Attitudes and beliefs of Brazilian and Australian physiotherapy students towards chronic back pain: a cross‐cultural comparison

Ferreira, Paulo H.; Ferreira, Manuela L; Latimer, Jane; Maher, C. G.; Refshauge, Kathryn; Sakamoto, Ana Cristina Lamounier; Garofalo, Rodrigo

doi:10.1002/pri.296

Cited by 49 publications

(68 citation statements)

References 20 publications

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“…This finding is consistent with a previous work by Nyland and Grimmer [32] that also found an increased lifetime prevalence of LBP in physiotherapy students and a significantly increased risk for students once they completed first year. However, previous research has not found association between health care providers personal experience of back pain and both the level of fear-avoidance beliefs [10,11,33] and the HC-PAIRS score [16,17].…”

Section: Discussionmentioning

confidence: 82%

“…In our study the average responses also were trended towards agreement (item 10: 4.77 and item 13: 4.36) but revealed good correlation with the tendency given in the other items. Some studies have found differences in how back pain is faced among different cultural backgrounds by patients [30] and by health care providers [15,16]. For example, Kovacs et al [18] demonstrated that in Spanish LBP patients the influence of fearavoidance beliefs is sparse in disability.…”

Section: Discussionmentioning

confidence: 99%

“…Houben et al [14] found that the score obtained in the HC-PAIRS correlated significantly with the recommendations about work and activity. The HC-PAIRS has also been used to study the attitudes and beliefs about LBP in physiotherapy students [15,16]. This questionnaire is a useful tool to monitor changes in conceptions and beliefs after a teaching module [17].…”

Section: Introductionmentioning

confidence: 99%

“…There is evidence which suggests that the beliefs and attitudes about LBP differ according to the cultural background in which they are explored [14][15][16][17][18]. The purpose of this study is to validate the Spanish version of the HC-PAIRS questionnaire and investigate its psychometric properties and factor structure in a sample of Spanish physiotherapy students and family physicians.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

et al. 2012

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Objective To develop a Spanish version of the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) and to test its psychometric properties. Methods A forward and backward translation methodology was used to translate the questionnaire, which was then applied to 206 participants (174 physiotherapy students and 32 family physicians). The intraclass correlation coefficient was calculated to assess test-retest reliability. Internal consistency was evaluated using Cronbach's alpha and item analysis. Construct validity was measured using Pearson correlation coefficients between HC-PAIRS and FABQ, FABQ-Phys, FABQ-Work and the responses given by participants to three clinical case scenarios. An exploratory factor analysis was carried out following the Kaiser normalization criteria and principal axis factoring with an oblique rotation (quartimax). Sensitivity to change was assessed after a teaching module.Results Test-retest reliability was ICC 0.50 (p \ 0.01) and Cronbach's alpha was 0.825. The HC-PAIRS scores correlated significantly with the scores of the FABQ and also with the recommendations for work and activity given by the participants in the three clinical case scenarios. Sensitivity to change test showed an effect size of 1.5, which is considered a large change. Factor analysis suggests that the Spanish version of HC-PAIRS measures a unidimensional construct. Conclusion The Spanish version of the HC-PAIRS has proven to be a reliable, valid and sensitive instrument to assess health care providers' attitudes and beliefs about LBP. It can be used in evaluating clinical practice and in undergraduate acquisition of skills and knowledge.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

et al. 2012

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“…Only one study 27 evaluating attitudes and beliefs towards low back pain has been conducted in Brazil. The study by Ferreira et al 27 measured the attitudes and beliefs of 153 Brazilian physical therapy students, who had not yet taken the subject on low back pain and compared the results to those of 618 Australian physical therapy students. Students' beliefs and attitudes were measured by the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) 8 .…”

Section: Introductionmentioning

confidence: 99%

Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study

Magalhães¹,

Costa²,

Cabral³

et al. 2012

Rev. bras. fisioter.

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Objectives: To measure the attitudes and beliefs of Brazilian physical therapists about chronic low back pain and to identify the sociodemographic characteristics that are more likely to influence these attitudes and beliefs. Methods: We conducted a cross-sectional study with 100 Brazilian physical therapists who routinely work with chronic low back pain patients. The attitudes and beliefs were measured by the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) and the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). Multivariate linear regression models were built to identify sociodemographic characteristics that could be associated with physical therapists' attitudes and beliefs. Results: Mean scores on the biomedical and biopsychosocial factors of PABS.PT were 27.06 (SD 7.19) and 24.34 (SD 6.31), respectively, and the mean score on HC-PAIRS was 45.45 (SD 10.45). The score on PABS.PT biomedical was associated with gender and years of professional experience. No variable was associated with the score on PABS.PT biopsychosocial . The score on HC-PAIRS was significantly associated with the number of back pain patients seen by the physical therapist each month. These results indicate that male and less experienced physical therapists tend to follow a biomedical approach to the treatment of chronic low back pain patients, and that the lower the professional experience the stronger the belief in the relationship between pain and disability. Conclusions: Brazilian physical therapists are uncertain of the factors involved in the development and maintenance of chronic low back pain and about the relationship between pain and disability in these patients.Keywords: chronic low back pain; physical therapy; health knowledge; attitudes; practice. ResumoObjetivos: Avaliar as atitudes e crenças de fisioterapeutas brasileiros sobre a dor lombar crônica e identificar características sociodemográficas que as influenciam. Métodos: Este estudo transversal incluiu 100 fisioterapeutas brasileiros que atendem pacientes com dor lombar crônica em sua rotina clínica. As atitudes e crenças foram avaliadas pela Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) e Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). Foram construídos modelos de regressão linear multivariada para verificar as possíveis características sociodemográficas que poderiam estar associadas com as atitudes e crenças dos fisioterapeutas. Resultados: Os escores médios dos fatores biomédico e comportamental da PABS.PT foram 27,06 (DP 7,19) e 24,34 (DP 6,31), respectivamente, e o escore médio da HC-PAIRS foi 45,45 (DP 10,45). O escore do PABS.PT Fator biomédico foi associado com gênero e anos de experiência profissional. Já o escore do PABS.PT Fator comportamental não foi associado com nenhuma variável. O escore do HC-PAIRS foi significativamente associado com o número de pacientes com dor lombar atendido por mês. Esses resultados indicam que fisioterapeutas experientes tendem a seguir uma ab...

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Low back pain‐related beliefs and likely practice behaviours among final‐year cross‐discipline health students

Briggs

Slater

Smith

et al. 2012

European Journal of Pain

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Attitudes and beliefs of Brazilian and Australian physiotherapy students towards chronic back pain: a cross‐cultural comparison

Cited by 49 publications

References 20 publications

Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study

Low back pain‐related beliefs and likely practice behaviours among final‐year cross‐discipline health students

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