TY - JOUR
T1 - Health care providers' orientations towards common low back pain predict perceived harmfulness of physical activities and recommendations regarding return to normal activity
AU - Houben, Ruud M.A.
AU - Ostelo, Raymond W.J.G.
AU - Vlaeyen, Johan W.S.
AU - Wolters, Pieter M.J.C.
AU - Peters, Madelon
AU - Stomp-van Den Berg, Suzanne G.M.
PY - 2005/1/1
Y1 - 2005/1/1
N2 - The Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) differentiates between a biomedical versus a biopsychosocial treatment orientation with regard to common low back pain. This study re-examined the factor structure and psychometric properties of the PABS-PT, along with the relationship between PABS-PT scores and the perceived harmfulness of physical activities and treatment recommendations for common low back pain. Two hundred and ninety-seven paramedical therapists completed the PABS-PT and questionnaires measuring related concepts, rated the perceived harmfulness of 41 daily physical activities depicted in photographs and gave recommendations for return to normal activity for three patients with low back pain. Analysis revealed two factors labelled 'biomedical' and 'biopsychosocial treatment orientation'. Furthermore, scores on both factors of the PABS-PT were related to measures of related concepts (statistically significant Pearson correlation coefficients between 0.30 and 0.65) such as the HC-PAIRS and a therapist version of the TSK. Regression analyses revealed that both factors were consistent predictors of judgements of the harmfulness of physical activities (PHODA) and of recommendations for return to work and normal activity.
AB - The Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) differentiates between a biomedical versus a biopsychosocial treatment orientation with regard to common low back pain. This study re-examined the factor structure and psychometric properties of the PABS-PT, along with the relationship between PABS-PT scores and the perceived harmfulness of physical activities and treatment recommendations for common low back pain. Two hundred and ninety-seven paramedical therapists completed the PABS-PT and questionnaires measuring related concepts, rated the perceived harmfulness of 41 daily physical activities depicted in photographs and gave recommendations for return to normal activity for three patients with low back pain. Analysis revealed two factors labelled 'biomedical' and 'biopsychosocial treatment orientation'. Furthermore, scores on both factors of the PABS-PT were related to measures of related concepts (statistically significant Pearson correlation coefficients between 0.30 and 0.65) such as the HC-PAIRS and a therapist version of the TSK. Regression analyses revealed that both factors were consistent predictors of judgements of the harmfulness of physical activities (PHODA) and of recommendations for return to work and normal activity.
KW - Attitude
KW - Health care providers
KW - Low back pain
KW - Treatment orientation
UR - http://www.scopus.com/inward/record.url?scp=14644429673&partnerID=8YFLogxK
U2 - 10.1016/j.ejpain.2004.05.002
DO - 10.1016/j.ejpain.2004.05.002
M3 - Article
C2 - 15737810
AN - SCOPUS:14644429673
SN - 1090-3801
VL - 9
SP - 173
EP - 183
JO - European Journal of Pain
JF - European Journal of Pain
IS - 2 SPEC. ISS.
ER -