Do attitudes to back pain differ amongst osteopaths working as clinic tutors and osteopaths not involved in undergraduate education: A comparative study using the ABS-mp questionnaire.

Item

Title
Do attitudes to back pain differ amongst osteopaths working as clinic tutors and osteopaths not involved in undergraduate education: A comparative study using the ABS-mp questionnaire.
Author(s)
Scholtyssek, H
Abstract
Introduction Low back pain (LBP) continues to pose a significant socioeconomic burden and challenge for healthcare professionals. Best evidence guidelines exist to inform on safe and effective patient management. Attitudes of healthcare practitioners have been shown to influence their clinical practice. This study investigated attitudes to back pain among osteopaths not involved in undergraduate education and clinic tutors working at seven osteopathic education institutions (OEIs). The aim of this study was to elicit whether osteopaths involved in undergraduate education as clinic tutors are a specialized subpopulation within the osteopathic community with regard to their attitudes to back pain. Methods An electronic version of the Attitudes to Back Pain Scale for musculoskeletal practitioners CABS-mp) was sent out to 900 osteopaths registered with the General Osteopathic Council (GOsC). Clinic tutors of eight OEls were contacted via their OEls and invited to complete the ABS-mp questionnaire. Results Following exclusions, a total of 177 (22.6%) responses from osteopaths of the non-education group, and 70 (36%) responses from osteopaths working as clinic tutors osteopaths endorsed the biomedical model and expressed low confidence in being the best suited practitioner for their back pain patients. An analysis of responses within the clinic tutor group showed that clinic tutors of six different OEls (British College of Osteopathic Medicine, BCQM; British School of Osteopathy, BSO; European School of Osteopathy, ESQ; Leeds Metropolitan University, Leeds Met; London School of Osteopathy, LSO; Oxford Brookes University, OBU) differed in their attitudes to specific aspects of management of back pain patients. Clinic tutors of the ESQ were least and their colleagues at Leeds University most confident that their referred patients would receive prompt and good quality care. Clinic tutors of the BSQ were indifferent on the questions if increasing mobility was a primary goal of treatment and reported not supporting hypervigilance in their back pain patients, contrary to attitudes expressed by their colleagues at all other colleges. Discussion Apart from the question of feeling connected to the healthcare system, clinic tutors did not endorse views that were more in line with best practice guidelines than their colleagues that were not involved in education. Clinic tutors of Leeds Met expressed strongest confidence in other healthcare professions. The fact that Leeds Met as the only OEI has a teaching clinic that is embedded in a multidisciplinary wellness centre suggests that confidence in other healthcare professions is influenced by local proximity and personal contact. Clinic tutors of the BSO that receive the most extensive training have reported attitudes most aligned with best practice guidelines. Conclusion Apart from feeling more connected to the healthcare system, clinic tutors don't differ from osteopaths that are not involved in undergraduate education with regard to their attitudes to back pain. Attitudes of clinic tutors concerning confidence in other healthcare professions may be affected by a multidisciplinary setting of the teaching clinic. Further research is needed in order to elicit how training programs for clinic tutors influence their attitudes.
Date Accepted
2013
Date Submitted
20.1.2015 16:42:59
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
15471
Inst-Identifier
1229
Keywords
Attitudes to low back pain.
Recommended
0
Item sets
Thesis

Scholtyssek, H, “Do attitudes to back pain differ amongst osteopaths working as clinic tutors and osteopaths not involved in undergraduate education: A comparative study using the ABS-mp questionnaire.”, Osteopathic Research Web, accessed May 17, 2024, https://www.osteopathicresearch.com/s/orw/item/693