{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T18:03:11Z","timestamp":1784570591513,"version":"3.55.0"},"reference-count":49,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014013","name":"UK Research and Innovation","doi-asserted-by":"publisher","award":["MR\/W004151\/1"],"award-info":[{"award-number":["MR\/W004151\/1"]}],"id":[{"id":"10.13039\/100014013","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","award":["22891"],"award-info":[{"award-number":["22891"]}],"id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Managing chronic pain involves cognitive and emotional challenges that may affect treatment adherence. Patients\u2019 ability to remember clinician advice is therefore important. Clinician behaviours may influence these processes. To investigate whether recounting autobiographical memories of perceived validating (vs. invalidating) healthcare experiences influences subsequent recall of health-related information in people living with chronic pain, 245 adults with chronic pain (\u22653 months) were recruited online. Eligibility criteria included: age\u2009\u2265\u200918 years, fluent in English, no hearing difficulties or mental health conditions, and at least one healthcare visit in the previous two years. Participants were quasi-randomly assigned to describe either a validating or invalidating consultation they had previously experienced. Before and after this task, participants rated their pain intensity and pain-related fear. Participants then listened to 20 health messages and were later asked to recall them in an incidental memory test. The primary outcome was incidental recall of health messages, operationalised as the likelihood of recalling each of the 20 messages. Secondary outcomes included pain intensity and pain-related fear. Recall was analysed using a binomial generalized linear mixed-effects model accounting for individual differences (pain intensity, pain-related fear, immersion in the task, age, sex, and pain duration).Participants who described a validating consultation were more likely to recall health messages than those in the invalidating condition (19% higher odds of recalling each message, based on model estimates). The association was not mediated by change in pain-related fear. These findings indicate that remembering validating consultations might boost retention of health information, highlighting clinician-validation as a potential strategy to support cognitive functioning in people living with chronic pain.<\/jats:p>","DOI":"10.1371\/journal.pone.0353615","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T17:23:01Z","timestamp":1784568181000},"page":"e0353615","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Autobiographical memory of validating and invalidating consultations is associated with recall capacity for health information"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0319-5635","authenticated-orcid":true,"given":"Charlotte E.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hollie","family":"Birkinshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Garner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Pincus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"issue":"3","key":"pone.0353615.ref001","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1097\/AJP.0000000000000536","article-title":"The relationship between chronic pain and neurocognitive function: a systematic review","volume":"34","author":"DM Higgins","year":"2018","journal-title":"Clin J Pain"},{"issue":"4","key":"pone.0353615.ref002","first-page":"469","article-title":"Evidences of memory dysfunction and maladaptive coping in chronic low back pain and rheumatoid arthritis patients: challenges for rehabilitation","volume":"45","author":"LL Jorge","year":"2009","journal-title":"Eur J Phys Rehabil Med"},{"issue":"3","key":"pone.0353615.ref003","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1155\/2015\/897293","article-title":"Patients\u2019 recall of diagnostic and treatment information improves with use of the Pain Explanation and Treatment Diagram in an outpatient chronic pain clinic","volume":"20","author":"HM Finestone","year":"2015","journal-title":"Pain Res Manag"},{"issue":"5","key":"pone.0353615.ref004","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1046\/j.1365-2710.2001.00363.x","article-title":"Patient adherence to treatment: three decades of research. 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Available from: https:\/\/www.prolific.com"},{"key":"pone.0353615.ref023","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/1471-2296-12-141","article-title":"What factors affect patients\u2019 recall of general practitioners\u2019 advice?","volume":"12","author":"P Selic","year":"2011","journal-title":"BMC Fam Pract"},{"key":"pone.0353615.ref024","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/j.jesp.2009.03.009","article-title":"Instructional manipulation checks: detecting satisficing to increase statistical power","volume":"45","author":"DM Oppenheimer","year":"2009","journal-title":"J Exp Soc Psychol"},{"key":"pone.0353615.ref025","volume-title":"Attention and Comprehension Check Policy","author":"Prolific","year":"2024"},{"issue":"4","key":"pone.0353615.ref026","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1111\/2041-210X.12504","article-title":"SIMR: an R package for power analysis of generalized linear mixed models by simulation","volume":"7","author":"P Green","year":"2016","journal-title":"Methods Ecol Evol"},{"key":"pone.0353615.ref027","volume-title":"Healthy living","author":"National Health Service Scotland","year":"2024"},{"key":"pone.0353615.ref028","volume-title":"Live Well","author":"National Health Service UK","year":"2024"},{"key":"pone.0353615.ref029","volume-title":"Pain: clinical manual for nursing practice","author":"M McCaffery","year":"1989"},{"issue":"8","key":"pone.0353615.ref030","first-page":"1022","article-title":"Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis","volume":"17","author":"MB Ferraz","year":"1990","journal-title":"J Rheumatol"},{"issue":"8","key":"pone.0353615.ref031","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1016\/j.pain.2014.04.030","article-title":"Diagnostic uncertainty and recall bias in chronic low back pain","volume":"155","author":"D Serbic","year":"2014","journal-title":"Pain"},{"issue":"3","key":"pone.0353615.ref032","article-title":"Relationship between interoception and emotion regulation in daily life","volume":"84","author":"M Walentynowicz","year":"2022","journal-title":"Psychosom Med"},{"issue":"4","key":"pone.0353615.ref033","doi-asserted-by":"crossref","DOI":"10.1111\/hex.70373","article-title":"Establishing a public involvement network for chronic pain research in the United Kingdom: lessons learned","volume":"28","author":"S Grieve","year":"2025","journal-title":"Health Expect"},{"key":"pone.0353615.ref034","doi-asserted-by":"crossref","DOI":"10.18637\/jss.v067.i01","article-title":"Fitting linear mixed-effects models using lme4","volume":"67","author":"D Bates","year":"2015","journal-title":"J Stat Softw"},{"key":"pone.0353615.ref035","volume-title":"R: a language and environment for statistical computing","author":"R Core Team","year":"2024"},{"issue":"3","key":"pone.0353615.ref036","article-title":"Random effects structure for confirmatory hypothesis testing: keep it maximal","volume":"68","author":"DJ Barr","year":"2013","journal-title":"J Mem Lang"},{"key":"pone.0353615.ref037","unstructured":"Voeten CC. buildmer: Stepwise elimination and term reordering for mixed-effects regression. R package version 2.11; 2023. Available from: https:\/\/CRAN.R-project.org\/package=buildmer"},{"key":"pone.0353615.ref038","unstructured":"How prolific detects bots and ai in online research. Prolific [Internet]. [cited 2026 Jun 17]. 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