Attitudes and Beliefs of College Students towards Pain Management Modalities: Theory of Planned Behavior Approach.

Chronic pain & management Pub Date : 2022-01-01 Epub Date: 2022-11-21 DOI:10.29011/2576-957x.100047

Rudi Safarudin, Mohammad Ikram, Kent Marshal, Nazneen Shaikh, Nawar Attal, Nilanjana Dwibedi, Usha Sambamoorthi

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Abstract

Background: Chronic pain exhibits a burdening onset and duration in young adults. It is critical to understand appropriate pain management decision-making.

Objective: To investigate the associations of attitudes and beliefs of college students with their intention and behavior toward pain management modalities using the Theory of Planned Behavior (TPB).

Methods: In this cross-sectional online survey study, we recruited college students (age≥18 years) at West Virginia University, Morgantown, West Virginia, United States. We examined four pain management modalities: Over-the-Counter (OTC) pain medications, prescription pain medications (R_X), mindfulness therapy, and yoga/exercise. Likert scales were used to assess TPB constructs (attitude, Subjective Norm [SN], Perceived Behavior Control [PBC], intention, and behavior). We analyzed the associations of the TPB constructs with both intention and behavior toward pain management modalities using multiple linear regression.

Results: Of the 364 returned surveys, 227 were completed and analyzed. Attitude was found to be significantly associated with the intention to use all pain management modalities, while PBC was significantly associated with the intentions to use R_X, mindfulness, and yoga/exercise (R_X: β = 0.38; 95%CI= 0.28, 0.84; p=<0.001, mindfulness: β=0.27; 95%CI=0.07, 0.76; p=0.019, and Yoga/exercise: β=0.35; 95%CI=0.25, 0.85; p=<0.001). Furthermore, the intention to use pain management modalities consistently predicted all behaviors (OTC: β=0.49; 95%CI=0.32, 0.76; p=<0.001, R_X: β=0.47; 95%CI=0.17, 0.58; p=<0.001, Mindfulness: β=0.62; 95%CI=0.40, 0.72; p=<0.001, Yoga/Exercise: β=0.59; 95%CI=0.42, 0.84; p=<0.001).

Conclusion: College students' attitude and PBC were the top predictors of intention to choose pain management modalities, and intention predicted behavior. Research with robust study design is needed to confirm our study findings.

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大学生对疼痛治疗方式的态度和信念：计划行为理论方法。

背景：慢性疼痛在年轻人中的发病率和持续时间都很高。了解适当的疼痛管理决策至关重要：采用计划行为理论（TPB）研究大学生的态度和信念与他们对疼痛管理模式的意向和行为之间的关联：在这项横断面在线调查研究中，我们招募了美国西弗吉尼亚州摩根敦市西弗吉尼亚大学的大学生（年龄≥18 岁）。我们研究了四种疼痛治疗方式：非处方药（OTC）止痛药、处方止痛药（RX）、正念疗法和瑜伽/运动。我们使用李克特量表来评估 TPB 构建（态度、主观规范 [SN]、感知行为控制 [PBC]、意向和行为）。我们使用多元线性回归分析了 TPB 构建与疼痛管理模式的意向和行为之间的关联：结果：在收回的 364 份调查问卷中，有 227 份完成并进行了分析。结果发现，态度与使用所有疼痛治疗方法的意向显著相关，而 PBC 与使用 RX、正念和瑜伽/运动的意向显著相关（RX：β=0.38；95%CI=0.28，0.84；p=X：β=0.47；95%CI=0.17，0.58；p=结论：大学生的态度和 PBC 与使用所有疼痛治疗方法的意向显著相关，而 PBC 与使用 RX、正念和瑜伽/运动的意向显著相关：大学生的态度和 PBC 是预测选择疼痛治疗方式意愿的首要因素，而意愿又预测行为。要证实我们的研究结果，还需要进行具有可靠研究设计的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Chronic pain & management

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