scholarly journals Evaluation of pain knowledge and attitudes and beliefs from a pre-licensure physical therapy curriculum and a stand-alone pain elective

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sonja K. Bareiss ◽  
Lucas Nare ◽  
Katie McBee
Keyword(s):  
Physical Therapy ◽  
International Association ◽  
Core Competencies ◽  
Participation Rate ◽  
Attitudes And Beliefs ◽  
Cross Sectional ◽  
First Semester ◽  
Knowledge And Beliefs ◽  
Pain Knowledge ◽  
Elective Course

Abstract Background Adequate pain education of health professionals is fundamental in the management of pain. Although an interprofessional consensus of core competencies for health professional pre-licensure education in pain have been established, the degree of their incorporation into physical therapy curriculum varies greatly. The purpose of this study was to 1. Assess students’ pain knowledge and their attitudes and beliefs in a pre-licensure physical therapy curriculum using a cross sectional comparison, and 2. Using a sub-sample of this population, we evaluated if an elective course on pain based on International Association for the Study of Pain (IASP) guidelines had an effect on students’ knowledge and beliefs. Methods The Neurophysiology of Pain Questionnaire (NPQ) and the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) was completed by first semester (n = 72) and final (n = 56) semester doctor of physical therapy (DPT) students. Final semester students completed surveys before and after participation in an elective course of their choosing (pain elective (PE) or other electives (OE)). Results Participation rate was > 90% (n = 128/140). We found mean differences in NPQ scores between final semester (3rd year) students (76.9%) compared to first semester students (64%), p < 0.001. Third year students showed a mean difference on PABS-PT subscales, showing decreased biomedical (p < 0.001) and increased biopsychosocial (p = 0.005) scores compared to first semester students. Only final semester students that participated in the PE improved their NPQ scores (from 79 to 86%, p < 0.001) and demonstrated a significant change in the expected direction on PABS-PT subscales with increased biopsychosocial (p = 0.003) and decreased biological scores (p < 0.001). Conclusions We suggest that although core pre-licensure DPT education improves students’ pain knowledge and changes their attitudes towards pain, taking a IASP based pain elective continues to improve their pain neurobiology knowledge and also further changes their attitudes and beliefs towards pain. Therefore, a stand-alone course on pain in addition to pain concepts threaded throughout the curriculum may help ensure that entry-level DPT students are better prepared to effectively work with patients with pain.

scholarly journals THU0648-HPR STUDY OF PAIN ATTITUDES & BELIEFS BETWEEN RHEUMATOLOGISTS, PHYSICAL THERAPISTS AND PATIENTS FOR FIBROMYALGIA- A CROSS-SECTIONAL SURVEY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 568.1-569
Author(s):  
S. K. Paramasivam ◽  
C. S. Kumar
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Two Dimensions ◽  
Attitudes And Beliefs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Painful Condition ◽  
Group Comparisons

Background:Attitudes and beliefs about pain determine the interpersonal interaction in evaluation and treatment of a chronic painful condition like fibromyalgia in a multidisciplinary healthcare system. Two distinct dimensions for pain attitudes and beliefs were identified as Biomedical and Behavioral. The former utilized a pathoanatomical model whereas the latter incorporated the psychosocial factors into clinical presentations.Objectives:The study aimed to evaluate the pain attitudes and beliefs amongst rhematologists, physical therapists and fibromyalgia patients and to compare the biomedical and behavioral dimensions between the three groups in study population of fibromyalgia syndrome (FMS).Methods:A nation-wide cross-sectional survey (online and direct interviews) was conducted between 2010-16 to identify first group- 18 (16 male, 2 female) rheumatologists (snowball sampling), and second group- 122 (44 male, 78 female) physical therapists (purposive sampling), both with previous experience of treating adults with fibromyalgia. Also 188 patients with FMS were also studied from outpatient departments of tertiary care hospitals as the third group. All participants filled the Pain Attitudes and Beliefs (PABS) scale and the scores were analysed to identify the two dimensions descriptively in percentiles, and their between-group comparisons were done using Chi-Square test at 95% confidence interval using SPSS version 22 for Windows software.Results:There was an overall predominance of biomedical dimension for FMS reported in all three groups, with rheumatologists being most prevalent (76.8%), followed by patients (65.6%) and then by physical therapists (54.12)%. Between-group comparisons were significant (p<.05) for all 6 analyses.Conclusion:Biomedical dimension was predominantly reported by rhematologists, physical therapists and patients for chronic pain in FMS and this necessitates further research on development and implementation of educational interventions in this part of the world.References:[1]Kumar SP, Jim A. Physical therapy in palliative care: from symptom control to quality of life: a critical review. Indian J Palliat Care. 2010;16(3):138-46.[2]Kumar SP, Jim A, Sisodia V. Effects of Palliative Care Training Program on Knowledge, Attitudes, Beliefs and Experiences Among Student Physiotherapists: A Preliminary Quasi-experimental Study. Indian J Palliat Care. 2011;17(1):47-53.[3]Kumar SP, Saha S. Mechanism-based Classification of Pain for Physical Therapy Management in Palliative care: A Clinical Commentary. Indian J Palliat Care. 2011;17(1):80-6.[4]Prem V, Karvannan H, Chakravarthy R, Binukumar B, Jaykumar S,Kumar SP. Attitudes and Beliefs About Chronic Pain Among Nurses-Biomedical or Behavioral? A Cross-sectional Survey. Indian J Palliat Care. 2011;17(3):227-34.[5]Kumar VK,Kumar SP, Baliga MR. Prevalence of work-related musculoskeletal complaints among dentists in India: a national cross-sectional survey. Indian J Dent Res. 2013;24(4):428-38.[6]Kumar SP, Kumar A. Evidence-based Practice in Chronic Pain: A Multidimensional Biopsychosocial Paradigm is the “Need of the Hour” in Palliative Care. Indian J Palliat Care. 2013;19(2):126-7.[7]Kumar SP, D’souza M, Sisodia V. Interpersonal communication skills and palliative care: “finding the story behind the story”. Indian J Palliat Care. 2014;20(1):62-4.Acknowledgments:Study participants for their whole-hearted participation and contribution.Disclosure of Interests:None declared

scholarly journals Objective structured clinical examination (OSCE) to assess physical therapy students' clinical skills when using physical agents

2021 ◽  
Vol 69 (3) ◽  
pp. e83545
Author(s):  
Hernán Andrés De la Barra-Ortiz ◽  
Luis Adrián Gómez-Miranda ◽  
Juan Ignacio De la Fuente-Astroza
Keyword(s):  
Physical Therapy ◽  
Clinical Skills ◽  
Muscle Relaxation ◽  
Cross Sectional Study ◽  
Physical Therapy Students ◽  
Cross Sectional ◽  
First Semester ◽  
Clinical Scenarios ◽  
Andres Bello ◽  
Passing Score

Introduction: The use of Physical Agents (PA) in the practice of physical therapy (PT) specialty requires clinical reasoning and knowing their risks and contraindications; however, sometimes deficiencies are observed when used in clinical practice. Objective: To implement the Objective Structured Clinical Evaluation (OSCE) methodology for the assessment of clinical skills in physical therapy specialty students when using PA. Materials and methods: A pilot non-experimental cross-sectional study was conducted in 114 physical therapy students enrolled during the first semester of 2019 in a PA course offered at the Universidad Andres Bello, Santiago, Chile. The OSCE consisted of seven peer-validated stations in which various skills were implemented in simulated clinical scenarios to achieve learning outcomes associated with the use of PA, namely: S1: Connective tissue flexibility; S2:Muscle relaxation; S3:Analgesia; S4:Drainage; S5:Strengthening; S6:Parameters interpretation, and S7:Equipment installation. Observers at each station assessed students’ clinical skills and decision-making using a checklist. OSCE scores were described using medians and interquartile ranges, representing the data dispersion between the 25th and 75th percentile (P25-P75). Stations scores by gender were compared using the Mann-Whitney U test. Results: Median scores were higher than the minimum passing score in stations S1 (66, IQR: 52-70), S2 (55, IQR: 45-60), S3 (60, IQR: 50-69), S4 (65, IQR: 55-73), and S7 (40, IQR: 33-45), but they were below the passing score in stations S5 (54, IQR:46-65) and S6 (10, IQR: 9-13). In addition, 101 (88.59%) students had a global passing score in the OSCE. Conclusion: The OSCE scores obtained by the participants show their attainment of clinical skills when using PA, since most of them obtained a global passing score; however, reinforcing the parameters interpretation clinical skills is necessary, since the lowest mean score was obtained in said station.

SERVICE QUALITY OF PUBLIC AND PRIVATE PHYSIOTHERAPY INSTITUTES: A COMPARATIVE STUDY IN LAHORE

2019 ◽  
Author(s):  
Roohi Abbas
Keyword(s):  
Physical Therapy ◽  
Service Quality ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Quality Dimensions ◽  
Service Quality Dimensions

Background: Ever since quality of services is gaining importance in every industry as it is the indicator of consumer/customer satisfaction, it is of utmost importance to measure service quality of educational institutes to determine the satisfaction of students. Thus, the study aimed to determine the important factors in service quality dimensions which contribute to the satisfaction of students. Methods: This was a Comparative Cross Sectional study in which final year department of physical therapy (DPT) students were included from three private and three public physiotherapy institutes. Results: The largest mean Positive Gap scores for Public Physiotherapy Institutes was 0.18 for accessibility and affordability 0.18. The largest negative mean gap score for Private Physiotherapy domain was “Accessibility and Affordability” found to be -1.96. Conclusion: Students were satisfied with service quality of private institutes in all domains except for the “Accessibility and Affordability” whereas, in Public Institutes largest negative quality gaps were found in “Empathy” and “Assurance”.

scholarly journals Neuroenhancement in French and Romanian University Students, Motivations and Associated Factors

2021 ◽  
Vol 18 (8) ◽  
pp. 3880
Author(s):  
Irina Brumboiu ◽  
Alessandro Porrovecchio ◽  
Thierry Peze ◽  
Remy Hurdiel ◽  
Irina Cazacu ◽  
...  
Keyword(s):  
University Students ◽  
Prescription Drugs ◽  
Drugs Of Abuse ◽  
Beta Blockers ◽  
Cross Sectional Study ◽  
Attitudes And Beliefs ◽  
Cross Sectional ◽  
Factors Associated ◽  
Anonymous Questionnaire ◽  
Students Attitudes

This cross-sectional study aimed to determine the use of neuroenhancers, the motivations and factors associated with their use in French and Romanian university students. Students from two universities in France (Rouen and Opal Coast University) and one in Romania (Cluj-Napoca) were asked to complete a self-administered anonymous questionnaire, either online or on paper, about the use of three different categories of substance: Prescription drugs (methylphenidate, modafinil, and beta-blockers), drugs of abuse (alcohol, cannabis, cocaine, and amphetamines), and soft enhancers (coffee, vitamins, caffeine tablets, and energy drinks). In total, 1110 students were included: The users were 2.2% for prescription drugs, 4.3% for drugs of abuse, and 55.0% for soft enhancers. Students used neuroenhancement to stay awake for study (69.3%), to improve concentration (55.5%), to decrease stress (40.9%), and to improve memory (39.6%). Neuroenhancement was considered to meet expectations by 74.4% of users. The factors associated with the use of drugs of abuse were frequent binge drinking (Adjusted Odds Ratio—AOR: 6.49 [95% CI: 2.53–16.6]), smoking (AOR: 5.50 [95% CI: 2.98–10.14]), having a student job (AOR: 2.42 [95% CI 1.13–5.17]), and being male (AOR: 2.23 [95% CI:1.21–4.11]). No significant associations with eating disorders were detected for any of the three categories of substances. University students reported neuroenhancement with prescription drugs, drugs of abuse, and mainly soft enhancers. These substances were used mainly to increase the waking hours. Educational programs in universities seem to be required in order to increase student awareness of the problems caused by neuroenhancements, and to decrease the associated risks by changing students’ attitudes and beliefs.

scholarly journals Foreign Medical Students in Eastern Europe: Knowledge, Attitudes and Beliefs about Medical Cannabis for Pain Management

2021 ◽  
Vol 18 (4) ◽  
pp. 2137
Author(s):  
Vsevolod Konstantinov ◽  
Alexander Reznik ◽  
Masood Zangeneh ◽  
Valentina Gritsenko ◽  
Natallia Khamenka ◽  
...  
Keyword(s):  
Pain Management ◽  
Medical Students ◽  
Foreign Students ◽  
Middle Eastern ◽  
Attitudes And Beliefs ◽  
Medical Cannabis ◽  
Knowledge And Beliefs ◽  
Positive Attitudes ◽  
Middle Eastern Students ◽  
And Gender

Objective: To assess the knowledge, attitudes, and beliefs of foreign students toward the use of medical cannabis (MC) for pain management. Methods: This study uses data collected from 549 foreign students from India (n = 289) and Middle Eastern countries mostly from Egypt, Iran, Syria, and Jordan (n = 260) studying medicine in Russia and Belarus. Data collected from Russian and Belarusian origin medical students (n = 796) were used for comparison purposes. Pearson’s chi-squared and t-test were used to analyze the data. Results: Foreign students’ country of origin and gender statuses do not tend to be correlated with medical student responses toward medical cannabis use. Students from Russia and Belarus who identified as secular, compared to those who were religious, reported more positive attitudes toward medical cannabis and policy change. Conclusions: This study is the first to examine the attitudes, knowledge, and beliefs toward medical cannabis among foreign students from India and Middle Eastern countries studying in Russia and Belarus, two countries who oppose its recreational and medicine use. Indian and Middle Eastern students, as a group, tend to be more supportive of MC than their Russian and Belarusian counterparts. These results may be linked to cultural and historical reasons. This study provides useful information for possible medical and allied health curriculum and education purposes.

scholarly journals First Prospective Cross-Sectional Study on the Impact of Immigration Background and Education in Early Detection of Breast Cancer

Breast Care ◽  
2020 ◽  
pp. 1-7
Author(s):  
Elna Kuehnle ◽  
Wulf Siggelkow ◽  
Kristina Luebbe ◽  
Iris Schrader ◽  
Karl-Heinz Noeding ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
First Generation ◽  
Participation Rate ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
First Generation Immigrants ◽  
Cancer Early Detection

<b><i>Background:</i></b> Although immigrant health is an important issue in national health policy, there is a serious shortage of data in many countries. Most studies lack information on educational status, which is a major limitation. This prospective cross-sectional study analyzed a real-world breast cancer population on the influence of immigration background and educational status on participation in breast cancer early detection programs in the federal state of Lower Saxony, Germany. <b><i>Methods:</i></b> Data collection was conducted from 2012 to 2016 in six certified breast cancer centers using a standardized questionnaire for patients’ interview and tumor-specific data from the patients’ medical records. <b><i>Results:</i></b> 2,145/3,047 primary breast cancer cases were analyzed. 17.5% of our patients had a history of immigration, including <i>n</i> = 202 first-generation immigrants and <i>n</i> = 168 second-generation immigrants. Most of them were citizens of EU27 member states. No significant difference was seen in age, tumor stage, histology, grading, Ki-67, Her2/neu-status, and hormone receptor status compared to the native cohort. 100% participation rate in the breast cancer early detection programs were seen in patients with no school graduation. With regards to the national mammography screening program, participation decreased significantly with educational status (<i>p</i> = 0.0003). <b><i>Conclusions:</i></b> No tumor biological differences were seen between immigrants and German natives. In first-generation immigrants, early detection programs were well accepted despite sociocultural and language differences. Participation rate decreased significantly with higher education levels irrespective of country of origin. Immigration background does not have a negative effect on the participation in breast cancer screening. This mainly relates to immigrants from EU27 member states.

scholarly journals Attitudes of pharmacy students towards patient safety: a cross-sectional study from six developing countries

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e039459
Author(s):  
Abdallah Y Naser ◽  
Zahra Khalil Alsairafi ◽  
Ahmed Awaisu ◽  
Hassan Alwafi ◽  
Oriana Awwad ◽  
...  
Keyword(s):  
Developing Countries ◽  
Saudi Arabia ◽  
Patient Safety ◽  
Quality Improvement ◽  
Core Competencies ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Pharmacy Students ◽  
Sectional Study ◽  
Cross Sectional

ObjectiveTo evaluate the attitudes of undergraduate pharmacy students towards patient safety in six developing countries.DesignA cross-sectional study.SettingParticipants were enrolled from the participating universities in six countries.ParticipantsUndergraduate pharmacy students from the participating universities in six developing countries (Jordan, Saudi Arabia, Kuwait, Qatar, India and Indonesia) were invited to participate in the study between October 2018 and September 2019.Primary outcomeAttitudes towards patient safety was measured using 14-item questionnaire that contained five subscales: being quality-improvement focused, internalising errors regardless of harm, value of contextual learning, acceptability of questioning more senior healthcare professionals’ behaviour and attitude towards open disclosure. Multiple-linear regression analysis was used to identify predictors of positive attitudes towards patient safety.ResultsA total of 2595 students participated in this study (1044 from Jordan, 514 from Saudi Arabia, 134 from Kuwait, 61 from Qatar, 416 from India and 429 from Indonesia). Overall, the pharmacy students reported a positive attitude towards patient safety with a mean score of 37.4 (SD=7.0) out of 56 (66.8%). The ‘being quality-improvement focused’ subscale had the highest score, 75.6%. The subscale with the lowest score was ‘internalising errors regardless of harm’, 49.2%. Female students had significantly better attitudes towards patient safety scores compared with male students (p=0.001). Being at a higher level of study and involvement in or witnessing harm to patients while practising were important predictors of negative attitudes towards patient safety (p<0.001).ConclusionPatient safety content should be covered comprehensively in pharmacy curricula and reinforced in each year of study. This should be more focused on students in their final year of study and who have started their training. This will ensure that the next generation of pharmacists are equipped with the requisite knowledge, core competencies and attitudes to ensure optimal patient safety when they practice.

scholarly journals Fatigue among children with a chronic disease: a cross-sectional study

2021 ◽  
Vol 5 (1) ◽  
pp. e000958
Author(s):  
Merel M Nap-van der Vlist ◽  
Geertje W Dalmeijer ◽  
Martha A Grootenhuis ◽  
Kors van der Ent ◽  
Marry M van den Heuvel-Eibrink ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Social Factors ◽  
Participation Rate ◽  
Cross Sectional Study ◽  
Assessment Tools ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multivariable Regression Model ◽  
Multivariable Regression ◽  
Multidimensional Fatigue Scale

ObjectiveTo determine: (1) which biological/lifestyle, psychological and/or social factors are associated with fatigue among children with a chronic disease and (2) how much each of these factors contributes to explaining variance in fatigue.Design and settingThis was a cross-sectional study across two children’s hospitals.PatientsWe included children aged 8–18 years who visited the outpatient clinic with cystic fibrosis, an autoimmune disease or postcancer treatment.Main outcome measuresFatigue was assessed using the PedsQL Multidimensional Fatigue Scale. Generic biological/lifestyle, psychological and social factors were assessed using clinical assessment tools and questionnaires. Multiple linear regression analyses were used to test the associations between these factors and fatigue. Finally, a multivariable regression model was used to determine which factor(s) have the strongest effect on fatigue.ResultsA total of 434 out of 902 children were included (48% participation rate), with a median age of 14.5 years; 42% were male. Among these 434 children, 21.8% were severely fatigued. Together, all biopsychosocial factors explained 74.6% of the variance in fatigue. More fatigue was uniquely associated with poorer physical functioning, more depressive symptoms, more pressure at school, poorer social functioning and older age.ConclusionsFatigue among children with a chronic disease is multidimensional. Multiple generic biological/lifestyle, psychological and social factors were strongly associated with fatigue, explaining 58.4%; 65.8% and 50.0% of the variance in fatigue, respectively. Altogether, almost three-quarters of the variance in fatigue was explained by this biopsychosocial model. Thus, when assessing and treating fatigue, a transdiagnostic approach is preferred, taking into account biological, psychological and social factors.

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