How do physiotherapists understand and interpret the 'Pain Attitudes and Beliefs Scale'? A cognitive interview study

Eland Nicolaas D.; Strand Liv Inger; Ostelo Raymond W.Kvale AliceMagnussen Liv Heide

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How do physiotherapists understand and interpret the 'Pain Attitudes and Beliefs Scale'? A cognitive interview study

机译：How do physiotherapists understand and interpret the "Pain Attitudes and Beliefs Scale"? A cognitive interview study

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Background: The Pain Attitudes and Beliefs Scale (PABS) for physiotherapists aims to differentiate between clinicians' biomedical and biopsychosocial treatment orientations regarding nonspecific low back pain (LBP).Objective: To study the content validity of the Norwegian PABS by following international guidelines: exploring its relevance, comprehensibility and comprehensiveness.Methods: Cognitive interviews were performed using the Three-Step Test Interview, consisting of think-aloud techniques, retrospective probing and in-depth interviews. Eleven Norwegian physiotherapists with a diversity of professional backgrounds participated.Results: The participants encountered little difficulty in completing the PABS. All items were deemed relevant and important but five items had ambiguous formulations which can easily be handled. The biomedical subscale appeared to be a comprehensive representation of biomedical treatment orientation. The biopsychosocial subscale was found to lack items concerning cognitive behavioral aspects of LBP management, such as patient education, therapeutic alliance, shared decision making and graded exposure.Conclusions: This study provides empirical evidence that the Norwegian version of the PABS-PT is relevant and comprehensible, provided some minor adjustments. The biopsychosocial subscale, however, lacks comprehensiveness, as it is not able to capture important aspects of contemporary biopsychosocial best practice care. Measurement of biopsychosocial treatment orientation may therefore be incomplete.

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《Physiotherapy theory and practice》 |2022年第6期|513-527|共15页
作者
Eland Nicolaas D.; Strand Liv Inger; Ostelo Raymond W.Kvale AliceMagnussen Liv Heide;
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作者单位

Dept Global Publ Hlth & Primary Care,Univ Bergen;

Amsterdam UMC,Vrije Univ;

Dept Hlth & Social Sci,Western Norway Univ Appl Sci;

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正文语种英语
中图分类治疗学;
关键词
Pain Attitudes and Beliefs Scale; attitudes of health care professionals; low back pain; content validity; cognitive interview; LOW-BACK-PAIN; HEALTH-CARE PROVIDERS; OUTCOMES PRO INSTRUMENTS; GENERAL-PRACTITIONERS; CLINICAL MANAGEMENT; PSYCHOMETRIC PROPERTIES; PSYCHOSOCIAL FACTORS; RASCH ANALYSIS; SAMPLE-SIZE; GUIDELINES;

How do physiotherapists understand and interpret the 'Pain Attitudes and Beliefs Scale'? A cognitive interview study

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