Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

Wouter Munneke; Christophe Demoulin; Nathalie Roussel; Marijke Leysen; C. Paul Van Wilgen; Laurent Pitance; Roland R. Reezigt; Lennard P. Voogt; Wim Dankaerts; Lieven Danneels; Albère J.A. Köke; Wilfried Cools; Margot De Kooning; Jo Nijs

doi:10.1016/j.bjpt.2024.100592

Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

Wouter Munneke
, Christophe Demoulin
, Nathalie Roussel
, Marijke Leysen
, C. Paul Van Wilgen
, Laurent Pitance
, Roland R. Reezigt
, Lennard P. Voogt
, Wim Dankaerts
, Lieven Danneels
, Albère J.A. Köke
, Wilfried Cools
, Margot De Kooning
, Jo Nijs^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

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.

Original language	English
Article number	100592
Number of pages	12
Journal	Revista Brasileira de Fisioterapia
Volume	28
Issue number	1
DOIs	https://doi.org/10.1016/j.bjpt.2024.100592
Publication status	Published - 1 Jan 2024

Keywords

Behavior
Biopsychosocial model
Clinical recommendations
Education
Guideline adherence
Pain management

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10.1016/j.bjpt.2024.100592

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Munneke, W., Demoulin, C., Roussel, N., Leysen, M., Van Wilgen, C. P., Pitance, L., Reezigt, R. R., Voogt, L. P., Dankaerts, W., Danneels, L., Köke, A. J. A., Cools, W., De Kooning, M., & Nijs, J. (2024). Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years. Revista Brasileira de Fisioterapia, 28(1), Article 100592. https://doi.org/10.1016/j.bjpt.2024.100592

@article{e7e82a0a06264dcc9d4b932f7ce0ed5f,

title = "Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years",

abstract = "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{\textquoteright} 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{\textquoteright} 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.",

keywords = "Behavior, Biopsychosocial model, Clinical recommendations, Education, Guideline adherence, Pain management",

author = "Wouter Munneke and Christophe Demoulin and Nathalie Roussel and Marijke Leysen and \{Van Wilgen\}, \{C. Paul\} and Laurent Pitance and Reezigt, \{Roland R.\} and Voogt, \{Lennard P.\} and Wim Dankaerts and Lieven Danneels and K{\"o}ke, \{Alb{\`e}re J.A.\} and Wilfried Cools and \{De Kooning\}, Margot and Jo Nijs",

note = "Funding Information: We would like to thank all institutions for their participation in this study. Publisher Copyright: {\textcopyright} 2024 Associa{\c c}{\~a}o Brasileira de Pesquisa e P{\'o}s-Gradua{\c c}{\~a}o em Fisioterapia",

year = "2024",

month = jan,

day = "1",

doi = "10.1016/j.bjpt.2024.100592",

language = "English",

volume = "28",

journal = "Revista Brasileira de Fisioterapia",

issn = "1413-3555",

publisher = "Revista Brasileira de Fisioterapia",

number = "1",

}

Munneke, W, Demoulin, C, Roussel, N, Leysen, M, Van Wilgen, CP, Pitance, L, Reezigt, RR, Voogt, LP, Dankaerts, W, Danneels, L, Köke, AJA, Cools, W, De Kooning, M & Nijs, J 2024, 'Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years', Revista Brasileira de Fisioterapia, vol. 28, no. 1, 100592. https://doi.org/10.1016/j.bjpt.2024.100592

Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years. / Munneke, Wouter; Demoulin, Christophe; Roussel, Nathalie et al.
In: Revista Brasileira de Fisioterapia, Vol. 28, No. 1, 100592, 01.01.2024.

Research output: Contribution to journal › Article › Academic › peer-review

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

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 -

Munneke W, Demoulin C, Roussel N, Leysen M, Van Wilgen CP, Pitance L et al. Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years. Revista Brasileira de Fisioterapia. 2024 Jan 1;28(1):100592. doi: 10.1016/j.bjpt.2024.100592

Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

Abstract

Keywords

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