{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:01:44Z","timestamp":1789833704296,"version":"4.0.1"},"reference-count":26,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":325,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,17]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic pelvic pain (CPP) is a common and debilitating condition, and sufferers present to healthcare professionals with variable complex symptoms and co-morbidities. This study aimed to investigate the current beliefs and practice behaviours of healthcare professionals towards the management of CPP in Australian females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We distributed an online survey to Australian healthcare professionals. Participants were questioned regarding their beliefs, the importance of various contributing factors and assessment variables, and their management preferences for two CPP vignettes. Demographic information and responses were analysed with descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Complete data were obtained and analysed from 446 respondents including gynaecologists (n\u00a0=\u00a075), general practitioners (GPs) (n\u00a0=\u00a0184) and physiotherapists (n\u00a0=\u00a0187). Most of the respondents were female (88.1%), with male (11.7%) and other (0.2%) making up a smaller representation. Physiotherapists rated themselves higher in understanding mechanisms of CPP (64.7% very good to excellent) compared to gynaecologists (41.3%) and GPs (22.8%). Physiotherapists also reported higher levels of confidence in managing patients with CPP (57.8% quite or extremely confident) compared to 41.3% of gynaecologists and 22.3% of GPs who reported being quite or extremely confident. All three professions rated patient\u2019s beliefs (89.8%), nervous system sensitisation (85.7%), stress\/anxiety\/depression (91.9%), fear avoidance (83.3%), history of sexual\/emotional\/physical abuse (94.1%) and pelvic floor muscle function (85.0%) as very\/extremely important factors in the development of chronic pelvic pain. Most gynaecologists (71.0%) and GPs (70.2%) always referred for pelvic ultrasound during assessment. Physiotherapists assessed goal setting (88.8%) and screened for patients\u2019 beliefs (80.9%) more often than gynaecologists (30.4% and 39.1% respectively) and GPs (46.5% and 29.0% respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>All three groups of healthcare professionals demonstrated a good understanding of pain mechanisms and incorporated a biopsychosocial and multidisciplinary approach to management of females with chronic pelvic pain. However, both gynaecologists and GPs were less confident in their understanding of and management of CPP, and less likely to consider patient beliefs and goals. The findings of this online survey may assist in the provision of more targeted education to further improve management of this condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/py24046","type":"journal-article","created":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T17:59:15Z","timestamp":1726423155000},"source":"Crossref","is-referenced-by-count":2,"title":["Australian healthcare professionals\u2019 beliefs and practice behaviours in management of chronic pelvic pain: a cross-sectional survey"],"prefix":"10.1071","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3048-5587","authenticated-orcid":true,"given":"Jennifer","family":"Vardy","sequence":"first","affiliation":[{"name":"ACurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, WA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwina","family":"Chan","sequence":"additional","affiliation":[{"name":"ACurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, WA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marika","family":"Hart","sequence":"additional","affiliation":[{"name":"ACurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, WA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Dallin","sequence":"additional","affiliation":[{"name":"ACurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, WA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1810-9525","authenticated-orcid":true,"given":"Emma","family":"Wise","sequence":"additional","affiliation":[{"name":"ACurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, WA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Karantanis","sequence":"additional","affiliation":[{"name":"BThe University of New South Wales, Sydney, NSW, Australia."},{"name":"CDepartment of Obstetrics and Gynaecology, St George Hospital, Kogarah, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7176-4644","authenticated-orcid":true,"given":"Darren","family":"Beales","sequence":"additional","affiliation":[{"name":"ACurtin enAble Institute and Curtin School of Allied Health, Curtin University, Perth, WA, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"issue":"2","key":"2025102821385084400_R1","doi-asserted-by":"publisher","first-page":"E141","DOI":"10.36076\/ppj.2014\/17\/E141","article-title":"Prevalence of chronic pelvic pain among women: an updated review.","volume":"17","author":"Ahangari","year":"2014","journal-title":"Pain Physician"},{"issue":"10","key":"2025102821385084400_R2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0223316","article-title":"The cost of illness and economic burden of endometriosis and chronic pelvic pain in Australia: a national online survey.","volume":"14","author":"Armour","year":"2019","journal-title":"PLoS ONE"},{"issue":"1","key":"2025102821385084400_R3","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-73389-2","article-title":"Endometriosis and chronic pelvic pain have similar impact on women, but time to diagnosis is decreasing: an Australian survey.","volume":"10","author":"Armour","year":"2020","journal-title":"Scientific Reports"},{"issue":"1","key":"2025102821385084400_R4","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.math.2014.07.005","article-title":"Current practice in management of pelvic girdle pain amongst physiotherapists in Norway and Australia.","volume":"20","author":"Beales","year":"2015","journal-title":"Manual Therapy"},{"key":"2025102821385084400_R5","doi-asserted-by":"publisher","first-page":"2","DOI":"10.46743\/1540-580X\/2017.1642","article-title":"Identifying the pathway to conservative pelvic floor physiotherapy in a tertiary public hospital in Australia: a retrospective audit.","volume":"15","author":"Beaumont","year":"2017","journal-title":"The Internet Journal of Allied Health Sciences and Practice"},{"issue":"3","key":"2025102821385084400_R6","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1111\/ajo.12974","article-title":"Development, implementation and evaluation of an advanced practice in continence and women\u2019s health physiotherapy model of care.","volume":"59","author":"Brennen","year":"2019","journal-title":"Australian and New Zealand Journal of Obstetrics and Gynaecology"},{"issue":"3","key":"2025102821385084400_R7","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1016\/j.eururo.2013.04.035","article-title":"The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 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