The attitudes to back pain scale in musculoskeletal practitioners (ABS-mp): the development and testing of a new questionnaire.

Pincus, Tamar, Vogel, Steven, Santos, Rita, Breen, Alan, Foster, Nadine and Underwood, Martin (2006) The attitudes to back pain scale in musculoskeletal practitioners (ABS-mp): the development and testing of a new questionnaire. The Clinical journal of pain, 22. pp. 378-386.

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Abstract

OBJECTIVES: Little is known about practitioners' beliefs and attitudes to the treatment of low back pain, and whether these influence their clinical decisions, intervention strategies, and patient-centered outcomes. This study aimed to develop, test, and explore the underlying dimensions of a new questionnaire, the Attitudes to Back Pain Scale (ABS), in a specific group of clinicians, practitioners who specialize in musculoskeletal therapy. METHODS: Items for the draft questionnaire were derived from interviews with practitioners (chiropractors, osteopaths, and physiotherapists). The draft questionnaire (52 items) sought to assess practitioners' attitudes concerning role and self-image plus their beliefs about treatment goals and prognosis of low back pain. The questionnaire was sent to a random selection of 300 practitioners from each professional group, and 546 (61) responded. Split-sample analyses were performed using exploratory and confirmatory factor analysis. RESULTS: Separate exploratory analyses were done for attitudes concerned with personal interaction (34 items) and attitudes about treatment orientation (18 items), producing six domains: limitations on sessions, psychologic, connection to health care system, confidence and concern, reactivation, and biomedical. Confirmatory analyses indicated that the model tested presented a good fit. Validity interviews revealed high agreement of categorization and low levels of difficulty in categorizing the items. CONCLUSIONS: The internal structure of the new questionnaire not only shows excellent psychometric properties and good face validity, but also has the added advantage of being developed with a specific clinical context in mind. Additional evaluation is required to fully describe the psychometric integrity of this instrument.

Item Type: Article
Keywords: Adult,Attitude of Health Personnel,Chi-Square Distribution,Chiropractic,Factor Analysis,Female,Humans,Low Back Pain,Low Back Pain: diagnosis,Low Back Pain: rehabilitation,Male,Middle Aged,Orthoptics,Pain Measurement,Pain Measurement: methods,Pain Measurem
Depositing User: Dr Hilary Abbey
Date Deposited: 21 Dec 2020 13:01
Last Modified: 26 Sep 2023 13:16
URI: https://uco.repository.guildhe.ac.uk/id/eprint/46

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