{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:09:09Z","timestamp":1793351349430,"version":"4.5.0"},"reference-count":74,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Patients\u2019 interactions with health care providers influence back pain\u2013related outcomes. The Health Care Providers\u2019 Pain and Impairment Relationship Scale (HC\u2010PAIRS) is an instrument that assesses providers\u2019 attitudes and beliefs about patients with persistent back pain, with lower scores implying that persistent pain does not indicate disability or limitation of activities. This scoping review aims to explore the extent of research involving the HC\u2010PAIRS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Literature Survey<\/jats:title>\n                    <jats:p>PubMed, Embase, and PEDro databases were searched from inception to April 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Extracted HC\u2010PAIRS scores were standardized to 15\u2010item scores and categorized by profession, student or professional status, and pre\/post\u2010educational intervention to evaluate scores. Psychometric properties and educational interventions of the HC\u2010PAIRS were described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After screening, 51 studies representing 10,416 participants were included. Student and professional scores were investigated in 24 and 29 studies, respectively. Twenty\u2010one studies included educational interventions, with heterogenous follow\u2010up. Psychometric properties of the HC\u2010PAIRS were assessed in 10 studies and demonstrated acceptable reliability and validity. The overall baseline mean score among all participants was 55.34 (95% CI: 53.54\u201357.14) (students: 56.54 [56.54\u201360.87]; professionals: 51.67 [49.08\u201354.27]). Nurses (61.99 [55.66\u201368.31]) and non\u2013health care professionals (65.30 [57.33\u201373.28]) had the highest overall baseline mean scores, whereas chiropractors (51.69 [33.73\u201369.66]), MDs\/PAs (52.64 [47.27\u201358.00]), physical therapists (53.42 [50.67\u201356.17]), and exercise professionals (57.36 [49.39\u201365.33]) had lower scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HC\u2010PAIRS has been used across many disciplines in both students and professionals and demonstrated acceptable reliability and validity. Professionals commonly treating back pain had lower HC\u2010PAIRS scores. Future research could benefit from standardization of interventions and timing of follow\u2010up assessments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.13186","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T08:54:22Z","timestamp":1719996862000},"page":"1250-1265","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A scoping review to explore the use of the Health Care Providers\u2019 Pain and Impairment Relationship Scale"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0339-9700","authenticated-orcid":false,"given":"Ryan D.","family":"Muller","sequence":"first","affiliation":[{"name":"VA Connecticut Healthcare System  West Haven Connecticut USA"},{"name":"Research Center Parker University  Dallas Texas USA"},{"name":"Yale School of Medicine Yale University  New Haven Connecticut 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