Do medical student attitudes towards patients with chronic low back pain improve during training? a cross-sectional study

BMC Medical Education

Max Field³  Douglas Lauchlan²  Cormac Ryan¹  Hayley Morris³ 

[1] School of Health and Social Care, Teesside University, Middlesbrough, UK;School of Health and Social Care, Glasgow Caledonian University, Glasgow, UK;College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK

关键词: Evidence based medicine;    Attitudes;    HC-PAIRS;    Back pain;   

Others  :  1153804
DOI  :  10.1186/1472-6920-12-10

 received in 2011-10-25, accepted in 2012-03-19,  发布年份 2012

【 摘 要 】

Background

Health care professionals with positive attitudes towards the functional abilities of patients with low back pain are more likely to encourage activity and avoidance of rest as per recommended guidelines. This study investigated whether medical student training fosters positive attitudes towards patients with back pain and their ability to function.

Methods

First (n = 202) and final (n = 146) year medical students at the University of Glasgow completed the Health Care Professionals' Pain and Impairment Relationship Scale (HC-PAIRS) questionnaire. This measures attitudes of clinicians towards the functional ability of patients with back pain. A group of first (n = 62) and final year (n = 61) business students acted as non-health care controls. Attitudes were compared using two-way ANOVA with year of study and discipline of degree as independent variables.

Results

Both year of study [F(1,465) = 39.5, p < 0.01] and discipline of degree [F(1,465) = 43.6, p < 0.01] had significant effects on total HC-PAIRS scores and there was a significant interaction effect [F(1,465) = 9.5, p < 0.01]. Medical students commenced their course with more positive attitudes than non-health care students (65.7 vs. 69.2 respectively; p < 0.01) - lower scores translating into more positive attitudes. In their final year, the difference between the two student groups had widened (56.4 vs. 65.3; p < 0.01).

Conclusions

Undergraduate medical training promotes positive attitudes towards the functional ability of patients with back pain, suggesting that students may be more likely to develop an evidence-based approach to this patient group after qualification. Some adjustments to training may be warranted to encourage a more positive shift in attitudes.

【 授权许可】

   
2012 Morris et al; licensee BioMed Central Ltd.

【 图 表 】

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Figure 2.

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