Physiotherapy students hold varying attitudes, beliefs and learning preferences regarding LGBTQIA+ healthcare: a mixed methods study

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy Pub Date : 2024-10-01 DOI:10.1016/j.jphys.2024.08.006

Calum Neish, Megan H Ross

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引用次数: 0

Abstract

Questions

What are physiotherapy students’ attitudes and beliefs towards providing care for lesbian, gay, bisexual, transgender, queer, intersex, asexual and other related identities (LGBTQIA+) individuals? What education have students received on LGBTQIA+ healthcare needs? What are students’ preferences for receiving this content?

Design

Mixed-methods design using a purpose-built online survey.

Participants

Australian undergraduate and postgraduate physiotherapy students.

Methods

Participants were invited to complete an online survey. Data were collected on: personal, clinical, professional and educational exposure to LGBTQIA+ identities and topics; heteronormative attitudes and beliefs via the modified Heteronormative Attitudes and Beliefs Scale (mHABS); and perspectives about LGBTQIA+ care. Welch’s t-test and analysis of variance were used to analyse differences in mHABS and subscale scores between groups based on personal, clinical, professional and educational exposure. Open text responses were analysed thematically. Quantitative and qualitative data were first analysed separately and then cross-validated for integration in the results.

Results

The survey was completed by 324 eligible students. Cross-comparison of data generated four key themes pertaining to students’ perspectives about working with the LGBTQIA+ community and education about LGBTQIA+ health: students with closer personal relationships to the LGBTQIA+ community demonstrated more inclusive attitudes and beliefs about LGBTQIA+ care and education; there are cis/heteronormativity and negative views towards LGBTQIA+ health; students who are ambivalent about LGBTQIA+ care hold egalitarian beliefs; and integrated education on LGTBQIA+ health delivered by members of the community is important.

Conclusion

Physiotherapy students’ attitudes and beliefs about the LGBTQIA+ community were diverse, with cis/heteronormativity prevalent in respondents. Students with closer relationships to the LGBTQIA+ community demonstrated more inclusive attitudes and beliefs. The lack of understanding of LGBTQIA+ needs and relevance to physiotherapy highlights the need for improved LGBTQIA+ education in physiotherapy curricula.

查看原文本刊更多论文

物理治疗专业学生对 LGBTQIA+ 医疗保健持有不同的态度、信念和学习偏好：一项混合方法研究。

问题物理治疗专业的学生在为女同性恋、男同性恋、双性恋、变性人、同性恋者、双性人、无性人和其他相关身份（LGBTQIA+）的人提供护理方面持何种态度和信念？学生接受过哪些有关 LGBTQIA+ 医疗保健需求的教育？学生对接受这些内容有什么偏好？混合方法设计，使用专门制作的在线调查：方法：邀请参与者完成在线调查：方法：邀请参与者完成在线调查。收集的数据包括：个人、临床、专业和教育方面接触到的 LGBTQIA+ 身份和话题；通过修改后的异性恋态度和信念量表 (mHABS) 得出的异性恋态度和信念；以及对 LGBTQIA+ 护理的看法。韦尔奇 t 检验和方差分析用于分析基于个人、临床、专业和教育经历的组间 mHABS 和分量表得分的差异。对开放文本回复进行了专题分析。首先对定量和定性数据分别进行分析，然后进行交叉验证，以整合结果：共有 324 名符合条件的学生完成了调查。数据的交叉比较产生了四个关键主题，涉及学生对与 LGBTQIA+ 社区合作和 LGBTQIA+ 健康教育的看法：与 LGBTQIA+ 社区有更密切个人关系的学生在 LGBTQIA+ 护理和教育方面表现出更具包容性的态度和信念；对 LGBTQIA+ 健康存在顺式/异性恋和消极观点；对 LGBTQIA+ 护理持矛盾态度的学生持有平等主义信念；由社区成员提供有关 LGBTQIA+ 健康的综合教育非常重要。结论物理治疗专业学生对 LGBTQIA+ 群体的态度和观念多种多样，其中顺/逆性恋在受访者中普遍存在。与 LGBTQIA+ 群体关系密切的学生表现出更具包容性的态度和观念。对 LGBTQIA+ 的需求和与物理治疗的相关性缺乏了解，这凸显了在物理治疗课程中改进 LGBTQIA+ 教育的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Physiotherapy ORTHOPEDICS-REHABILITATION

CiteScore

11.40

自引率

7.40%

发文量

审稿时长

72 days

期刊介绍： The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.