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Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study
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| Zeitschriftentitel: | ACR Open Rheumatology |
|---|---|
| Personen und Körperschaften: | , , , , , , , , , , , , , , , |
| In: | ACR Open Rheumatology, 1, 2019, 4, S. 219-235 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Briggs, Andrew M. Hinman, Rana S. Darlow, Ben Bennell, Kim L. Leech, Michelle Pizzari, Tania Greig, Alison M. MacKay, Crystal Bendrups, Andrea Larmer, Peter J. Francis‐Cracknell, Alison Houlding, Elizabeth Desmond, Lucy A. Jordan, Joanne E. Minaee, Novia Slater, Helen Briggs, Andrew M. Hinman, Rana S. Darlow, Ben Bennell, Kim L. Leech, Michelle Pizzari, Tania Greig, Alison M. MacKay, Crystal Bendrups, Andrea Larmer, Peter J. Francis‐Cracknell, Alison Houlding, Elizabeth Desmond, Lucy A. Jordan, Joanne E. Minaee, Novia Slater, Helen |
|---|---|
| author |
Briggs, Andrew M. Hinman, Rana S. Darlow, Ben Bennell, Kim L. Leech, Michelle Pizzari, Tania Greig, Alison M. MacKay, Crystal Bendrups, Andrea Larmer, Peter J. Francis‐Cracknell, Alison Houlding, Elizabeth Desmond, Lucy A. Jordan, Joanne E. Minaee, Novia Slater, Helen |
| spellingShingle |
Briggs, Andrew M. Hinman, Rana S. Darlow, Ben Bennell, Kim L. Leech, Michelle Pizzari, Tania Greig, Alison M. MacKay, Crystal Bendrups, Andrea Larmer, Peter J. Francis‐Cracknell, Alison Houlding, Elizabeth Desmond, Lucy A. Jordan, Joanne E. Minaee, Novia Slater, Helen ACR Open Rheumatology Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study Rheumatology |
| author_sort |
briggs, andrew m. |
| spelling |
Briggs, Andrew M. Hinman, Rana S. Darlow, Ben Bennell, Kim L. Leech, Michelle Pizzari, Tania Greig, Alison M. MacKay, Crystal Bendrups, Andrea Larmer, Peter J. Francis‐Cracknell, Alison Houlding, Elizabeth Desmond, Lucy A. Jordan, Joanne E. Minaee, Novia Slater, Helen 2578-5745 2578-5745 Wiley Rheumatology http://dx.doi.org/10.1002/acr2.1032 <jats:sec><jats:title>Objective</jats:title><jats:p>To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (<jats:styled-content style="fixed-case">OA</jats:styled-content>) care.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Study design is a multinational (Australia, New Zealand, Canada) cross‐sectional survey of clinicians (general practitioners [<jats:styled-content style="fixed-case">GP</jats:styled-content>s], <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars, primary care nurses, and physiotherapists) and final‐year medical and physiotherapy students. <jats:styled-content style="fixed-case">GP</jats:styled-content>s and <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars were only sampled in Australia/New Zealand and Australia, respectively. The study outcomes are as follows: confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills (customized instrument), biomedical attitudes to care (Pain Attitudes Beliefs Scale [<jats:styled-content style="fixed-case">PABS</jats:styled-content>]), attitudes toward high‐ and low‐value care (customized items), attitudes toward exercise/physical activity (free‐text responses).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 1886 clinicians and 1161 students responded. Although a number of interprofessional differences were identified, confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills was consistently greatest among physiotherapists and lowest among nurses (eg, the mean difference [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>)] 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 <jats:styled-content style="fixed-case">OA</jats:styled-content> will ultimately require total joint replacement (7%‐19% and 19%‐22%, respectively), that arthroscopy is an appropriate intervention for knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (18%‐36% and 35%‐44%), and that magnetic resonance imaging is informative for diagnosis and clinical management of hip/knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (8%‐61% and 21%‐52%). Most agreed (90%‐98% and 92%‐97%) that exercise is indicated and strongly supported by qualitative data.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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 <jats:styled-content style="fixed-case">OA</jats:styled-content> care for this discipline.</jats:p></jats:sec> Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study ACR Open Rheumatology |
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Wiley, 2019 |
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Wiley, 2019 |
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2578-5745 |
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2578-5745 |
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briggs2019confidenceandattitudestowardosteoarthritiscareamongthecurrentandemerginghealthworkforceamultinationalinterprofessionalstudy |
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2019 |
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Wiley |
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ai |
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ai |
| series |
ACR Open Rheumatology |
| source_id |
49 |
| title |
Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| title_unstemmed |
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 |
| topic |
Rheumatology |
| url |
http://dx.doi.org/10.1002/acr2.1032 |
| publishDate |
2019 |
| physical |
219-235 |
| description |
<jats:sec><jats:title>Objective</jats:title><jats:p>To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (<jats:styled-content style="fixed-case">OA</jats:styled-content>) care.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Study design is a multinational (Australia, New Zealand, Canada) cross‐sectional survey of clinicians (general practitioners [<jats:styled-content style="fixed-case">GP</jats:styled-content>s], <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars, primary care nurses, and physiotherapists) and final‐year medical and physiotherapy students. <jats:styled-content style="fixed-case">GP</jats:styled-content>s and <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars were only sampled in Australia/New Zealand and Australia, respectively. The study outcomes are as follows: confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills (customized instrument), biomedical attitudes to care (Pain Attitudes Beliefs Scale [<jats:styled-content style="fixed-case">PABS</jats:styled-content>]), attitudes toward high‐ and low‐value care (customized items), attitudes toward exercise/physical activity (free‐text responses).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 1886 clinicians and 1161 students responded. Although a number of interprofessional differences were identified, confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills was consistently greatest among physiotherapists and lowest among nurses (eg, the mean difference [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>)] 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 <jats:styled-content style="fixed-case">OA</jats:styled-content> will ultimately require total joint replacement (7%‐19% and 19%‐22%, respectively), that arthroscopy is an appropriate intervention for knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (18%‐36% and 35%‐44%), and that magnetic resonance imaging is informative for diagnosis and clinical management of hip/knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (8%‐61% and 21%‐52%). Most agreed (90%‐98% and 92%‐97%) that exercise is indicated and strongly supported by qualitative data.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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 <jats:styled-content style="fixed-case">OA</jats:styled-content> care for this discipline.</jats:p></jats:sec> |
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| author | Briggs, Andrew M., Hinman, Rana S., Darlow, Ben, Bennell, Kim L., Leech, Michelle, Pizzari, Tania, Greig, Alison M., MacKay, Crystal, Bendrups, Andrea, Larmer, Peter J., Francis‐Cracknell, Alison, Houlding, Elizabeth, Desmond, Lucy A., Jordan, Joanne E., Minaee, Novia, Slater, Helen |
| author_facet | Briggs, Andrew M., Hinman, Rana S., Darlow, Ben, Bennell, Kim L., Leech, Michelle, Pizzari, Tania, Greig, Alison M., MacKay, Crystal, Bendrups, Andrea, Larmer, Peter J., Francis‐Cracknell, Alison, Houlding, Elizabeth, Desmond, Lucy A., Jordan, Joanne E., Minaee, Novia, Slater, Helen, Briggs, Andrew M., Hinman, Rana S., Darlow, Ben, Bennell, Kim L., Leech, Michelle, Pizzari, Tania, Greig, Alison M., MacKay, Crystal, Bendrups, Andrea, Larmer, Peter J., Francis‐Cracknell, Alison, Houlding, Elizabeth, Desmond, Lucy A., Jordan, Joanne E., Minaee, Novia, Slater, Helen |
| author_sort | briggs, andrew m. |
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| description | <jats:sec><jats:title>Objective</jats:title><jats:p>To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (<jats:styled-content style="fixed-case">OA</jats:styled-content>) care.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Study design is a multinational (Australia, New Zealand, Canada) cross‐sectional survey of clinicians (general practitioners [<jats:styled-content style="fixed-case">GP</jats:styled-content>s], <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars, primary care nurses, and physiotherapists) and final‐year medical and physiotherapy students. <jats:styled-content style="fixed-case">GP</jats:styled-content>s and <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars were only sampled in Australia/New Zealand and Australia, respectively. The study outcomes are as follows: confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills (customized instrument), biomedical attitudes to care (Pain Attitudes Beliefs Scale [<jats:styled-content style="fixed-case">PABS</jats:styled-content>]), attitudes toward high‐ and low‐value care (customized items), attitudes toward exercise/physical activity (free‐text responses).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 1886 clinicians and 1161 students responded. Although a number of interprofessional differences were identified, confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills was consistently greatest among physiotherapists and lowest among nurses (eg, the mean difference [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>)] 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 <jats:styled-content style="fixed-case">OA</jats:styled-content> will ultimately require total joint replacement (7%‐19% and 19%‐22%, respectively), that arthroscopy is an appropriate intervention for knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (18%‐36% and 35%‐44%), and that magnetic resonance imaging is informative for diagnosis and clinical management of hip/knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (8%‐61% and 21%‐52%). Most agreed (90%‐98% and 92%‐97%) that exercise is indicated and strongly supported by qualitative data.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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 <jats:styled-content style="fixed-case">OA</jats:styled-content> care for this discipline.</jats:p></jats:sec> |
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| spelling | Briggs, Andrew M. Hinman, Rana S. Darlow, Ben Bennell, Kim L. Leech, Michelle Pizzari, Tania Greig, Alison M. MacKay, Crystal Bendrups, Andrea Larmer, Peter J. Francis‐Cracknell, Alison Houlding, Elizabeth Desmond, Lucy A. Jordan, Joanne E. Minaee, Novia Slater, Helen 2578-5745 2578-5745 Wiley Rheumatology http://dx.doi.org/10.1002/acr2.1032 <jats:sec><jats:title>Objective</jats:title><jats:p>To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (<jats:styled-content style="fixed-case">OA</jats:styled-content>) care.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Study design is a multinational (Australia, New Zealand, Canada) cross‐sectional survey of clinicians (general practitioners [<jats:styled-content style="fixed-case">GP</jats:styled-content>s], <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars, primary care nurses, and physiotherapists) and final‐year medical and physiotherapy students. <jats:styled-content style="fixed-case">GP</jats:styled-content>s and <jats:styled-content style="fixed-case">GP</jats:styled-content> registrars were only sampled in Australia/New Zealand and Australia, respectively. The study outcomes are as follows: confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills (customized instrument), biomedical attitudes to care (Pain Attitudes Beliefs Scale [<jats:styled-content style="fixed-case">PABS</jats:styled-content>]), attitudes toward high‐ and low‐value care (customized items), attitudes toward exercise/physical activity (free‐text responses).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 1886 clinicians and 1161 students responded. Although a number of interprofessional differences were identified, confidence in <jats:styled-content style="fixed-case">OA</jats:styled-content> knowledge and skills was consistently greatest among physiotherapists and lowest among nurses (eg, the mean difference [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>)] 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 <jats:styled-content style="fixed-case">OA</jats:styled-content> will ultimately require total joint replacement (7%‐19% and 19%‐22%, respectively), that arthroscopy is an appropriate intervention for knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (18%‐36% and 35%‐44%), and that magnetic resonance imaging is informative for diagnosis and clinical management of hip/knee <jats:styled-content style="fixed-case">OA</jats:styled-content> (8%‐61% and 21%‐52%). Most agreed (90%‐98% and 92%‐97%) that exercise is indicated and strongly supported by qualitative data.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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 <jats:styled-content style="fixed-case">OA</jats:styled-content> care for this discipline.</jats:p></jats:sec> Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study ACR Open Rheumatology |
| spellingShingle | Briggs, Andrew M., Hinman, Rana S., Darlow, Ben, Bennell, Kim L., Leech, Michelle, Pizzari, Tania, Greig, Alison M., MacKay, Crystal, Bendrups, Andrea, Larmer, Peter J., Francis‐Cracknell, Alison, Houlding, Elizabeth, Desmond, Lucy A., Jordan, Joanne E., Minaee, Novia, Slater, Helen, ACR Open Rheumatology, Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study, Rheumatology |
| 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 |
| title_unstemmed | Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study |
| topic | Rheumatology |
| url | http://dx.doi.org/10.1002/acr2.1032 |