在为肌肉骨骼慢性疼痛患者提供服务的理疗师中开发并验证意大利语版疼痛态度和信念量表--肌肉骨骼(PABS-MSK)

IF 2.2 3区 医学 Q1 REHABILITATION Musculoskeletal Science and Practice Pub Date : 2024-08-14 DOI:10.1016/j.msksp.2024.103161
Katiuscia Bartucci , Alberto Catalano , Francesco Morello , Paolo Leone , Fulvio Ricceri , Sara Carletto
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引用次数: 0

摘要

背景由于其发病率高、长期致残、缺勤和生产力低下,神经痉挛和慢性疼痛已成为公共卫生和社会关注的主要问题。尽管高级文献推荐生物心理社会模式,但传统的生物医学方法在临床实践中仍然非常普遍。人们认识到,临床医生的信念和态度会对患者产生影响。本研究采用探索性因子分析(EFA)来验证 PABS-MSK 问卷的意大利语版本。本研究的目的是将原始的 PABS-MSK 项目翻译成意大利语,然后评估针对物理治疗师的新版意大利语 PABS-MSK 问卷的建构效度,以了解物理治疗师对慢性肌肉骨骼疼痛管理的态度和信念,并将其与个人特征相关联。结果样本由 563 名物理治疗师组成。平行分析建议提取两个因子,EFA 显示第一个量表(我们称之为生物心理社会量表)具有较高的因子载荷值,而两个项目(7 和 19)不能充分代表另一个量表(生物医学量表)。此外,回归模型显示,年轻和自由职业的临床医生更容易坚持生物心理社会模式。结论经修订的意大利-PABS-MSK 问卷似乎可以测量物理治疗师在慢性肌肉骨骼疼痛治疗中的生物心理社会和生物医学信念的两个相关因子。结果表明,基于国际指南的证据和建议的专业培训对于提高物理治疗师对生物心理社会模式的坚持是必要的。不过,还需要进行更多的研究来进一步验证量表,并评估其测试再测可靠性、响应性和构建有效性。
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Development and validation of the Italian version of the pain attitudes and beliefs scale-musculoskeletal (PABS-MSK) among physiotherapists working with patients with musculoskeletal chronic pain

Background

Due to their high prevalence, long-term disability, work absenteeism, and low productivity capacity they often lead to, nociplastic and chronic pain are a major public health and social concern. Although high-level literature recommends the Biopsychosocial model, the traditional Biomedical approach is still very diffuse in clinical practise. It is recognized that the beliefs and attitudes of clinicians have an impact on those of patients. The Exploratory Factor Analysis (EFA) was used to validate the Italian version of the PABS-MSK questionnaire.

Objectives

The aim of this study was to translate the original PABS-MSK items into Italian and then assess the construct validity of the new Italian version of the PABS-MSK questionnaire, addressed to physiotherapists, to gain knowledge about physiotherapists’ attitudes and beliefs toward the management of chronic musculoskeletal pain and to correlate them with individual characteristics.

Methods

An EFA was performed to validate the modified-Italian-PABS-MSK questionnaire. Furthermore, multivariable regression models were implemented to assess any statistically significant differences in the total score of the two dimensions for sociodemographic and occupational characteristics.

Results

The sample consisted of 563 subjects who are members of the order of physiotherapists.

The Parallel Analysis suggested extracting two factors, and the EFA showed that the first scale (which we called Biopsychosocial) had higher factor loadings values, while two items (7 and 19) did not adequately represent the other scale (Biomedical).

Moreover, the regression models showed that younger and freelance clinicians are more prone to adhere to the Biopsychosocial model.

Conclusions

The modified-Italian-PABS-MSK questionnaire appears to measure two factors related to the Biopsychosocial and Biomedical beliefs of physiotherapists in the management of chronic musculoskeletal pain. The results suggest that professional training based on the evidence and recommendations of international guidelines is necessary to improve the adherence of physiotherapists to the Biopsychosocial model. However, additional studies are needed to further validate the scales, and assess the test-retest reliability, responsiveness, and construct validity.

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来源期刊
Musculoskeletal Science and Practice
Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
4.10
自引率
8.70%
发文量
152
审稿时长
48 days
期刊介绍: Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.
期刊最新文献
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