Establishing Internal Consistency of the Attitudes to Back Pain Scale (ABS-mp) in Indian Physiotherapists.

Autor: Bansal, Nitesh, Sharma, Puja Chhabra, Parasher, Raju K.
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Zdroj: Indian Journal of Public Health Research & Development; Apr2018, Vol. 9 Issue 4, p54-58, 5p
Abstrakt: Introduction: Low back pain (LBP) is reportedly one of the most common musculoskeletal problems that is managed by physiotherapists globally. It is observed that attitudes and beliefs of a clinician significantly impacts the management of LBP and consequently its outcomes. The attitude and beliefs to Back Pain Scale for Musculoskeletal Practitioner (ABS - mp) has been used to measure the attitudes and beliefs of clinicians towards the management of low back pain and consists of two sub-dimensions: personal interaction and treatment orientation. However, as beliefs, attitudes and clinical practice are influenced by culture, psychological and social dimensions, the purpose of our study was as a first step to evaluate the internal consistency of the ABS-mp, prior to using it to measure attitudes and beliefs of Indian physiotherapists treating LBP, which consequently will help develop India specific treatment guidelines of the condition. Method: The Self-administered questionnaire ABS-mp was sent electronically to total of over 250 Physiotherapists (PT) across the country. Two reminders were given at regular intervals to the physiotherapists to complete the questionnaire. 147 questionnaires, with a return rate 58% were compiled and analyzed using SPSS version 16. Internal Consistency was evaluated using Cronbach alpha coefficient. Results: Of the 147 questionnaires 27 were discarded as participants had not answered all the questions. Around 55.5% of the physiotherapists from our sample worked in Inpatient as well as outpatient care setups. During their clinical time, 63.7% of the therapists treated six (6) or more patients/day, of which 67.1% patients had musculoskeletal problems. Approximately 65.1% of the therapists used a combination of manual therapy and electrotherapy to treat their patients and almost 77% of the therapists followed LBP guidelines. The Cronbach alpha coefficient for internal Consistency of ABS-mp was 0.746, with 0.754 for the personal interaction sub-domain and 0.76 for treatment orientation. Conclusion: Overall the ABS-mp along with its sub-scales has good internal consistency. Hence this scale can be used to study attitudes and beliefs of clinicians towards LBP management in future cross sectional studies in Indian Physiotherapists. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index