The development and exploratory analysis of the Osteopaths’ Therapeutic Approaches Questionnaire (Osteo-TAQ)

Thomson, O P and Anstiss, V (2020) The development and exploratory analysis of the Osteopaths’ Therapeutic Approaches Questionnaire (Osteo-TAQ). International Journal of Osteopathic Medicine, 37. pp. 17-24. ISSN 1746-0689

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Abstract

Background: Clinical practice encompasses the complex interaction of different skills, knowledge and values in the context of a therapeutic relationship. Research has demonstrated a positive association between well-developed therapeutic relationships, patient satisfaction and clinical outcomes in musculoskeletal conditions. There has been little research into osteopaths’ decision making regarding choice of therapeutic approaches. Aim: The aim of this study was to develop a new questionnaire to assess differences in osteopaths' therapeutic approaches, and to subsequently investigate the internal consistency of the factors identifying different underlying practice concepts and the validity and generalisability of a qualitative grounded theory on osteopaths’ therapeutic approaches and clinical decision-making. Method: A 30-Item Osteopaths’ Therapeutic Approaches Questionnaire (Osteo-TAQ) was developed using modified verbatim phrases from a published qualitative grounded theory. UK osteopaths were invited to complete the Osteo-TAQ questionnaire. An exploratory factor analysis, using both the principal axis factoring method and principal components method, was performed on the responses. Results: 132 responses were received. Osteo-TAQ displayed acceptable level of modelling adequacy (χ2(435) = 1466.1, p < 0.001; KMO = 0.754) and internal consistency (α = 0.778). Exploratory analysis identified eight factors with eigenvalues >1, accounting for 63.5 of the variance. Conclusion: The Osteo-TAQ identified factors that are congruent with a qualitative grounded theory on osteopaths’ therapeutic approaches. The Osteo-TAQ appeared to have good construct validity with four robust components identified and easily characterised. Further testing for construct validity should be carried out amongst a larger population of osteopaths and outside the UK to test and develop the questionnaire further. © 2020 Elsevier Ltd

Item Type:	Article
Keywords:	Clinical decision making,Clinical reasoning,Osteopathic medicine,Osteopathy,Validity
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Dr Hilary Abbey
Date Deposited:	21 Dec 2020 13:01
Last Modified:	27 Mar 2021 19:50
URI:	https://uco.repository.guildhe.ac.uk/id/eprint/33

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