A Systematic Review and Meta-Analysis of the Effects of Biopsychosocial Pain Education upon Health Care Professional Pain Attitudes, Knowledge, Behavior and Patient Outcomes

Mankelow, Jagjit; Ryan, Cormac; Taylor, Paul C.; Atkinson, Greg; Martin, Denis

doi:10.1016/j.jpain.2021.06.010

Cited by 15 publications

(9 citation statements)

References 84 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on the interviews one could argue that Lebanese physical therapists had limited abilities to recognize chronic pain and assess patients in a psychosocial manner. Physical therapists in many countries face challenges as well in psychosocial assessments and interventions due to the lack of appropriate training [55,56]. The dominance of the biomedical perspective in physical therapy education and practice prevails [10].…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to the implementation of pain neuroscience education in the current Lebanese physical therapist health care approach: a qualitative study

Najem

Wijma

Cagnie

et al. 2023

Disability and Rehabilitation

View full text Add to dashboard Cite

The purpose of this paper was first to gain an in-depth understanding of the barriers and facilitators to implementing the BPS model and pain neuroscience education in the current Lebanese physical therapy health care approach and explore its acceptability.Method: A qualitative semi-structured interview using purposive sampling was conducted with eight Lebanese physical therapists practising in different governorates. The transcribed text from the interviews was analyzed using inductive thematic analysis.Results: Two topics were generated and constructed by the researchers: (1) "barriers to the implementation of pain neuroscience education, with subthemes including (a) " current health care approach", (b) "basic curriculum and continuing education", (c) "patients' barriers";(2) "facilitators to the implementation of pain neuroscience education", with subthemes containing (a) "interest in the BPS model, (b) "therapeutic alliance", and (c) "motivation for future training on BPS approach." Conclusion:The analysis of the results showed that Lebanese physical therapists currently hold a strong biomedical view of chronic pain, assessment, and treatment. However, despite the presence of barriers and challenges, they are aware and open to consider the implementation and future training about the BPS model and pain neuroscience education in their approach.

show abstract

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to the implementation of pain neuroscience education in the current Lebanese physical therapist health care approach: a qualitative study

Najem

Wijma

Cagnie

et al. 2023

Disability and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…This volume of teaching may not be reflective of all physiotherapy courses, and may inflate the overall variance between disciplines. Furthermore, the time spent teaching pain education is of interest, but the content of that education is also important [74]. This study did not investigate the content of pain education being delivered and future studies should investigate the impact of educational content on pain related knowledge and attitudes.…”

Section: Limitationsmentioning

confidence: 98%

International, multi-disciplinary, cross-section study of pain knowledge and attitudes in nursing, midwifery and allied health professions students

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Persistent pain is a highly prevalent, global cause of disability. Research suggests that many healthcare professionals are not well equipped to manage pain, and this may be attributable at least in part to undergraduate education. The primary aim of this study was to quantify and compare first and final year nursing, midwifery and allied health professional (NMAHP) students’ pain related knowledge and attitudes. The secondary aim was to explore what factors influence students’ pain related knowledge and attitudes. Methods In this cross-sectional study, 1154 first and final year healthcare students, from 12 universities in five different countries completed the Revised Neurophysiology of Pain Quiz (RNPQ) [knowledge] and the Health Care Providers Pain and Impairment Relationship Scale (HC-PAIRS) [attitudes]. Results Physiotherapy was the only student group with statistically and clinically improved pain related knowledge [mean difference, 95% CI] (3.4, 3.0 to 3.9, p = 0.01) and attitudes (-17.2, -19.2 to 15.2, p = 0.01) between first and final year. Pain education teaching varied considerably from course to course (0 to 40 h), with greater levels of pain related knowledge and attitudes associated with higher volumes of pain specific teaching. Conclusions There was little difference in pain knowledge and attitudes between all first and final year NMAHP students other than physiotherapy. This suggests that for most NMAHP disciplines, undergraduate teaching has little or no impact on students’ understanding of pain. There is an urgent need to enhance pain education provision at the undergraduate level in NMAHPs. Trial Registration The study protocol was prospectively registered at ClinicalTrials.Gov NCT03522857.

show abstract

“…A recent systematic review and meta-analysis found evidence of improved student/qualified health care professionals (including physiotherapists) pain-related knowledge and attitudes and an increased likelihood of clinical behaviour more in keeping with evidence-based practice in response to biopsychosocial focused education strategies [ 21 ]. And a recent qualitative evidence synthesis found evidence that biopsychosocial-oriented training for qualified physiotherapists changed the way some considered musculoskeletal pain and its management, changed parts of their practice to a more biopsychosocial framework, improved their confidence in managing musculoskeletal pain and made their work more rewarding [ 17 ].…”

Section: Pain Science and Practice As A Threshold Concept: The Pedago...mentioning

confidence: 99%

Pain science and practice as a ‘threshold concept’ within undergraduate and pre-registration physiotherapy education: a jewel of the curriculum?

Smart

2023

BMC Med Educ

View full text Add to dashboard Cite

Background Threshold concepts describe learning experiences that transform our understanding of a concept. Threshold concepts are variously: troublesome, transformative, irreversible, integrative and bounded. Purpose The aim of this narrative review is to consider the case for characterising pain science and practice as a threshold concept within undergraduate and pre-registration physiotherapy education. Summary This article considers the underlying tenets of threshold concepts as they relate to teaching and learning and the relative merits and limitations of characterising pain science and practice as a threshold concept within undergraduate and pre-registration physiotherapy education from both pedagogical and epidemiological perspectives. By evaluating pain, as it relates to physiotherapy education and practice, according to the five defining characteristics of a threshold concept then presenting data related to the epidemiology and impact of pain, the worthiness of characterising pain science and practice as a threshold concept will be discussed and further debate invited.

show abstract

A Systematic Review and Meta-Analysis of the Effects of Biopsychosocial Pain Education upon Health Care Professional Pain Attitudes, Knowledge, Behavior and Patient Outcomes

Cited by 15 publications

References 84 publications

Facilitators and barriers to the implementation of pain neuroscience education in the current Lebanese physical therapist health care approach: a qualitative study

Facilitators and barriers to the implementation of pain neuroscience education in the current Lebanese physical therapist health care approach: a qualitative study

International, multi-disciplinary, cross-section study of pain knowledge and attitudes in nursing, midwifery and allied health professions students

Pain science and practice as a ‘threshold concept’ within undergraduate and pre-registration physiotherapy education: a jewel of the curriculum?

Contact Info

Product

Resources

About