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Perspectives differ between experts and a diversity of treatments (with variable degrees of evidence) have been utilized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To develop a collaborative model of PGP that represents the collective view of a group of experts. Specific goals were to analyze structure and composition of conceptual models contributed by participants, to aggregate them into a metamodel, to analyze the metamodel's composition, and to consider predicted efficacy of treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>To develop a collaborative model of PGP, models were generated by invited individuals to represent their understanding of PGP using fuzzy cognitive mapping (FCM). FCMs involved proposal of <jats:italic>components<\/jats:italic> related to causes, outcomes, and treatments for pain, disability, and quality of life, and their <jats:italic>connections. Components<\/jats:italic> were classified into thematic <jats:italic>categories<\/jats:italic>. Weighting of <jats:italic>connections<\/jats:italic> was summed for <jats:italic>components<\/jats:italic> to judge their relative importance. FCMs were aggregated into a metamodel for analysis of the collective opinion it represented and to evaluate expected efficacy of treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 21 potential contributors, 14 (67%) agreed to participate (representing six disciplines and seven countries). Participants' models included a mean (SD) of 22 (5) <jats:italic>components<\/jats:italic> each. FCMs were refined to combine similar terms, leaving 89 <jats:italic>components<\/jats:italic> in 10 <jats:italic>categories<\/jats:italic>. Biomechanical factors were the most important in individual FCMs. The collective opinion from the metamodel predicted greatest efficacy for injection, exercise therapy, and surgery for pain relief.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The collaborative model of PGP showed a bias toward biomechanical factors. Most efficacious treatments predicted by the model have modest to no evidence from clinical trials, suggesting a mismatch between opinion and evidence. The model enables integration and communication of the collection of opinions on PGP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12199","type":"journal-article","created":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T11:09:01Z","timestamp":1559819341000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Building a Collaborative Model of Sacroiliac Joint Dysfunction and Pelvic Girdle Pain to Understand the Diverse Perspectives of Experts"],"prefix":"10.1002","volume":"11","author":[{"given":"Paul W.","family":"Hodges","sequence":"first","affiliation":[{"name":"The University of Queensland, NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health School of Health and Rehabilitation Sciences  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacek","family":"Cholewicki","sequence":"additional","affiliation":[{"name":"MSU Center for Orthopedic Research, Department of Osteopathic Surgical Specialties Michigan State University  East Lansing MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"John M.","family":"Popovich","sequence":"additional","affiliation":[{"name":"MSU Center for Orthopedic Research, Department of Osteopathic Surgical Specialties Michigan State University  East Lansing MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela S.","family":"Lee","sequence":"additional","affiliation":[{"name":"MSU Center for Orthopedic Research, Department of Osteopathic Surgical Specialties Michigan State University  East Lansing MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Payam","family":"Aminpour","sequence":"additional","affiliation":[{"name":"Department of Community Sustainability, Michigan State University Natural Resource Building  East Lansing MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven A.","family":"Gray","sequence":"additional","affiliation":[{"name":"Department of Community Sustainability, Michigan State University Natural Resource Building  East Lansing MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael T.","family":"Cibulka","sequence":"additional","affiliation":[{"name":"Physical Therapy Program Maryville University  St. Louis MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mel","family":"Cusi","sequence":"additional","affiliation":[{"name":"School of Medicine, Sydney University of Notre Dame Australia  Darlinghurst Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian F.","family":"Degenhardt","sequence":"additional","affiliation":[{"name":"A.T. 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