Assessing future health care practitioners' knowledge and attitudes of musculoskeletal pain; development and measurement properties of a new questionnaire

Anneke J Beetsma; Roland R Reezigt; Davy Paap; Michiel F Reneman

doi:10.1016/j.msksp.2020.102236

Assessing future health care practitioners' knowledge and attitudes of musculoskeletal pain; development and measurement properties of a new questionnaire

Anneke J Beetsma, Roland R Reezigt, Davy Paap, Michiel F Reneman

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

BACKGROUND: Healthcare practitioner beliefs influence patients' beliefs and health outcomes in musculoskeletal (MSK) pain. A validated questionnaire based on modern pain neuroscience assessing Knowledge and Attitudes of Pain (KNAP) was unavailable.

OBJECTIVES: The aim of this study was to develop and test measurement properties of KNAP.

DESIGN: Phase 1; Development of KNAP reflecting modern pain neuroscience and expert opinion. Phase 2; a cross-sectional and longitudinal study among Dutch physiotherapy students.

METHOD: In the cross-sectional study (n = 424), internal consistency, structural validity, hypotheses testing, and Rasch analysis were examined. Longitudinal designs were applied to analyse test-retest reliability (n = 156), responsiveness, and interpretability (n = 76).

RESULTS: A 30-item KNAP was developed in 4 stages. Test-retest reliability: ICC (2,1) 0.80. Internal consistency: Cronbach's α 0.80. Smallest Detectable Difference 90%: 4.99 (4.31; 5.75). Structural validity: exploratory factor analysis showed 2 factors. Hypotheses testing: associations with the Pain Attitudes and Beliefs Scale for Physiotherapists biopsychosocial subscale r = 0.60, with biomedical subscale r = -0.58, with the Neurophysiology of Pain Questionnaire r = 0.52. Responsiveness: 93% improved on KNAP after studying pain education. Minimal Important Change: 4.84 (95%CI: 2.77; 6.91).

CONCLUSIONS: The KNAP has adequate measurement properties. This new questionnaire could be useful to evaluate physiotherapy students' knowledge and attitudes of modern pain neuroscience that could help to create awareness and evaluate physiotherapy education programs, and ultimately provide better pain management.

Original language	English
Article number	102236
Pages (from-to)	102236
Journal	Musculoskeletal science & practice
Volume	50
DOIs	https://doi.org/10.1016/j.msksp.2020.102236
Publication status	Published - 8 Aug 2020

Bibliographical note

Funding

We thank students, educators, and program directors of the physical therapist education program of the Hanze University of applied sciences, Groningen, the Netherlands, for their help in data collection. We thank the Retrain Pain Foundation for using the content of the online course “Understanding Pain”.

Funders	Funder number
Retrain Pain Foundation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.msksp.2020.102236

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title = "Assessing future health care practitioners' knowledge and attitudes of musculoskeletal pain; development and measurement properties of a new questionnaire",

abstract = "BACKGROUND: Healthcare practitioner beliefs influence patients' beliefs and health outcomes in musculoskeletal (MSK) pain. A validated questionnaire based on modern pain neuroscience assessing Knowledge and Attitudes of Pain (KNAP) was unavailable.OBJECTIVES: The aim of this study was to develop and test measurement properties of KNAP.DESIGN: Phase 1; Development of KNAP reflecting modern pain neuroscience and expert opinion. Phase 2; a cross-sectional and longitudinal study among Dutch physiotherapy students.METHOD: In the cross-sectional study (n = 424), internal consistency, structural validity, hypotheses testing, and Rasch analysis were examined. Longitudinal designs were applied to analyse test-retest reliability (n = 156), responsiveness, and interpretability (n = 76).RESULTS: A 30-item KNAP was developed in 4 stages. Test-retest reliability: ICC (2,1) 0.80. Internal consistency: Cronbach's α 0.80. Smallest Detectable Difference 90%: 4.99 (4.31; 5.75). Structural validity: exploratory factor analysis showed 2 factors. Hypotheses testing: associations with the Pain Attitudes and Beliefs Scale for Physiotherapists biopsychosocial subscale r = 0.60, with biomedical subscale r = -0.58, with the Neurophysiology of Pain Questionnaire r = 0.52. Responsiveness: 93% improved on KNAP after studying pain education. Minimal Important Change: 4.84 (95%CI: 2.77; 6.91).CONCLUSIONS: The KNAP has adequate measurement properties. This new questionnaire could be useful to evaluate physiotherapy students' knowledge and attitudes of modern pain neuroscience that could help to create awareness and evaluate physiotherapy education programs, and ultimately provide better pain management.",

author = "Beetsma, {Anneke J} and Reezigt, {Roland R} and Davy Paap and Reneman, {Michiel F}",

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Assessing future health care practitioners' knowledge and attitudes of musculoskeletal pain; development and measurement properties of a new questionnaire. / Beetsma, Anneke J; Reezigt, Roland R; Paap, Davy et al.
In: Musculoskeletal science & practice, Vol. 50, 102236, 08.08.2020, p. 102236.

Research output: Contribution to Journal › Article › Academic › peer-review

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T1 - Assessing future health care practitioners' knowledge and attitudes of musculoskeletal pain; development and measurement properties of a new questionnaire

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JO - Musculoskeletal science & practice

JF - Musculoskeletal science & practice

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Assessing future health care practitioners' knowledge and attitudes of musculoskeletal pain; development and measurement properties of a new questionnaire

Abstract

Bibliographical note

Funding

UN SDGs

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