Testes clinimétricos de dois instrumentos que mensuram atitudes e crenças de profissionais de saúde sobre a dor lombar crônica

Magalhães, Mauro Taveira; Costa, Leonardo Oliveira Pena; Ferreira, Manuela L; Machado, Luciana A. C.

doi:10.1590/s1413-35552011000300012

Cited by 19 publications

(11 citation statements)

References 25 publications

(49 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Calculating means and SD using the “1 – 6” Likert scale, Victorian chiropractors were most similar to the United Kingdom GPs and physiotherapists [19] and least similar to Irish GPs [18]. The findings of this study do not support the hypothesis that chiropractors have an extreme tendency towards biomedical or biopsychosocial orientations as proposed by Magalhães et al [14,21]. …”

Section: Discussioncontrasting

confidence: 75%

“…Scores were calculated on a “0-5” Likert scale for comparison to the Brazilian chronic pain physiotherapists in Magalhães et al [14,21] and were also of a similar magnitude (biomedical = 27.6, psychosocial = 24.3 compared to this study of 24.7 and 22.4 respectively). Calculating means and SD using the “1 – 6” Likert scale, Victorian chiropractors were most similar to the United Kingdom GPs and physiotherapists [19] and least similar to Irish GPs [18].…”

Section: Discussionsupporting

confidence: 56%

“…Magalhães et al [14,21] raise several alternative explanations for the variability in mean subscale scores across the studies, notwithstanding their alternative Likert scale scoring system which significantly reduced scale scores. These include cultural aspects, type of academic training and differences in the curricular training of university programs.…”

Section: Discussionmentioning

confidence: 99%

“…The mean and standard deviation scores for the biomedical and psychosocial scales were calculated on a “1 to 6” Likert scale and a “0 to 5” Likert scale to allow for comparison to the Magalhães et al, [14,21] study.…”

Section: Methodsmentioning

confidence: 99%

“…For example, a practitioner may be overly anxious about the patient exacerbating a lower back injury and may unnecessarily recommend reduced activity, bed rest and time away from work, thus reinforcing pain behaviours. Several studies have now been conducted to explore the possibility of measuring these attitudes and beliefs in various manual therapy groups [14-17]. …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Attitudes and beliefs of Australian chiropractors’ about managing back pain: a cross-sectional study

Innes

Werth²,

Tuchin

2015

Chiropr Man Therap

View full text Add to dashboard Cite

BackgroundChiropractors are frequent providers of care for patients with lower back pain. Biopsychosocial approaches to managing patients are regarded as best practice and are gaining wider acceptance. Recent evidence suggests that practitioners’ attitudes and beliefs may also have an important effect on patients’ recovery from back pain. Past studies have pooled manual therapists from differing professions. Dissonant findings have been hypothesised as being a result of the chiropractic subpopulation within multi-practitioner participant pools who are hypothesised to focus on biomedical aspects of treatment and minimize biopsychosocial dimensions.The aim of this study is to determine whether a study population of only chiropractors would demonstrate similar attitudes and beliefs to other manual therapists’ biopsychosocial or biomedical approach to the management of their patients.MethodsA survey of chiropractors in Victoria Australia in September 2010 was undertaken utilising the Pain Attitude and Belief Scale (PABS.PT), a tool which has been developed to determine the orientation (biopsychosocial or biomedical approach) of practitioners to the management of people with low back pain. The survey also obtained demographic data from respondents to determine whether variables such as education, gender or practice related factors influenced their orientation.ResultsThe overall response rate was 29% (n = 218). The majority of the sample was male (68%), with a mean age of 44 years. The 6 point Likert scale scores were 34.5 (6.3) for the biomedical factor scale and 31.4 (4.1) for the biopsychosocial scale. Internal consistency of the psychosocial subscale was poor. None of the demographic variables were found to influence the biomedical or psychosocial scales.ConclusionsChiropractors in the state of Victoria were found to have similar biomedical and psychosocial orientations in their attitudes and beliefs when compared to other manual therapists’ levels of previous studies from differing cultural and educational backgrounds. This study was unable to replicate any of the relationships from past studies with any of the demographic variables. The psychosocial scale internal consistency may be a significant factor in this non-finding. Future research should address the identification of more robust items of the biopsychosocial attitudes of Victorian chiropractors toward treating lower back pain.

show abstract