Psychological Phenotyping and Pain Self-Efficacy in Osteoarthritis and Chronic Hip Pain: An Implementation Commentary and a Cross-Sectional Study

Physical therapists and physical therapist assistants who manage hip and knee osteoarthritis and long-standing hip pain and want a clear account of how psychological distress has been screened for, grouped, and built into a plan of care, and of how certain the underlying evidence is.

Physical therapists and physical therapist assistants. Also relevant to occupational therapists, athletic trainers, and rehabilitation managers involved in osteoarthritis programs.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

Kinsey AF, Roundy P, Fleming O, Christian A, Austin M, Jiranek WA, Lentz TA. Psychological Phenotyping in Osteoarthritis Management: Recommendations for Implementation in Physical Therapy Practice. JOSPT Open. 2026;4(1):1-11. doi:10.2519/josptopen.2025.0177

Coyne NC, Baez S, Murro M, Derrico D, Mancinelli CA, Jochimsen KN. Pain Self-efficacy Is Associated With Patient-Reported Function in Individuals With Chronic Hip Pain. JOSPT Open. 2024;2(3):264-271. doi:10.2519/josptopen.2024.1021

After completing this course, you will be able to:

1. Describe the four psychological phenotypes, the screening and assignment process, and the phenotype-specific care pathways proposed in the osteoarthritis implementation commentary, and state the process measures its authors reported after one year.
2. State which psychological and physical activity factors the cross-sectional chronic hip pain study found to be associated with patient-reported hip function, and name the factor most strongly associated with it.
3. Distinguish an implementation proposal from measured cross-sectional findings, explain where the two papers agree and where they diverge on recognizing psychological distress, and state the referral boundaries each paper describes.

1. Start Here: Course Overview, Objectives, and How to Earn Credit
2. Part One: Psychological Phenotyping in Osteoarthritis Management
3. The Duke Joint Health Program and the Four Psychological Phenotypes
4. Screening, Algorithms, and Phenotype-Specific Care Pathways
5. Completion, Assignment, and Agreement: The One-Year Process Measures
6. Stigma, Adoption Barriers, and the Limits of an Implementation Report
7. Part Two: Pain Self-Efficacy and Patient-Reported Function in Chronic Hip Pain
8. Who Took Part: Adults With Long-Standing Hip Pain in a Physical Therapy Clinic
9. Questionnaires, Accelerometers, and How the Data Were Handled
10. What Was Associated With Patient-Reported Hip Function
11. Small Sample, Single Clinic: Reading the Findings Cautiously
12. Bringing It Together
13. Where the Two Papers Agree
14. Where They Diverge, and Which Paper Found What
15. What Changes in an Osteoarthritis Plan of Care
16. Referral Boundaries and the Questions Still Open
17. Key Takeaways
18. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 1.0 contact hour (60 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. Kinsey AF, Roundy P, Fleming O, Christian A, Austin M, Jiranek WA, Lentz TA. Psychological Phenotyping in Osteoarthritis Management: Recommendations for Implementation in Physical Therapy Practice. JOSPT Open. 2026;4(1):1-11. doi:10.2519/josptopen.2025.0177
2. Coyne NC, Baez S, Murro M, Derrico D, Mancinelli CA, Jochimsen KN. Pain Self-efficacy Is Associated With Patient-Reported Function in Individuals With Chronic Hip Pain. JOSPT Open. 2024;2(3):264-271. doi:10.2519/josptopen.2024.1021