FP16.6 Impact of a Structured Patient Education Session on Pain Catastrophizing in Young Adults with Hip Dysplasia: A Service Evaluation

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ID: 331213
2026
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Abstract
Abstract ICLA16 - Beyond the Operating Room: Value-Based Healthcare, Large Registries, and Predicting Failures, Auditorium B (BMCC Level 1), October 9, 2026, 14:00 - 16:00 Hip Dysplasia is a frequent cause of pain and functional limitation in young adults. It is often associated with significant psychological distress, including elevated pain catastrophizing — a maladaptive cognitive-affective response characterised by rumination, magnification, and feelings of helplessness. Pain catastrophizing is a well-established modifiable risk factor for increased pain intensity, poorer function, and worse health-related quality of life in musculoskeletal conditions. Education-based interventions have shown potential to reduce catastrophizing in other chronic pain populations, yet their impact in patients with hip dysplasia has not been evaluated. Objective This service evaluation examined the association between attendance at a structured patient education session, delivered as part of routine clinical care, and pain catastrophizing scores in young adults with hip dysplasia, including analysis of the individual components of the Pain Catastrophizing Scale (PCS). Design Cross-sectional comparative service evaluation. Setting Secondary care orthopaedic hip preservation service (Northumbria). Participants One hundred consecutive young adults with hip dysplasia were included using consecutive attendee sampling (median age 31 years [IQR 25–39], median BMI 25.1 [IQR 21–28], 91% female). Fifty participants attended a structured patient education session as part of routine care (education group), while fifty did not (control group). The PCS was completed either at the time of surgical listing or immediately after the education session. Results The education group demonstrated significantly lower total PCS scores compared with the control group (mean 24.5 ± 10.2 vs 34.0 ± 7.3). A Welch two-sample t-test, accounting for unequal variances, confirmed a statistically significant difference (t(88.7) = 5.34, p < 0.001) with a large effect size (Cohen’s d = 1.07). Subscale analyses using two-tailed Mann–Whitney U tests revealed significant reductions in the education group for rumination (U = 1903.5, z = 4.52, p < 0.001, r = 0.45) and helplessness (U = 1947.5, z = 4.82, p < 0.001, r = 0.48), but no significant difference in magnification (U = 1380.5, z = 0.90, p = 0.37). Conclusions Attendance at a routine structured patient education session was associated with substantially lower PCS scores in young adults with hip dysplasia, primarily driven by reductions in rumination and helplessness. The observed between-group difference of 9.5 points exceeds commonly reported PCS MCID thresholds (8–11 points depending on baseline severity), suggesting both statistical and clinical significance. These findings support the integration of structured education as a valuable, low-cost component of the multidisciplinary care pathway for hip dysplasia. Prospective controlled studies are required to confirm causality and evaluate long-term effects on pain, function, and treatment outcomes.
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Authors
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.126
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