Department of Health Care Studies, School for Physiotherapy, Hanze University of Applied Sciences Groningen, P.O. Box 70030, 9714 CA, the Netherlands; University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, P.O. Box 30.002, 9750 RA, Haren, the Netherlands.
Department of Health Care Studies, School for Physiotherapy, Hanze University of Applied Sciences Groningen, P.O. Box 70030, 9714 CA, the Netherlands.
Musculoskelet Sci Pract. 2021 Apr;52:102350. doi: 10.1016/j.msksp.2021.102350. Epub 2021 Feb 19.
Health care practitioners' knowledge and attitudes influence patients' beliefs and health outcomes in musculoskeletal (MSK) pain. It is unclear to what extent physiotherapists undertaking a postgraduate master in manual therapy (MT students) possess the knowledge and attitudes toward pain neuroscience to be able to apply the biopsychosocial model in patients with MSK pain.
The aim of this study was to assess the knowledge and attitudes toward pain neuroscience in MT students.
A cross-sectional study.
Self-reported knowledge and attitudes were measured among students (n = 662) at baseline and in all years of the MT postgraduate programs in the Netherlands. The Knowledge and Attitudes of Pain questionnaire (KNAP) was used as a primary measure. Difference in KNAP-scores between baseline (0), year 1, year 2 and year 3 was tested using a one-way ANOVA (hypothesis: 0 < 1<2 < 3). A two factor ANOVA was used to determine the interaction effect of focused pain education and year in the curriculum with KNAP.
There was an overall significant difference of KNAP scores with a medium effect size (F(3, 218.18) = 13.56, p < .001, ω = 0.059). Differences between years ranged from small to medium. Interaction effect of knowledge and attitudes and focused pain education was significant with a small effect size (F(6) = 2.597, p = .017, ω = 0.012). Sensitivity analyses were consistent with the main results.
Positive differences in knowledge and attitudes toward pain neuroscience in MT students occur between the progressing years of the curriculum. Differences may be related to the provision of focused pain education.
医疗保健从业者的知识和态度会影响患者对肌肉骨骼（MSK）疼痛的信念和健康结果。目前尚不清楚接受研究生手动治疗（MT 学生）的物理治疗师在多大程度上具备了解疼痛神经科学的知识和态度，以能够将生物心理社会模型应用于 MSK 疼痛患者。
本研究旨在评估 MT 学生对疼痛神经科学的知识和态度。
横断面研究。
在基线和荷兰 MT 研究生课程的所有年份中，对学生（n=662）进行自我报告的知识和态度测量。使用疼痛神经科学知识和态度问卷（KNAP）作为主要测量工具。使用单向方差分析（假设：0<1<2<3）检验 KNAP 分数在基线（0）、第 1 年、第 2 年和第 3 年之间的差异。使用双因素方差分析确定聚焦疼痛教育和课程年与 KNAP 的交互作用效应。
KNAP 评分存在整体显著差异，具有中等效应大小（F(3, 218.18)=13.56，p<0.001，ω=0.059）。各年之间的差异从小到大不等。知识和态度与聚焦疼痛教育的交互效应具有统计学意义，效应大小较小（F(6)=2.597，p=0.017，ω=0.012）。敏感性分析与主要结果一致。
在课程进展过程中，MT 学生对疼痛神经科学的知识和态度呈积极差异。差异可能与聚焦疼痛教育的提供有关。
