Warwick Medical School, Medical School Building, University of Warwick, Coventry, CV4 7HL, UK.
Warwick Clinical Trials Unit, University of Warwick, Coventry, CV4 7HL, UK.
BMC Med Educ. 2022 Aug 20;22(1):633. doi: 10.1186/s12909-022-03692-1.
Low back pain (LBP) is a common condition with substantial associated disability and costs, best understood using a biopsychosocial approach. Research demonstrates that beliefs about LBP are important, with biomedical beliefs influencing practitioner's management and patient recovery. Beliefs about LBP can be inconsistent amongst healthcare and medical students. The aim of this study was to investigate graduate medical student's beliefs of LBP and what influences them.
A cross sectional mixed methods study of Phase 1 (first year) and Phase 3 (third and fourth year) current graduate medical students at the University of Warwick (MBChB) was conducted. Participants were recruited via voluntary response sampling. A survey investigated LBP beliefs, utilising the Back Beliefs Questionnaire (BBQ) and Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). Qualitative data was collected on what influences beliefs about the causes and management of LBP, which was analysed descriptively using thematic analysis.
Fifty-seven students completed the questionnaire (61% female), with a mean age of 27.2 years. Eighty two percent of participants reported a history of LBP. Median BBQ scores were 31.5 for phase 1 and 31 for phase 3, with median HC-PAIRS scores of 57 and 60 for phase 1 and phase 3 students respectively. Three main themes emerged from the qualitative data: Sources of influence, influence of personal experience and influence of medical education. Participants discussed single or multiple sources influencing their beliefs about the causes and management of LBP. Another main theme was the influence of experiencing LBP personally or through discussions with family, friends and patients. The final main theme described the influence of medical education, including lectures, seminars and clinical placements.
The HC-PAIRS and BBQ scores suggest graduate medical students in this sample tended to have positive beliefs about the outcome of LBP and functional expectations of chronic LBP patients, consistent with other healthcare students. The findings from qualitative data suggest how medical students form beliefs about the causes and management of LBP is complex.
下腰痛（LBP）是一种常见病症，伴有大量相关残疾和费用，最好采用生物心理社会方法来理解。研究表明，对 LBP 的信念很重要，生物医学信念会影响从业者的管理和患者的康复。医疗保健和医学生对 LBP 的信念可能不一致。本研究的目的是调查研究生医学生对 LBP 的信念及其影响因素。
对英国华威大学（MBChB）的一年级（第 1 阶段）和三年级（第 3 阶段和第 4 阶段）的当前研究生医学生进行了横断面混合方法研究。通过自愿反应抽样招募参与者。一项调查使用背部信念问卷（BBQ）和医疗保健提供者的疼痛和损伤关系量表（HC-PAIRS）调查了 LBP 信念。收集了有关影响 LBP 病因和管理信念的因素的定性数据，并用主题分析进行了描述性分析。
57 名学生完成了问卷调查（61%为女性），平均年龄为 27.2 岁。82%的参与者报告有 LBP 病史。第 1 阶段和第 3 阶段的 BBQ 评分中位数分别为 31.5 和 31，第 1 阶段和第 3 阶段的 HC-PAIRS 评分中位数分别为 57 和 60。从定性数据中出现了三个主要主题：影响来源、个人经验的影响和医学教育的影响。参与者讨论了影响他们对 LBP 的病因和管理的信念的单一或多种来源。另一个主要主题是个人经历 LBP 或通过与家人、朋友和患者的讨论对信念的影响。最后一个主要主题描述了医学教育的影响，包括讲座、研讨会和临床实习。
HC-PAIRS 和 BBQ 评分表明，该样本中的研究生医学生对 LBP 的结果和慢性 LBP 患者的功能期望持积极态度，与其他医疗保健学生一致。定性数据的结果表明，医学生如何形成对 LBP 的病因和管理的信念是复杂的。
