Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians

IntroductionPersistent pelvic pain is a prevalent condition that negatively impacts one's physical, psychological, social, and sexual wellbeing. Pain science education (PSE) involves learning about the biology of pain and is commonly integrated into the management of persistent pain. However, P...

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Main Authors: Amelia K. Mardon, Hayley B. Leake, Monique V. Wilson, Emma L. Karran, Romy Parker, Rinkle Malani, G. Lorimer Moseley, K. Jane Chalmers
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Pain Research
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Online Access:https://www.frontiersin.org/articles/10.3389/fpain.2025.1498996/full
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author Amelia K. Mardon
Amelia K. Mardon
Amelia K. Mardon
Hayley B. Leake
Hayley B. Leake
Monique V. Wilson
Monique V. Wilson
Emma L. Karran
Emma L. Karran
Romy Parker
Romy Parker
Rinkle Malani
G. Lorimer Moseley
G. Lorimer Moseley
K. Jane Chalmers
K. Jane Chalmers
author_facet Amelia K. Mardon
Amelia K. Mardon
Amelia K. Mardon
Hayley B. Leake
Hayley B. Leake
Monique V. Wilson
Monique V. Wilson
Emma L. Karran
Emma L. Karran
Romy Parker
Romy Parker
Rinkle Malani
G. Lorimer Moseley
G. Lorimer Moseley
K. Jane Chalmers
K. Jane Chalmers
author_sort Amelia K. Mardon
collection DOAJ
description IntroductionPersistent pelvic pain is a prevalent condition that negatively impacts one's physical, psychological, social, and sexual wellbeing. Pain science education (PSE) involves learning about the biology of pain and is commonly integrated into the management of persistent pain. However, PSE is yet to be thoroughly investigated for persistent pelvic pain potentially due to the lack of targeted curricula, including learning concepts. The aim of this study was to gain consensus on PSE learning concepts important for persistent pelvic pain according to expert clinicians.MethodsA three-round e-Delphi survey was conducted to generate and gain consensus on important PSE learning concepts for female persistent pelvic pain among 20 international, multidisciplinary expert clinicians (e.g., physiotherapists, gynaecologists, psychologists). Learning concepts generated by clinicians were rated by importance using a six-point Likert scale. Consensus on importance rating was considered reached for items with an IQR <1.0.ResultsThe expert clinicians generated 125 PSE learning concepts that were considered important for persistent pelvic pain; 92 (73.6%) learning concepts reached consensus on their importance rating. Of the 125 learning concepts, 102 were generated for persistent pelvic pain in general, and were categorised into 13 overarching PSE concepts (e.g., persistent pelvic pain involves changes to the brain and nervous system). Sixteen PSE concepts were generated for specific pelvic pain conditions (e.g., endometriosis) and seven concepts for specific life stages (e.g., adolescence).DiscussionThis study provides the first list of key PSE concepts tailored for persistent pelvic pain developed by expert clinicians. These concepts provide a framework for developing and implementing PSE curricula for persistent pelvic pain in research and clinical settings.
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spelling doaj-art-440840ae84074df79011a7d34b0d48422025-02-04T06:31:44ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2025-02-01610.3389/fpain.2025.14989961498996Pain science education concepts for pelvic pain: an e-Delphi of expert cliniciansAmelia K. Mardon0Amelia K. Mardon1Amelia K. Mardon2Hayley B. Leake3Hayley B. Leake4Monique V. Wilson5Monique V. Wilson6Emma L. Karran7Emma L. Karran8Romy Parker9Romy Parker10Rinkle Malani11G. Lorimer Moseley12G. Lorimer Moseley13K. Jane Chalmers14K. Jane Chalmers15IIMPACT in Health, University of South Australia, Adelaide, SA, AustraliaThe Pain Education Team to Advance Learning (PETAL) CollaborationNICM Health Research Institute, Western Sydney University, Westmead, NSW, AustraliaIIMPACT in Health, University of South Australia, Adelaide, SA, AustraliaThe Pain Education Team to Advance Learning (PETAL) CollaborationIIMPACT in Health, University of South Australia, Adelaide, SA, AustraliaPersistent Pain Research Group, Hopwood Centre for Neurobiology, ifelong Health Theme, SAHMRI, Adelaide, SA, AustraliaIIMPACT in Health, University of South Australia, Adelaide, SA, AustraliaThe Pain Education Team to Advance Learning (PETAL) CollaborationThe Pain Education Team to Advance Learning (PETAL) CollaborationDepartment of Anaesthesia and Perioperative Medicine, University of Cape Town, Cape Town, South AfricaMGM School of Physiotherapy, A Constituent Unit of MGMIHS, Aurangabad, IndiaIIMPACT in Health, University of South Australia, Adelaide, SA, AustraliaThe Pain Education Team to Advance Learning (PETAL) CollaborationIIMPACT in Health, University of South Australia, Adelaide, SA, AustraliaThe Pain Education Team to Advance Learning (PETAL) CollaborationIntroductionPersistent pelvic pain is a prevalent condition that negatively impacts one's physical, psychological, social, and sexual wellbeing. Pain science education (PSE) involves learning about the biology of pain and is commonly integrated into the management of persistent pain. However, PSE is yet to be thoroughly investigated for persistent pelvic pain potentially due to the lack of targeted curricula, including learning concepts. The aim of this study was to gain consensus on PSE learning concepts important for persistent pelvic pain according to expert clinicians.MethodsA three-round e-Delphi survey was conducted to generate and gain consensus on important PSE learning concepts for female persistent pelvic pain among 20 international, multidisciplinary expert clinicians (e.g., physiotherapists, gynaecologists, psychologists). Learning concepts generated by clinicians were rated by importance using a six-point Likert scale. Consensus on importance rating was considered reached for items with an IQR <1.0.ResultsThe expert clinicians generated 125 PSE learning concepts that were considered important for persistent pelvic pain; 92 (73.6%) learning concepts reached consensus on their importance rating. Of the 125 learning concepts, 102 were generated for persistent pelvic pain in general, and were categorised into 13 overarching PSE concepts (e.g., persistent pelvic pain involves changes to the brain and nervous system). Sixteen PSE concepts were generated for specific pelvic pain conditions (e.g., endometriosis) and seven concepts for specific life stages (e.g., adolescence).DiscussionThis study provides the first list of key PSE concepts tailored for persistent pelvic pain developed by expert clinicians. These concepts provide a framework for developing and implementing PSE curricula for persistent pelvic pain in research and clinical settings.https://www.frontiersin.org/articles/10.3389/fpain.2025.1498996/fullpelvic painendometriosispain science educationDelphiconsensuspatient education
spellingShingle Amelia K. Mardon
Amelia K. Mardon
Amelia K. Mardon
Hayley B. Leake
Hayley B. Leake
Monique V. Wilson
Monique V. Wilson
Emma L. Karran
Emma L. Karran
Romy Parker
Romy Parker
Rinkle Malani
G. Lorimer Moseley
G. Lorimer Moseley
K. Jane Chalmers
K. Jane Chalmers
Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians
Frontiers in Pain Research
pelvic pain
endometriosis
pain science education
Delphi
consensus
patient education
title Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians
title_full Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians
title_fullStr Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians
title_full_unstemmed Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians
title_short Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians
title_sort pain science education concepts for pelvic pain an e delphi of expert clinicians
topic pelvic pain
endometriosis
pain science education
Delphi
consensus
patient education
url https://www.frontiersin.org/articles/10.3389/fpain.2025.1498996/full
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