Case-Morris Sarah, Liao Tzu-Chieh, Simon Olivia, Whibley Daniel, Blackwood Jennifer, McCoy Danielle, Fox Lindsey
Physical Therapy Department, University of Michigan-Flint, 303 E. Kearsley Street, Flint, MI, 48502, USA.
Physical Therapy Department, University of Michigan-Flint, 303 E. Kearsley Street, Flint, MI, 48502, USA; Department of Radiology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.
Musculoskelet Sci Pract. 2025 Jun;77:103312. doi: 10.1016/j.msksp.2025.103312. Epub 2025 Mar 12.
Several recent initiatives have aimed to align physical therapists' (PTs) understanding and management of low back pain (LBP) with the biopsychosocial model of health and illness.
The purpose of this study was to determine whether entry-level education, practice setting, experience, or post-professional training is associated with attitudes and beliefs of United States (US) PTs about LBP management, despite these initiatives.
A cross-sectional online survey was distributed to a sample of US PTs that included the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) and the Health Care Providers Pain and Impairment Relationship Scale (HC-PAIRS). Linear regression was used to quantify the association between education, experience, post-professional training, and practice setting with PTs attitudes and beliefs.
Of 412 respondents, those with a Bachelor's/Master's scored significantly higher on the PABS-Bio (β = 2.5, 95 % CI = 0.76-4.3, p = 0.005) and HC-PAIRS (β = 2.7, 95 % CI = 0.7-4.6, p = 0.006) and lower on the PABS-Psy (β = 1.7, 95 % CI = -2.7-0.7, p < 0.001) compared to those with a DPT/tDPT. Those who did not undertake post-professional training scored higher on the PABS-Bio (β = 3.7, 95 % CI = 1.4-6.1, p = 0.002) and HC-PAIRS (β = 3.9, 95 % CI = 1.2-6.6, p = 0.005). Therapists licensed 20+ years and working in settings besides outpatient had stronger biomedical beliefs.
Highest degree, post-professional training, years licensed, and practice setting were all significantly associated with attitudes and beliefs of practicing PTs in the US regarding LBP management. This study highlights the need for further investigation into education for improving PTs' attitudes and beliefs around LBP amidst diverse practice settings and experience.
最近有多项举措旨在使物理治疗师（PT）对腰痛（LBP）的理解和管理与健康和疾病的生物心理社会模型保持一致。
本研究的目的是确定尽管有这些举措，但入门级教育、执业环境、经验或专业后培训是否与美国物理治疗师对腰痛管理的态度和信念相关。
向美国物理治疗师样本发放了一份横断面在线调查问卷，其中包括物理治疗师疼痛态度和信念量表（PABS-PT）以及医疗保健提供者疼痛与损伤关系量表（HC-PAIRS）。使用线性回归来量化教育、经验、专业后培训和执业环境与物理治疗师态度和信念之间的关联。
在412名受访者中，拥有学士/硕士学位的人在PABS-Bio量表（β = 2.5，95%置信区间 = 0.76 - 4.3，p = 0.005）和HC-PAIRS量表（β = 2.7，95%置信区间 = 0.7 - 4.6，p = 0.006）上的得分显著更高，而在PABS-Psy量表上的得分更低（β = 1.7，95%置信区间 = -2.7 - 0.7，p < 0.001），相比拥有DPT/tDPT学位的人。未接受专业后培训的人在PABS-Bio量表（β = 3.7，95%置信区间 = 1.4 - 6.1，p = 0.002）和HC-PAIRS量表（β = 3.9，95%置信区间 = 1.2 - 6.6，p = 0.005）上的得分更高。拥有20年以上执照且在门诊以外环境工作的治疗师具有更强的生物医学信念。
最高学位、专业后培训、执照年限和执业环境均与美国执业物理治疗师对腰痛管理的态度和信念显著相关。本研究强调需要进一步调查教育情况，以改善物理治疗师在不同执业环境和经验背景下对腰痛的态度和信念。
