The association between education, practice, post-professional training and physical therapists’ attitudes and beliefs regarding low back pain management: A cross sectional survey study

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-03-12 DOI:10.1016/j.msksp.2025.103312

Sarah Case-Morris , Tzu-Chieh Liao , Olivia Simon , Daniel Whibley , Jennifer Blackwood , Danielle McCoy , Lindsey Fox

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引用次数: 0

Abstract

Introduction

Several recent initiatives have aimed to align physical therapists’ (PTs) understanding and management of low back pain (LBP) with the biopsychosocial model of health and illness.

Purpose

The purpose of this study was to determine whether entry-level education, practice setting, experience, or post-professional training is associated with attitudes and beliefs of United States (US) PTs about LBP management, despite these initiatives.

Methods

A cross-sectional online survey was distributed to a sample of US PTs that included the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) and the Health Care Providers Pain and Impairment Relationship Scale (HC-PAIRS). Linear regression was used to quantify the association between education, experience, post-professional training, and practice setting with PTs attitudes and beliefs.

Results

Of 412 respondents, those with a Bachelor's/Master's scored significantly higher on the PABS-Bio (β = 2.5, 95 % CI = 0.76–4.3, p = 0.005) and HC-PAIRS (β = 2.7, 95 % CI = 0.7–4.6, p = 0.006) and lower on the PABS-Psy (β = 1.7, 95 % CI = −2.7–0.7, p < 0.001) compared to those with a DPT/tDPT. Those who did not undertake post-professional training scored higher on the PABS-Bio (β = 3.7, 95 % CI = 1.4–6.1, p = 0.002) and HC-PAIRS (β = 3.9, 95 % CI = 1.2–6.6, p = 0.005). Therapists licensed 20+ years and working in settings besides outpatient had stronger biomedical beliefs.

Conclusion

Highest degree, post-professional training, years licensed, and practice setting were all significantly associated with attitudes and beliefs of practicing PTs in the US regarding LBP management. This study highlights the need for further investigation into education for improving PTs’ attitudes and beliefs around LBP amidst diverse practice settings and experience.

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教育、实践、职业后培训与物理治疗师对腰痛管理的态度和信念之间的关系：一项横断面调查研究

最近的一些倡议旨在将物理治疗师（PTs）对腰痛（LBP）的理解和管理与健康和疾病的生物心理社会模型结合起来。目的本研究的目的是确定初级教育、实践环境、经验或职业后培训是否与美国（US） PTs对LBP管理的态度和信念有关，尽管有这些举措。方法对美国PTs样本进行横断面在线调查，包括物理治疗师疼痛态度和信念量表（PABS-PT）和卫生保健提供者疼痛和损害关系量表（HC-PAIRS）。采用线性回归量化教育、经验、职业后培训和实践环境与PTs态度和信念之间的关系。结果412名被调查者中，具有学士/硕士学位的人在PABS-Bio （β = 2.5, 95% CI = 0.76-4.3, p = 0.005）和HC-PAIRS （β = 2.7, 95% CI = 0.7-4.6, p = 0.006）和PABS-Psy (β = 1.7, 95% CI = - 2.7 - 0.7, p <；0.001)，与DPT/tDPT患者相比。未接受过职业后培训的人在PABS-Bio （β = 3.7, 95% CI = 1.4-6.1, p = 0.002）和HC-PAIRS （β = 3.9, 95% CI = 1.2-6.6, p = 0.005）上得分更高。持有执照20年以上且在门诊以外的环境中工作的治疗师有更强的生物医学信念。结论最高学历、职业后培训、持证年限和执业环境与美国执业pt对LBP管理的态度和信念显著相关。本研究强调了在不同的实践环境和经验中，需要进一步调查改善患者对LBP的态度和信念的教育。

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

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.