Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study

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aut.relation.endpage235
aut.relation.issue4en_NZ
aut.relation.journalACR Open Rheumatologyen_NZ
aut.relation.startpage219
aut.relation.volume1en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorBriggs, AMen_NZ
dc.contributor.authorHinman, RSen_NZ
dc.contributor.authorDarlow, Ben_NZ
dc.contributor.authorBennell, KLen_NZ
dc.contributor.authorLeech, Men_NZ
dc.contributor.authorPizzari, Ten_NZ
dc.contributor.authorGreig, AMen_NZ
dc.contributor.authorMacKay, Cen_NZ
dc.contributor.authorBendrups, Aen_NZ
dc.contributor.authorLarmer, PJen_NZ
dc.contributor.authorFrancis-Cracknell, Aen_NZ
dc.contributor.authorHoulding, Een_NZ
dc.contributor.authorDesmond, LAen_NZ
dc.contributor.authorJordan, JEen_NZ
dc.contributor.authorMinaee, Nen_NZ
dc.contributor.authorSlater, Hen_NZ
dc.date.accessioned2021-02-15T23:41:26Z
dc.date.available2021-02-15T23:41:26Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractObjective: 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 for this discipline.en_NZ
dc.identifier.citationACR Open Rheumatology, Vol. 1, No. 4, June 2019, pp 219–235 DOI 10.1002/acr2.1032
dc.identifier.doi10.1002/acr2.1032en_NZ
dc.identifier.issn2578-5745en_NZ
dc.identifier.issn2578-5745en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13995
dc.languageengen_NZ
dc.publisherWiley-Blackwellen_NZ
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1002/acr2.1032
dc.rights© 2019 The Authors. ACR Open Rheumatology published by Wiley Periodicals Inc on behalf of American College of Rheumatology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
dc.rights.accessrightsOpenAccessen_NZ
dc.titleConfidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Studyen_NZ
dc.typeJournal Article
pubs.elements-id366430
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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