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PainTrain-AI Implementation Trial in Primary Care (Competency Gaps and Gender Bias)
Sponsor: Francesc Valenzuela Pascual
Summary
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/friction. The intervention is educational/behavioral; the platform is non diagnostic and RAG fenced to validated content. Analysis per protocol: DiD and LMM/GLMM.
Official title: Implementation of the Digital Intervention PainTrain-AI in Primary Care: Competency Gaps and Gender Bias in the Management of Chronic Musculoskeletal Pain
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
185
Start Date
2029-03
Completion Date
2030-12
Last Updated
2026-04-02
Healthy Volunteers
Yes
Interventions
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.
Usual Training / Standard Practice
Participants continue with usual training and standard practice available at their institution. No exposure to PainTrain-AI occurs. This arm serves as the active comparator.
Locations (2)
Institut Català de la Salut (ICS) - Primary Care Network
Lleida, Lleida, Spain
Specialized Care Comparative Setting
Lleida, Lleida, Spain