School of Physical & Occupational Therapy, McGill University, Montreal, Canada.
Centre for Interdisciplinary Research of Greater Montreal, Montreal, Canada.
Disabil Rehabil. 2020 May;42(9):1332-1338. doi: 10.1080/09638288.2018.1519044. Epub 2019 Jan 8.
To determine the current state of pain education across physiotherapy programs in Canada. Educators that were responsible for teaching pain-related content at each of the 14 Canadian physiotherapy programs were invited to complete a cross-sectional survey. The online survey evaluated total time spent on pain education and the integration of content from international guidelines on pain education curricula. Complete data were obtained from all Canadian physiotherapy programs. The total median time spent on pain education was 18 h, ranging from 8 to 65 h. Across all programs, only 38.6% of the recommended pain curriculum themes were fully integrated within physiotherapy programs. Most of the curriculum themes were partially addressed (median: 52.6%) and a small minority were not addressed (median: 10.5%). There was an overall trend in which greater time spent on pain education corresponded to a higher proportion of pain curriculum themes that were fully integrated. This is the first national survey of pain education that has included all physiotherapy programs across Canada. These data provide a foundation for understanding the current resources and content dedicated to pain education and are an essential step in benchmarking and potentially improving pain education for physiotherapists.Implications for rehabilitationIntegrating pain education within entry-level physiotherapy programs is a foundational step in translating pain research into effective physiotherapy pain management.This survey of all entry-level physiotherapy programs across Canada shows considerable variability in the time and scope of pain education and that, on average, less than 40% of recommended pain education curriculum content is adequately addressed.This work highlights the need for national reference standards in pain education to help improve consistency across training programs.
了解加拿大物理治疗项目中疼痛教育的现状。
邀请 14 个加拿大物理治疗项目中负责教授疼痛相关内容的教育工作者完成一项横断面调查。该在线调查评估了疼痛教育的总时间投入以及国际疼痛教育指南内容在课程中的整合情况。所有加拿大物理治疗项目均提供了完整的数据。
疼痛教育的总中位数时间为 18 小时，范围为 8 至 65 小时。在所有项目中，只有 38.6%的推荐疼痛课程主题完全纳入物理治疗项目中。大多数课程主题仅部分涉及（中位数：52.6%），少数主题未涉及（中位数：10.5%）。总的来说，疼痛教育时间投入越多，完全整合的疼痛课程主题比例越高。这是首次对加拿大所有物理治疗项目进行的疼痛教育全国调查。这些数据为了解当前用于疼痛教育的资源和内容提供了基础，并为基准测试以及可能改善物理治疗师的疼痛教育奠定了基础。
将疼痛教育纳入入门级物理治疗项目是将疼痛研究转化为有效物理治疗疼痛管理的基础步骤。这项对加拿大所有入门级物理治疗项目的调查显示，疼痛教育的时间和范围存在相当大的差异，平均只有不到 40%的推荐疼痛教育课程内容得到充分涵盖。这项工作强调了在疼痛教育方面需要国家参考标准，以帮助提高培训项目之间的一致性。
