Cox Terry, Louw Adriaan, Puentedura Emilio J
Department of Physical Therapy, Southwest Baptist University, Bolivar, Missouri, USA.
International Spine and Pain Institute, Story City, Iowa, USA.
J Man Manip Ther. 2017 Feb;25(1):11-21. doi: 10.1080/10669817.2015.1122308. Epub 2016 Feb 10.
To determine if a 3-hour therapeutic neuroscience education session alters physical therapy student's knowledge of pain and effects their attitudes and beliefs regarding treating chronic pain.
Seventy-seven entry-level doctoral physical therapy students participated in the study. Following consent, demographic data were obtained and then the subjects completed the Neuroscience of Pain Questionnaire, the Health Care Provider's Pain and Impairment Relationship Scale and an additional questionnaire designed by the researchers. The subjects then received a 3-hour educational session developed by the researchers, focusing on the neurobiology and physiology of pain. The questionnaires were re-administered immediately after the educational session and at 6 months post-education.
Seventy-seven subjects (mean age = 24.7 years, 57.1% female and 81.8% white) completed the questionnaires pre- and post-educational session with 75 completing the questionnaires at 6 months. To assess the effect of the education on the scores of the questionnaires, a repeated measures ANOVA was conducted. Students demonstrated significantly higher scores on the neuroscience of pain questionnaire ( < 0.001) with no significant effect found on the attitudes and beliefs questionnaire at any of the time points. There were significant differences found on some of the individual questions that were part of the additional questionnaire.
An educational session on the neuroscience of pain is beneficial for educating entry-level doctoral physical therapy students immediately post-education and at 6 months. This educational session had no effect on the student's attitudes and beliefs regarding treating the chronic pain population. There were additional significant findings regarding individual questions posed to the subjects.
确定为期3小时的治疗性神经科学教育课程是否会改变物理治疗专业学生对疼痛的认知,以及影响他们对治疗慢性疼痛的态度和信念。
77名入门级物理治疗博士生参与了该研究。在获得同意后,收集了人口统计学数据,然后受试者完成了疼痛神经科学问卷、医疗服务提供者疼痛与损伤关系量表以及研究人员设计的另一问卷。随后,受试者接受了研究人员开发的为期3小时的教育课程,重点是疼痛的神经生物学和生理学。教育课程结束后立即以及教育后6个月重新进行问卷测试。
77名受试者(平均年龄 = 24.7岁,57.1%为女性,81.8%为白人)在教育课程前后完成了问卷,75名受试者在6个月时完成了问卷。为评估教育对问卷分数的影响,进行了重复测量方差分析。学生在疼痛神经科学问卷上的得分显著更高(< 0.001),在任何时间点对态度和信念问卷均未发现显著影响。在作为附加问卷一部分的一些个别问题上发现了显著差异。
关于疼痛神经科学的教育课程对入门级物理治疗博士生在教育后立即和6个月时的教育有益。该教育课程对学生对治疗慢性疼痛人群的态度和信念没有影响。关于向受试者提出的个别问题还有其他显著发现。