TY - JOUR
T1 - Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis
T2 - an international multi-institutional comparison between 2013 and 2020 academic years
AU - Munneke, Wouter
AU - Demoulin, Christophe
AU - Roussel, Nathalie
AU - Leysen, Marijke
AU - Van Wilgen, C. Paul
AU - Pitance, Laurent
AU - Reezigt, Roland R.
AU - Voogt, Lennard P.
AU - Dankaerts, Wim
AU - Danneels, Lieven
AU - Köke, Albère J.A.
AU - Cools, Wilfried
AU - De Kooning, Margot
AU - Nijs, Jo
N1 - Funding Information:
We would like to thank all institutions for their participation in this study.
Publisher Copyright:
© 2024 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Background: In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work. Objectives: To assess the differences in physical therapy students’ attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020. Methods: In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work. Results: In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations. Conclusions: Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.
AB - Background: In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work. Objectives: To assess the differences in physical therapy students’ attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020. Methods: In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work. Results: In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations. Conclusions: Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.
KW - Behavior
KW - Biopsychosocial model
KW - Clinical recommendations
KW - Education
KW - Guideline adherence
KW - Pain management
U2 - 10.1016/j.bjpt.2024.100592
DO - 10.1016/j.bjpt.2024.100592
M3 - Article
SN - 1413-3555
VL - 28
JO - Revista Brasileira de Fisioterapia
JF - Revista Brasileira de Fisioterapia
IS - 1
M1 - 100592
ER -