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Pain Science Education for People With Persistent Pain on NHS Waiting Lists: A Mixed Methods Study
Mankelow J1,2, Ryan C G1,2, Stanton T R2,3,4
1School of Health and Life Sciences, Teesside University, Middlesbrough, UK, tees.ac.uk.
Pain Research & Management
|January 22, 2026
Summary
Online pain science education webinars offered hope and empowerment to patients with persistent pain on NHS waiting lists. Participants reported increased activity intentions and reduced opioid use, suggesting potential benefits for those awaiting care.
Area of Science:
- Pain Management
- Public Health Interventions
- Patient Education
Background:
- Persistent pain is a significant global cause of disability.
- Extended waiting times for pain management services can worsen patient outcomes.
- Targeted interventions for individuals on waiting lists may improve care delivery.
Purpose of the Study:
- To assess patient perceptions of online, large-scale pain science education (PSE).
- To evaluate the impact of PSE webinars on individuals with persistent pain awaiting NHS treatment.
Main Methods:
- A mixed-methods observational study involving patients on NHS waiting lists.
- Delivery of PSE-informed webinars by the 'Flippin' Pain' campaign.
- Analysis of post-webinar questionnaire data (quantitative) and participant experiences (qualitative).
Main Results:
- 114 participants with predominantly musculoskeletal pain reported increased hope (64%) and intentions for greater activity (71%).
- Over half intended to reduce opioid use (51%), with 42% feeling more confident discussing their pain.
- Webinars were generally well-received, offering hope and empowerment, with 80% recommending them.
Conclusions:
- Online PSE webinars were perceived as beneficial by patients with persistent pain on waiting lists.
- The education shifted understanding and encouraged self-management aligned with evidence-based care.
- Further randomized controlled trials are recommended to confirm the effectiveness of large-scale PSE for patients awaiting care.
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