Can sound waves soothe aching knees?