Effects of standard prenatal education with and without pain neuroscience education on functionality appreciation and body surveillance in pregnant women with lumbopelvic pain: a secondary analysis of a randomized controlled trial
Abstract
Background: Pregnancy involves profound physical and psychological changes that may increase the risk of lumbopelvic pain and affect body image. Body surveillance and functionality appreciation are key constructs in this context, yet little is known about interventions targeting them in pregnant women experiencing pregnancy-related pain.
Objective: This study examined whether standard prenatal education alone or combined with pain neuroscience education could improve functionality appreciation and reduce body surveillance in women with pregnancy-related lumbopelvic pain.
Methods: A total of 211 third-trimester pregnant women with pregnancy-related lumbopelvic pain were randomly assigned to standard prenatal education or a combined program with pain neuroscience education. Both programs included twelve online lessons delivered over four weeks. Functionality appreciation and body surveillance were measured at baseline and post-intervention using validated questionnaires. Linear mixed models were used for analysis under an intention-to-treat approach.
Results: Functionality appreciation improved significantly over time in both groups (p = .018), but no between-group differences were observed (Cohen's d = 0.056). Body surveillance scores remained unchanged in both groups (Cohen's d = 0.00). Adherence was higher in the SPE group (88%) compared to SPE+PNE (77.5%, p = .011).
Conclusions: Brief online educational programs, especially standard prenatal education, can enhance…
How strong is the evidence?
Evidence Hub reads this as a secondary / pooled analysis, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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