A growing number of studies across different fields is making use of a new class of choice models, labelled variably as hybrid model structures or integrated choice and latent variable models, in incorporating the role of attitudes in decision making. To date, this technique has not been used in health economics. The present paper looks at the formation of such attitudes and their role in patients' treatment choices in the context of low back pain. We use data stated choice data collected from a sample of just under 300 respondents referred to a regional spine centre in Denmark. We show how the hybrid model structure is able to make a link between attitudinal questions and treatment choices, and also explains the variation of these attitudes across key socio-demographic groups. However, we also show how, despite their growing popularity, the key findings of the model, net of a greater insight into the drivers of attitudes and small gains in efficiency, are no different from standard approaches which remain much easier to apply. In the present application, we also show how only a small share of the heterogeneity can be linked to the attitudinal construct.