Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire

Ostelo, Raymond; Berg, Suzanne G M Stomp-van den; Vlaeyen, Johan W.S.; Wolters, P. M. J. C.; Vet, Henrica C.W. de

doi:10.1016/s1356-689x(03)00013-4

Cited by 185 publications

(234 citation statements)

References 13 publications

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“…A previous factor analysis of the scale indicated two discrete factors: biomedical (items 1 to 10) and biopsychosocial (items 11 to 19) 31 . The items for both factors are scored on a 6-point Likert scale (0="totally disagree" to 5 = "totally agree").…”

Section: Pain Attitudes and Beliefs Scale For Physiotherapists (Pabspt)mentioning

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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Section: Pain Attitudes and Beliefs Scale For Physiotherapists (Pabspt)mentioning

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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“…7 It is a self-administered questionnaire aimed at measuring the strength of physiotherapists' treatment orientations in chronic LBP on two sub-scales: Biomedical Orientation (BM) and Behavioural Orientation (BH). Biomedical orientation refers to applying the biomedical model of disease, whereby pain and disability are believed to result from a specific structural impairment and treatment addresses that impairment.…”

Section: Standardized Questionnairesmentioning

confidence: 99%

“…8 In addition, scores on each of the PABS-PT sub-scales have been shown to be higher for those physiotherapists whose education and professional profile are more specific to the orientation (e.g., those with a bio-psychosocial background scored higher on the Behavioural Orientation sub-scale). 7 The Attitudes to Back Pain Scale for musculoskeletal practitioners (ABS-mp), developed by Pincus and colleagues, 11 assesses the effect of practitioners' attitudes on clinical practice, training needs, and outcome. It was developed with a UK sample of musculoskeletal physiotherapists, chiropractors, and osteopaths.…”

Section: Standardized Questionnairesmentioning

confidence: 99%

Management of Low Back Pain by Physical Therapists in Quebec: How Are We Doing?

Derghazarian

Simmonds

2011

Physiotherapy Canada

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Purpose: In this study, we characterized physiotherapists' attitudes and beliefs about the bio-psychosocial problem of low back pain (LBP), their use of clinical practice guidelines (CPGs), and the extent to which their advice and treatment is in line with best-evidence CPGs. Methods: One hundred eight physiotherapists completed an online survey that included questionnaires exploring the strength of physiotherapists' biomedical and bio-psychosocial orientations toward the management of LBP: the Pain Attitudes and Beliefs Scale for Physiotherapists and the Attitudes to Back Pain Scale for musculoskeletal practitioners. In addition, participants responded to questions about treatment recommendations for patients in two vignettes. Results: Only 12% of respondents were aware of CPGs. Physiotherapists with a stronger biomedical orientation scored the severity of spinal pathology higher in the patient vignettes. A stronger biomedical orientation was also associated with disagreement with recommendations to return to usual activity or work. Conclusions:The results suggest limited awareness by physiotherapists of best-evidence CPGs and contemporary understandings of LBP that support early activation and self-management. Research to better understand and facilitate the implementation of best-evidence professional education and clinical practice is an urgent priority.Key Words: practice guideline; mobility limitation; low back pain; health knowledge, attitudes, practice. RÉ SUMÉObjectif : L'objectif de cette é tude é tait de caracté riser les attitudes et les croyances des physiothé rapeutes concernant les problè mes bio-psychosociaux lié s aux lombalgies, l'utilisation des lignes directrices de pratique clinique par ces professionnels et le degré de cohé rence entre leur opinion et leur traitement et les meilleures lignes directives de pratique clinique fondé es sur des é lé ments probants. Mé thode : Un é chantillon de 108 physiothé rapeutes a rempli un sondage en ligne qui comprenait des questionnaires qui se penchaient sur la teneur des orientations biomé dicales et psychosociales des physiothé rapeutes pour la gestion de lombalgies : é chelle des attitudes et des croyances face à la douleur pour les physiothé rapeutes (PABS-PT) et é chelle des attitudes face à la douleur dans les cas de lombalgie pour les praticiens du domaine musculosquelettique (ABS-mp). Les participants ont aussi ré pondu à des questions sur les recommandations de traitement pour deux cas fictifs. Ré sultats : Seuls 12 % des ré pondants connaissaient les lignes directrices de pratique clinique. Les physiothé rapeutes avec l'orientation biomé dicale la plus é levé e ont é valué les pathologies rachidiennes pré senté es avec plus de gravité . Une orientation biomé dicale plus é levé e a é galement é té associé e à un dé saccord avec les recommandations visant un retour aux activité s normales ou au travail. Conclusions : Ces ré sultats suggè rent un faible degré de sensibilisation des physiothé rapeutes aux lignes directrices de pratique cli...

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“…Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT): The aim to test attitudes and beliefs of the DPTs was to find if the DPTs followed a biomedical or a biopsychosocial orientation. Ostelo et al (2003) [11] developed the PABS-PT to assess the strength of two possible healthcare professionals (HCP) orientations towards the management of patients with chronic LBP among PTs in Netherlands. The 'biomedical' orientation was described as one in which the HCP believed in a biomechanical model of disease, where disability and pain are a consequence of a specific pathology within the spinal tissues and treatment is aimed at treating the pathology and alleviating pain.…”

mentioning

confidence: 99%

“…The different versions that have been developed, attempted to improve the structure of the original behavioral subscale, although internal consistency (Cronbach's 0.52 to 0.68) has consistently fallen short of recommended levels [12]. Though there was evidence for content and construct validity [11,13] although there is no 'gold standard' with which to compare scores on the PABS. Intolerance of Uncertainty Scale (IUS-12): IUS-12 was used in this survey to measure DPT's IU, which represents their worry and anxiety.…”

mentioning

confidence: 99%

RELATIONSHIP BETWEEN DECISION-MAKING IN LBP AND KNOWLEDGE, ATTITUDES, BELIEFS, AND INTOLERANCE OF UNCERTAINTY AMONG DPTs

FAKHRO¹,

Molook²,

Wehbe³

et al. 2017

IJPR

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Background: Low back pain (LBP) remains a prevalent health problem that is characterized by ambiguity and can progress towards chronic disability. Recently, researchers have started to focus on understanding whether and how attitudes and beliefs of health professionals influence their decisions and outcomes among LBP patients.Objectives: The purpose of this study was to characterize Lebanese doctors of physical therapy (DPT)s attitudes and beliefs towards LBP and its management. A secondary objective was to examine whether and how DPTs own intolerance of uncertainty (IU), knowledge and treatment orientation predicts work and activity recommendations among their LBP patients.Methods: A national survey targeted 129 physical therapist (PT) and included: 1) a filter question; 2) sociodemographic section; 3) a question about recent LBP clinical practice guidelines (CPGs) knowledge; 4) pain attitudes and beliefs scale for physiotherapists (PABS-PT); 5) intolerance of uncertainty scale-12 (IUS-12); 6) and two clinical vignettes that described patients with LBP.Results: A total of 16 DPT completed the survey, of those, 62.5% followed a biomedical orientation, and were restrictive in the recommendations given to their patients. In addition, knowledge of CPGs showed a significant strong relationship with IU (P=0.005) and the recommendation to return to activity (RA) in vignette 1(P= 0.031). Discussion:The current results showed partial adherence to recent LBP guidelines, where most of the DPTs had a biomedical orientation that impacted negatively their recommendations for patients with LBP and DPTs who showed knowledge of LBP CPGs had the lowest IU and tended not to be restrictive in their recommendations to RA.

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Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire

Cited by 185 publications

References 13 publications

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

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

Management of Low Back Pain by Physical Therapists in Quebec: How Are We Doing?

RELATIONSHIP BETWEEN DECISION-MAKING IN LBP AND KNOWLEDGE, ATTITUDES, BELIEFS, AND INTOLERANCE OF UNCERTAINTY AMONG DPTs

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