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Evaluation of a pain curriculum for occupational therapists: experiences from a master’s-level graduate program over six years
Abstract
Purpose Deficiencies in pain knowledge and attitudes among students and health practitioners are well documented. Occupational therapists (OTs) commonly care for patients who present with pain, and their knowledge of the field presumably impacts that care. This study presents the results of testing OT students' pain knowledge in order to assess the effects of embedding pain teaching in a generic master's-level OT course and to determine specific topics that should be addressed to improve upon existing OT curricula. Method During the academic years 2004 through 2009, 194 OT students were administered a test of pain knowledge and attitudes on the first and last day of a required class which focused on procedural reasoning. Results The results indicated significant (p Conclusions The results demonstrate the effectiveness of a course taught by an instructor with pain expertise. In addition, analysis of individual items highlights the need for curricula to address theoretical versus practical understanding of pain, the ever-evolving science of pain, and pervasive biases about specific pain topics. Implications for rehabilitation Deficiencies in pain knowledge and attitudes among students and health practitioners are well documented. Occupational therapists (OTs) commonly care for patients who present with pain, and their knowledge of the field presumably impacts that care. The results of this study demonstrate the effectiveness of an OT course taught by an instructor with pain exp…
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“However, evidence indicates that occupational therapy (OT) students and occupational therapists often demonstrate inadequate knowledge and inappropriate attitudes toward pain (Rochman et al., 2013).”
From Increasing Occupational Engagement by Addressing Psychosocial and Occupational Factors of Chronic Pain: A Case Report. (2022) · cites this paper as Rochman et al., 2013
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Cited by
Thompson, K., Johnson, M. I., Milligan, J., & Briggs, M. (2018) · Pain · doi:10.1097/j.pain.0000000000001352 · Cited by 82
Carr, E., Briggs, E., Briggs, M., Allcock, N., Black, P., & Jones, D. (2016) · British Journal of Pain · doi:10.1177/2049463716634377 · Cited by 42
Occupational therapists’ pain knowledge: a national survey
Reyes, A. N., & Brown, C. A. (2015) · Disability and Rehabilitation · doi:10.3109/09638288.2015.1090486 · Cited by 19
“Similar to previous findings [33], OTs in this study demonstrated knowledge deficits related to both malingering and the differences between acute and chronic pain.”
BackgroundMethodResultInfluentialExpert assessment of the "Neonatal Pain Assessment Program" online course.
da Silva, F. F. F., Costa, T., Peres, H., Duarte, E. D., Castral, T., & Bueno, M. (2020) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2018-0392 · Cited by 13
Identifying Essential Competency Areas for Occupational Therapy Education: A Scoping Review
Chun, I., Taff, S. D., Mehta, A., & Chang, C.-H. (2020) · Journal of Occupational Therapy Education · doi:10.26681/jote.2020.040402 · Cited by 12
“(please list all of the responses you can think of)…" (Rochman et al., 2013) City of Boston’s Rehabilitation Professionals’ Knowledge and Attitude Survey Regarding Pain (COBS) * (Stronge & Cahill, 2012) Knowledge, Attitudes, Behavior Questionnaire * (Thomas et al., 2017) Questionnaire Interview "1.”
BackgroundHealthcare Professionals’ Knowledge about Pediatric Chronic Pain: A Systematic Review
Pico, M., Matey-Rodríguez, C., Domínguez-García, A., Menéndez, H., Lista, S., & Santos‐Lozano, A. (2023) · Children · doi:10.3390/children10040665 · Cited by 11
Rider, J. V., & Tay, M. C. (2022) · The Open Journal of Occupational Therapy · doi:10.15453/2168-6408.2027 · Cited by 10
Liddiard, K. J., Raynor, A. J., DeJong, H. M., & Brown, C. A. (2022) · Work · doi:10.3233/wor-220119 · Cited by 5
“knowledge about psychosocial components [23, 24].”
Laekeman, M., Schäfer, A., Moog, M., & Kuss, K. (2021) · Children · doi:10.3390/children8050390 · Cited by 6
“All the studies based their evaluation on one or more IASP Curricula [21–23]: either the interprofessional curriculum [40,41], or the PT Curriculum [33,38,39], or PT Curriculum and OT Curriculum [36], or PT and interprofessional curriculum [35], or all three [34,37].”
BackgroundMethodInfluentialGül, H., & Erel, S. (2018) · SHS Web of Conferences · doi:10.1051/shsconf/20184801066 · Cited by 4
“Five studies assessed the effect of educational interventions that aimed to change pain beliefs of rehabilitation professionals and beliefs of students toward pain [24-28].”
BackgroundKeter, D. L., Eneberg-Boldon, K., Kurszewski, W., Marth, L. A., Rich, T. L., Schopmeyer, K., & Vogsland, R. (2025) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2025.103422 · Cited by 1
Gyurcsik, N. C., Tupper, S. M., Brittain, D. R., Brawley, L. R., Cary, M. A., Ratcliffe-Smith, D., Blouin, J. E., Marchant, M. G., Sessford, J. D., Hellsten, L.-A. M., et al. (2020) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2020-0089 · Cited by 1
“Higher scores represented higher knowledge and more informed, appropriate attitudes about chronic pain [42]”
BackgroundUso de Tecnologias de Informação e Comunicação no Ensino Sobre Dor: Revisão de Escopo
Bueno, M., da Silva, F. F. F., Gave, N. C., Costa, T., & Peres, H. H. C. (2019) · Revista paulista de enfermagem · doi:10.33159/25959484.repen.2019v30a5 · Cited by 1
“A assistência adequada e eficaz na avaliação e controle da dor, é baseada em conheci - mentos, competências e práticas dos profissionais e estudantes da área da saúde, pautados em evidências científicas (49) .”
BackgroundPain Education and Preparation Across Health Care Professions: A Scoping Review
Baloy, R. (2025) · Journal of Innovation in Health Sciences Education · doi:10.46409/003.ktwc7116
Madroñero‐Miguel, B., & García, C. C. (2023) · Revista Chilena de Terapia Ocupacional · doi:10.5354/0719-5346.2023.69784 · Cited by 1
“En lo que respecta a la Terapia Ocupacional, la li-teratura científica ha evidenciado que tanto los profesionales (Reyes & Brown, 2015; Rochman et al., 2013) como los estudiantes (Rochman, 1998; Jennt Strong et al., 1999) tienen conocimientos deficientes o desactualizados y actitudes y creen-cias…”
BackgroundThompson, K., Johnson, M. I., Milligan, J., & Briggs, M. (2020) · NeuroTarget · doi:10.47924/neurotarget202072
Metadata
- Authors
- Rochman, D. L., Sheehan, M. J., & Kulich, R. J.
- Affiliations
- Spaulding Rehabilitation Hospital (US)
- Quinnipiac University (US)
- Tufts University (US)
- Corresponding author
- Rochman, Deborah L.
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2013-02-08
- Volume
- 35
- Issue
- 22
- Pages
- 1933-1940
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2041356276
- Cited by
- 22
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 5 · 2019: 1 · 2018: 3 · 2016: 1 · 2015: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Musculoskeletal Disorders and Rehabilitation
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Keywords
- pain knowledge, occupational therapy education, pain attitudes, procedural reasoning, malingering, opioid use disorder, chronic pain, acute pain
- MeSH terms
- Analysis of Variance, Clinical Competence, Curriculum, Humans, Health Knowledge, Attitudes, Practice, Massachusetts, Occupational Therapy, Pain, Pain Measurement, Program Evaluation, Pain Management
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