{"id":"https://openalex.org/W7224490879","doi":"https://doi.org/10.1002/msc.70295","title":"Flipping Patients' Understanding of Pain\u2014Flipped Learning Pain Education Model in Physical Therapy","display_name":"Flipping Patients' Understanding of Pain\u2014Flipped Learning Pain Education Model in Physical Therapy","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224490879","doi":"https://doi.org/10.1002/msc.70295","pmid":"https://pubmed.ncbi.nlm.nih.gov/42952269"},"language":"en","primary_location":{"id":"doi:10.1002/msc.70295","doi":"https://doi.org/10.1002/msc.70295","is_oa":true,"landing_page_url":"https://doi.org/10.1002/msc.70295","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/msc.70295","source":{"id":"https://openalex.org/S177008655","display_name":"Musculoskeletal Care","issn_l":"1478-2189","issn":["1478-2189","1557-0681"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Musculoskeletal Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/msc.70295","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160103690","display_name":"Sharna Prasad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210150660","display_name":"Samaritan Lebanon Community Hospital","ror":"https://ror.org/04yc38g92","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210150660","https://openalex.org/I4210165492"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sharna Prasad","raw_affiliation_strings":["Samaritan Physical Rehabilitation Lebanon Community Hospital  Lebanon Oregon USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Samaritan Physical Rehabilitation Lebanon Community Hospital  Lebanon Oregon USA","institution_ids":["https://openalex.org/I4210150660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160081349","display_name":"Kelly Bishop","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kelly Bishop","raw_affiliation_strings":["Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160080131","display_name":"Emma Ruth Cabalum","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Emma Ruth Cabalum","raw_affiliation_strings":["Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134723638","display_name":"Jennifer Nguyen","orcid":"https://orcid.org/0009-0003-6371-5652","observed_orcids":["https://orcid.org/0009-0003-6371-5652"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jennifer Nguyen","raw_affiliation_strings":["Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA"],"raw_orcid":"https://orcid.org/0009-0003-6371-5652","affiliations":[{"raw_affiliation_string":"Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160080545","display_name":"Emily Prescott","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Emily Prescott","raw_affiliation_strings":["Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160147506","display_name":"Dillon Sowers","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dillon Sowers","raw_affiliation_strings":["Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160139970","display_name":"Amy Walker","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Amy Walker","raw_affiliation_strings":["Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy Education College of Health Sciences\u2014Northwest Western University of Health Sciences  Lebanon Oregon USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084023190","display_name":"Anu M. R\u00e4is\u00e4nen","orcid":"https://orcid.org/0000-0003-3056-8169","observed_orcids":["https://orcid.org/0000-0003-3056-8169"]},"institutions":[{"id":"https://openalex.org/I170164250","display_name":"Elon University","ror":"https://ror.org/01szgyb91","country_code":"US","type":"education","lineage":["https://openalex.org/I170164250"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Anu M. R\u00e4is\u00e4nen","raw_affiliation_strings":["Office of the Provost and Academic Affairs Elon University  Elon North Carolina USA"],"raw_orcid":"https://orcid.org/0000-0003-3056-8169","affiliations":[{"raw_affiliation_string":"Office of the Provost and Academic Affairs Elon University  Elon North Carolina USA","institution_ids":["https://openalex.org/I170164250"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5084023190"],"corresponding_institution_ids":["https://openalex.org/I170164250"],"apc_list":{"value":3240,"currency":"USD","value_usd":3240},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83905721,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"24","issue":"4","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12712","display_name":"Myofascial pain diagnosis and treatment","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/1307","display_name":"Cell Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-pain","display_name":"chronic pain","score":0.7770000100135803},{"id":"https://openalex.org/keywords/pain-neuroscience-education","display_name":"pain neuroscience education","score":0.8330000042915344},{"id":"https://openalex.org/keywords/flipped-learning","display_name":"flipped learning","score":0.9340000152587891},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"physiotherapy","score":0.6990000009536743},{"id":"https://openalex.org/keywords/patient-specific-functional-scale","display_name":"Patient-Specific Functional Scale","score":0.9020000100135803},{"id":"https://openalex.org/keywords/patient-function","display_name":"patient function","score":0.5019999742507935},{"id":"https://openalex.org/keywords/psychosocial-factors-in-pain","display_name":"psychosocial factors in pain","score":0.7360000014305115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8458999991416931},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6905999779701233},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.6585000157356262},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.5823000073432922},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5340999960899353},{"id":"https://openalex.org/C2777929519","wikidata":"https://www.wikidata.org/wiki/Q7144988","display_name":"Patient education","level":2,"score":0.498199999332428},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3917999863624573},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3646000027656555},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.3467000126838684},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.32820001244544983},{"id":"https://openalex.org/C112143881","wikidata":"https://www.wikidata.org/wiki/Q7124833","display_name":"Pain catastrophizing","level":3,"score":0.32339999079704285},{"id":"https://openalex.org/C111278954","wikidata":"https://www.wikidata.org/wiki/Q17069312","display_name":"Minimal clinically important difference","level":3,"score":0.31790000200271606},{"id":"https://openalex.org/C190812933","wikidata":"https://www.wikidata.org/wiki/Q28923","display_name":"Chart","level":2,"score":0.302700012922287},{"id":"https://openalex.org/C85973986","wikidata":"https://www.wikidata.org/wiki/Q1091731","display_name":"Exploratory research","level":2,"score":0.29829999804496765},{"id":"https://openalex.org/C2983098980","wikidata":"https://www.wikidata.org/wiki/Q621261","display_name":"Pain management","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C2778282284","wikidata":"https://www.wikidata.org/wiki/Q7124832","display_name":"Pain assessment","level":3,"score":0.2696000039577484},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.257099986076355},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2540000081062317}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010353","descriptor_name":"Patient Education as Topic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D026741","descriptor_name":"Physical Therapy Modalities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D059350","descriptor_name":"Chronic Pain","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":true},{"descriptor_ui":"D059350","descriptor_name":"Chronic Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1002/msc.70295","doi":"https://doi.org/10.1002/msc.70295","is_oa":true,"landing_page_url":"https://doi.org/10.1002/msc.70295","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/msc.70295","source":{"id":"https://openalex.org/S177008655","display_name":"Musculoskeletal Care","issn_l":"1478-2189","issn":["1478-2189","1557-0681"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Musculoskeletal Care","raw_type":"journal-article"},{"id":"pmid:42952269","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42952269","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Musculoskeletal care","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/msc.70295","doi":"https://doi.org/10.1002/msc.70295","is_oa":true,"landing_page_url":"https://doi.org/10.1002/msc.70295","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/msc.70295","source":{"id":"https://openalex.org/S177008655","display_name":"Musculoskeletal Care","issn_l":"1478-2189","issn":["1478-2189","1557-0681"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Musculoskeletal Care","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224490879.pdf","grobid_xml":"https://content.openalex.org/works/W7224490879.grobid-xml"},"referenced_works_count":27,"referenced_works":["https://openalex.org/W1576997161","https://openalex.org/W1583848026","https://openalex.org/W1982580167","https://openalex.org/W1997816173","https://openalex.org/W2016293149","https://openalex.org/W2019115776","https://openalex.org/W2072846610","https://openalex.org/W2090368954","https://openalex.org/W2106227795","https://openalex.org/W2115470859","https://openalex.org/W2158037744","https://openalex.org/W2163972887","https://openalex.org/W2471040523","https://openalex.org/W2472697878","https://openalex.org/W2795129397","https://openalex.org/W2919556098","https://openalex.org/W2942795580","https://openalex.org/W2948941681","https://openalex.org/W3092552444","https://openalex.org/W3157008346","https://openalex.org/W4210430176","https://openalex.org/W4379231337","https://openalex.org/W4386757858","https://openalex.org/W4389155347","https://openalex.org/W4402254428","https://openalex.org/W4406236219","https://openalex.org/W4414777317"],"related_works":["https://openalex.org/W3087590469","https://openalex.org/W3009099584","https://openalex.org/W2040964205","https://openalex.org/W7223591306","https://openalex.org/W2107164573","https://openalex.org/W2909345086","https://openalex.org/W4402285965","https://openalex.org/W4408319874","https://openalex.org/W2890085651","https://openalex.org/W3192242574"],"abstract_inverted_index":{"BACKGROUND:":[0],"Chronic":[1],"pain":[2,17,27,56,102,111],"affects":[3],"more":[4],"than":[5],"1":[6],"in":[7,10,39,59,86,131,223],"5":[8],"adults":[9],"the":[11,34,50,63,72,77,108,132,142,180,191,208,219,245,249],"United":[12],"States.":[13],"Our":[14],"understanding":[15],"of":[16,52,65,82,136,151,165,184,201,248],"has":[18],"improved,":[19],"particularly":[20],"regarding":[21],"psychosocial":[22],"factors.":[23],"Compelling":[24],"evidence":[25],"supports":[26],"neuroscience":[28],"education":[29,57,112],"for":[30,37],"chronic":[31,68,101],"pain,":[32],"but":[33],"best":[35],"methods":[36],"implementation":[38],"clinical":[40],"practice":[41],"remain":[42],"unclear.":[43],"OBJECTIVE:":[44],"The":[45,126,134,236],"aim":[46],"was":[47,74,96,129,139,186],"to":[48,75,171,244],"evaluate":[49],"impact":[51],"a":[53,163,232],"flipped":[54,109,233],"learning":[55,110,234],"model":[58,113],"physical":[60,83,105,229],"therapy":[61,84,106,230],"on":[62,144],"function":[64],"patients":[66,203],"with":[67,100,241],"pain.":[69],"In":[70],"addition,":[71],"purpose":[73],"describe":[76],"predicted":[78,137,182],"and":[79,114,117],"actual":[80,193],"number":[81,135,183],"visits":[85,138,185,194],"this":[87,224],"population.":[88],"METHODS:":[89],"A":[90,149,199],"retrospective,":[91],"uncontrolled":[92],"single-therapist":[93],"chart":[94],"review":[95],"conducted.":[97],"Adults":[98],"diagnosed":[99],"who":[103],"received":[104],"using":[107,231],"had":[115],"pre-":[116],"post-rehabilitation":[118],"Patient-Specific":[119],"Functional":[120],"Scale":[121],"(PSFS)":[122],"scores":[123,159,215],"were":[124,156,195,216],"included.":[125],"main":[127],"outcome":[128],"change":[130],"PSFS.":[133],"derived":[140],"from":[141,162],"Focus":[143],"Therapeutic":[145],"Outcomes":[146],"tool.":[147],"RESULTS:":[148],"total":[150,200],"28":[152],"individuals":[153],"(68%":[154],"women)":[155],"identified.":[157],"PSFS":[158,214],"significantly":[160],"increased":[161],"median":[164,181,192],"2.0":[166],"(interquartile":[167],"range,":[168],"IQR":[169],"3.2)":[170],"8.6":[172],"(IQR":[173,188,197],"2.9)":[174],"(p":[175],"<":[176],"0.001).":[177],"At":[178],"baseline,":[179],"12.0":[187],"4.0),":[189],"while":[190],"5.0":[196],"1.8).":[198],"24":[202],"(85.7%)":[204],"achieved":[205],"or":[206],"exceeded":[207],"minimal":[209],"clinically":[210],"important":[211],"difference.":[212],"CONCLUSIONS:":[213],"higher":[217],"at":[218],"final":[220],"recorded":[221],"visit":[222],"selected":[225],"complete-case":[226],"cohort":[227],"receiving":[228],"model.":[235],"findings":[237],"should":[238],"be":[239],"interpreted":[240],"caution":[242],"due":[243],"exploratory":[246],"nature":[247],"study.":[250]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-30T00:00:00"}