Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study
Objective. To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (OA) care. Methods. Study design is a multinational (Australia, New Zealand, Canada) cross-sectional survey of clinicians (general practitioners [GPs], GP registrars, prim...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
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2019
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| Online Access: | http://purl.org/au-research/grants/nhmrc/1079078 http://hdl.handle.net/20.500.11937/93335 |
| _version_ | 1848765723748335616 |
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| author | Briggs, Andrew Hinman, R.S. Darlow, B. Bennell, K.L. Leech, M. Pizzari, T. Greig, A.M. Mackay, C. Bendrups, A. Larmer, P.J. Francis-Cracknell, A. Houlding, E. Desmond, L.A. Jordan, J.E. Minaee, N. Slater, Helen |
| author_facet | Briggs, Andrew Hinman, R.S. Darlow, B. Bennell, K.L. Leech, M. Pizzari, T. Greig, A.M. Mackay, C. Bendrups, A. Larmer, P.J. Francis-Cracknell, A. Houlding, E. Desmond, L.A. Jordan, J.E. Minaee, N. Slater, Helen |
| author_sort | Briggs, Andrew |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective. To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (OA) care. Methods. Study design is a multinational (Australia, New Zealand, Canada) cross-sectional survey of clinicians (general practitioners [GPs], GP registrars, primary care nurses, and physiotherapists) and final-year medical and physiotherapy students. GPs and GP registrars were only sampled in Australia/New Zealand and Australia, respectively. The study outcomes are as follows: Confidence in OA knowledge and skills (customized instrument), biomedical attitudes to care (Pain Attitudes Beliefs Scale [PABS]), attitudes toward high- and low-value care (customized items), attitudes toward exercise/physical activity (free-text responses). Results. A total of 1886 clinicians and 1161 students responded. Although a number of interprofessional differences were identified, confidence in OA knowledge and skills was consistently greatest among physiotherapists and lowest among nurses (eg, the mean difference [95% confidence interval (CI)] for physiotherapist-nurse analyses were 9.3 [7.7-10.9] for knowledge [scale: 11-55] and 14.6 [12.3-17.0] for skills [scale: 16-80]). Similarly, biomedical attitudes were stronger in nurses compared with physiotherapists (6.9 [5.3-8.4]; scale 10-60) and in medical students compared with physiotherapy students (2.0 [1.3-2.7]). Some clinicians and students agreed that people with OA will ultimately require total joint replacement (7%-19% and 19%-22%, respectively), that arthroscopy is an appropriate intervention for knee OA (18%-36% and 35%-44%), and that magnetic resonance imaging is informative for diagnosis and clinical management of hip/knee OA (8%-61% and 21%-52%). Most agreed (90%-98% and 92%-97%) that exercise is indicated and strongly supported by qualitative data. Conclusion. Workforce capacity building that de-emphasizes biomedical management and promotes high-value first-line care options is needed. Knowledge and skills among physiotherapists support leadership roles in OA care |
| first_indexed | 2025-11-14T11:39:47Z |
| format | Journal Article |
| id | curtin-20.500.11937-93335 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:39:47Z |
| publishDate | 2019 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-933352023-10-11T07:18:09Z Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study Briggs, Andrew Hinman, R.S. Darlow, B. Bennell, K.L. Leech, M. Pizzari, T. Greig, A.M. Mackay, C. Bendrups, A. Larmer, P.J. Francis-Cracknell, A. Houlding, E. Desmond, L.A. Jordan, J.E. Minaee, N. Slater, Helen Objective. To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (OA) care. Methods. Study design is a multinational (Australia, New Zealand, Canada) cross-sectional survey of clinicians (general practitioners [GPs], GP registrars, primary care nurses, and physiotherapists) and final-year medical and physiotherapy students. GPs and GP registrars were only sampled in Australia/New Zealand and Australia, respectively. The study outcomes are as follows: Confidence in OA knowledge and skills (customized instrument), biomedical attitudes to care (Pain Attitudes Beliefs Scale [PABS]), attitudes toward high- and low-value care (customized items), attitudes toward exercise/physical activity (free-text responses). Results. A total of 1886 clinicians and 1161 students responded. Although a number of interprofessional differences were identified, confidence in OA knowledge and skills was consistently greatest among physiotherapists and lowest among nurses (eg, the mean difference [95% confidence interval (CI)] for physiotherapist-nurse analyses were 9.3 [7.7-10.9] for knowledge [scale: 11-55] and 14.6 [12.3-17.0] for skills [scale: 16-80]). Similarly, biomedical attitudes were stronger in nurses compared with physiotherapists (6.9 [5.3-8.4]; scale 10-60) and in medical students compared with physiotherapy students (2.0 [1.3-2.7]). Some clinicians and students agreed that people with OA will ultimately require total joint replacement (7%-19% and 19%-22%, respectively), that arthroscopy is an appropriate intervention for knee OA (18%-36% and 35%-44%), and that magnetic resonance imaging is informative for diagnosis and clinical management of hip/knee OA (8%-61% and 21%-52%). Most agreed (90%-98% and 92%-97%) that exercise is indicated and strongly supported by qualitative data. Conclusion. Workforce capacity building that de-emphasizes biomedical management and promotes high-value first-line care options is needed. Knowledge and skills among physiotherapists support leadership roles in OA care 2019 Journal Article http://hdl.handle.net/20.500.11937/93335 10.1002/acr2.1032 eng http://purl.org/au-research/grants/nhmrc/1079078 http://purl.org/au-research/grants/nhmrc/1132548 http://purl.org/au-research/grants/nhmrc/1154217 http://purl.org/au-research/grants/nhmrc/1058440 http://creativecommons.org/licenses/by-nc-nd/4.0/ fulltext |
| spellingShingle | Briggs, Andrew Hinman, R.S. Darlow, B. Bennell, K.L. Leech, M. Pizzari, T. Greig, A.M. Mackay, C. Bendrups, A. Larmer, P.J. Francis-Cracknell, A. Houlding, E. Desmond, L.A. Jordan, J.E. Minaee, N. Slater, Helen Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| title | Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| title_full | Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| title_fullStr | Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| title_full_unstemmed | Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| title_short | Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| title_sort | confidence and attitudes toward osteoarthritis care among the current and emerging health workforce: a multinational interprofessional study |
| url | http://purl.org/au-research/grants/nhmrc/1079078 http://purl.org/au-research/grants/nhmrc/1079078 http://purl.org/au-research/grants/nhmrc/1079078 http://purl.org/au-research/grants/nhmrc/1079078 http://hdl.handle.net/20.500.11937/93335 |