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Pain knowledge,attitudes and beliefs of Australian osteopaths drawn from a nationally representative sample of the profession
Affiliation:1. School of Health & Biomedical Sciences, RMIT University, Bundoora, Australia;2. Department of Medical Education, Level 7 North, Medical Building, Grattan St, Melbourne Medical School, University of Melbourne, Melbourne, Australia;3. School of Health & Human Sciences, Southern Cross University, Lismore, Australia;4. College of Health & Biomedicine, Victoria University, Melbourne, Australia;5. Department of Pain Management, Greenwich Hospital, Greenwich, Australia;1. Integrated Center of Research and Postgraduation in Health (CIPq), Federal University of the Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Minas Gerais, Brazil;2. Faculty of Biological Sciences and Health, Federal University of the Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Minas Gerais, Brazil;3. Postgraduate Program in Rehabilitation and Functional Performance (PPGReab), Federal University of the Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Minas Gerais, Brazil;4. Multicenter Postgraduate Program in Physiological Sciences (PMPGCF), Brazilian Society of Physiology (SBFis), Federal University of the Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Minas Gerais, Brazil;5. Faculty of Agrarian Sciences, Federal University of the Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Minas Gerais, Brazil;6. Postgraduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil;7. Department of Biophysics and Biometrics, Institute of Biology Roberto Alcantara Gomes, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil;8. Istituto Auxologico Italiano, IRCCS, Division of Auxology and Metabolic Diseases, Verbania, Italy;1. Department of Physiotherapy, School of Rehabilitation, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran;3. Department of Pharmaceutics and Nanotechnology, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran;4. Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran;5. Proteomics Research Center, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. Department of Physiotherapy and Rehabilitation, Hacettepe University, Turkey;2. Balıkesir University, Turkey;3. Cankırı Karatekin University, Turkey;1. Musculoskeletal Research Group, Department of Physical Therapy, Federal University of Juiz de Fora, Campus Governador Valadares, Brazil;2. Department of Physical Therapy, Federal University of Juiz de Fora, Campus Governador Valadares, Brazil;3. Dinâmica College Vale do Piranga/FADIP, Brazil;4. Department of Biological Sciences & Health, University Veiga de Almeida, Brazil;1. Department of Medical Rehabilitation, University of Nigeria, Enugu Campus, Nigeria;2. Department of Physiotherapy, Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria
Abstract:BackgroundPain has been identified as a global health issue with substantial effects on individuals and society. Health professionals managing pain complaints must have appropriate knowledge of pain neurophysiology, and attitudes and beliefs towards pain management that align with current practice guidelines.ObjectivesEvaluate Australian osteopaths' current level of knowledge of pain neurophysiology and their beliefs and attitudes towards pain, and explore associations with demographic variables.MethodAustralian osteopaths drawn from a nationally representative practice-based research network received the questionnaire. The questionnaire included demographic information, Neurophysiology of Pain Questionnaire (NPQ), Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) and the Attitudes to Back Pain Scale in Musculoskeletal Practitioners (ABS-mp).ResultsComplete responses were received from 211 osteopaths (21.3% response rate). The mean total NPQ score was equivalent to 72.2% correct responses. The PABS-PT Biomedical scale mean score was 38.8 ( ±9.1, α = 0.81) and the Biopsychosocial scale was 22.3 ( ±3.3, α = 0.38). ABS-mp mean factor scores suggest osteopaths support psychological approaches (22.1, ±3.3, α = 0.71) but endorsed more treatment sessions for those with back pain (15.9, ±4.7, α = 0.71). Trivial correlations between measures and most demographic variables were observed. Osteopaths who undertook further studies in pain had higher mean NPQ scores, with moderate negative correlations with a lower PABS-PT Biomedical subscale score (ρ = −0.45, p < 0.01).ConclusionsAustralian osteopaths demonstrate a range of pain neurophysiology knowledge, and beliefs and attitudes towards pain. The findings support the positive impact of professional development for improving pain knowledge in this population.
Keywords:Osteopathic medicine  Back pain  Attitudes  Education
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