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 (4). pp. 378-386. doi:10.1097/01.ajp.0000178223.85636.49 ISSN 0749-8047.
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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. Copyright © 2006 by Lippincott Williams & Wilkins.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Journal or Publication Title: | The Clinical Journal of Pain |
| Publisher: | Lippincott Williams & Wilkins |
| ISSN: | 0749-8047 |
| Official Date: | 1 May 2006 |
| Dates: | Date Event 1 May 2006 Published |
| Volume: | 22 |
| Number: | 4 |
| Page Range: | pp. 378-386 |
| DOI: | 10.1097/01.ajp.0000178223.85636.49 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| URI: | https://wrap.warwick.ac.uk/104581/ |
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