Thomson Oliver P, Treffel Loïc, Wagner Agathe, Jacquot Erwann, Draper-Rodi Jerry, Morin Chantal, Vaughan Brett
Health Sciences University, UCO School of Osteopathy, London, UK.
Australian Research Consortium in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Sydney, Australia.
BMC Health Serv Res. 2025 Mar 27;25(1):451. doi: 10.1186/s12913-025-12540-z.
Despite the growing popularity of osteopathy in France, little is known about how French osteopaths conceptualise key aspects of their practice, including skills, knowledge, and decision-making. This study aimed to adapt and validate the Osteopaths' Therapeutic Approaches Questionnaire (Osteo-TAQ) for use in a French osteopathic population (Osteo-TAQfr) and to examine the professional profile and core elements of clinical practice among French osteopaths. The first objective was to establish the psychometric properties of the Osteo-TAQfr within a French osteopathic population. The second aim was to explore French osteopaths' conceptions of practice and their approach to patient care, thereby contributing to a broader understanding of the profession in France and its relevance within the discourse on allied health professions (AHPs).
A cross-sectional study was conducted to (1) adapt and validate the French version of the Osteopaths' Therapeutic Approaches Questionnaire (Osteo-TAQfr) and (2) explore osteopaths' conceptions of practice in France. The translation and cultural adaptation process was informed by cognitive interviews to ensure linguistic and contextual appropriateness. Exploratory Factor Analysis (EFA) was performed to assess the factor structure in the French osteopathic context and Confirmatory Factor Analysis (CFA) was used to test the validity of previously established constructs-Professional Artistry (PA) and Technical Rationality (TR). Internal consistency was evaluated using McDonald's omega (ω).
The survey yielded 1,703 complete responses. Analysis supported a two-factor model with PA andTR subscales, both showing strong reliability estimations (PA ω = 0.882; TR ω = 0.873). Minor theory-informed adjustments improved model fit. A moderate negative correlation was observed between the PA and TR subscales (r=-0.407). Respondents with additional health professions qualifications scored lower on the PA subscale and higher on the TR subscale.
The Osteo-TAQfr is an original tool that assesses conceptions of osteopathic practice in France. Findings reveal a predominance of TR among French osteopaths, characterised by biomedical, technique-driven approaches. These results have significant implications for aligning osteopathic education and practice with contemporary AHP paradigms, including patient-centred care and interdisciplinary collaboration. Further research should explore the transferability of the Osteo-TAQ across other healthcare systems and its potential impact on clinical outcomes and professional development.
尽管整骨疗法在法国越来越受欢迎，但对于法国整骨疗法从业者如何理解其临床实践的关键方面，包括技能、知识和决策制定，人们了解甚少。本研究旨在对整骨疗法从业者治疗方法问卷（Osteo-TAQ）进行改编和验证，以用于法国整骨疗法人群（Osteo-TAQfr），并研究法国整骨疗法从业者的专业概况和临床实践的核心要素。第一个目标是在法国整骨疗法人群中确定Osteo-TAQfr的心理测量特性。第二个目标是探究法国整骨疗法从业者的临床实践观念及其患者护理方法，从而有助于更广泛地理解法国的这一职业及其在相关健康专业（AHPs）话语中的相关性。
进行了一项横断面研究，以（1）改编和验证法国版的整骨疗法从业者治疗方法问卷（Osteo-TAQfr），以及（2）探究法国整骨疗法从业者的临床实践观念。翻译和文化适应过程通过认知访谈来指导，以确保语言和语境的恰当性。进行探索性因素分析（EFA）以评估法国整骨疗法背景下的因素结构，并使用验证性因素分析（CFA）来检验先前确立的结构——专业技艺（PA）和技术合理性（TR）的有效性。使用麦克唐纳ω系数（ω）评估内部一致性。
该调查共获得1703份完整回复。分析支持了一个包含PA和TR分量表的双因素模型，两者均显示出很强的可靠性估计值（PA ω = 0.882；TR ω = 0.873）。基于理论的微小调整改善了模型拟合。PA和TR分量表之间观察到中等程度的负相关（r = -0.407）。拥有其他健康专业资质的受访者在PA分量表上得分较低，而在TR分量表上得分较高。
Osteo-TAQfr是一种评估法国整骨疗法临床实践观念的原创工具。研究结果显示，法国整骨疗法从业者中技术合理性占主导，其特点是以生物医学、技术驱动的方法为主。这些结果对于使整骨疗法教育和实践与当代AHPs范式（包括以患者为中心的护理和跨学科协作）保持一致具有重要意义。进一步的研究应探索Osteo-TAQ在其他医疗系统中的可转移性及其对临床结果和专业发展的潜在影响。
