Skip Navigation LinksHome > December 1995 - Volume 11 - Issue 4 > Health Care Providers' Attitudes and Beliefs About Functinal...
Clinical Journal of Pain:
Editorial: PDF Only

Health Care Providers' Attitudes and Beliefs About Functinal Impairments And Chronic Back Pain.

Rainville, James M.D.; Bagnall, David M.D.; Phalen, Linda R.N.

Collapse Box


Objective: This study validated a measure entitled the Health Care Providers' Pain and Impairment Relatinship Scale (HC- PAIRS) for assessing the attitudes and beliefs of health care providers about functional expectation for chronic low back pain patients. HC-PAIRS was developed by modifying the Pain and Impairment Relationship Scale (PAIRS) used to assess the attitudes and beliefs of chronic pain patients.

Design: This study surveyed 150 community health care providers and 66 functional retoraton providers using HC- PAIRS. HC-PAIRS consists of 15 items attributing back pain patients ' impairment and disability to pain, followed by a seven-point Likert scale anchored withdegrees of agreement and disagreement. Reliability of HC-PAIRS was determined wsing Cronback's alpha. Factor analysis was performed to explore the dimensions of attitudes and beliefs. Validity was detrmined by HC-PAIRS accurately measuring the pain attitdes and beliefs of fuctional restoration providers, who have a stated philophy concerning this notion.

Results: For the 150 community health care providers, HC-PAIRS revealed a Cronbach's alpha of 0.78. Factor analysis showed foru dimensions of attitudes and beliefs measures by HC- PAIRS, which were entitles " functional expectations," "social expectations," " jeed for cure," and "projected cognition."

Community providers showed a meanscore of 52 (S.D=10). Most respondents were neutral or disagreed somewhat with the notionthat chronic back pain should limit fuctionla performance, but a wide range of responses were noted (range 33-), indicating that diverse pain attitudes and beliefs are held.

The 66 fuctional restoration providers had a mean HC-PAIRS score of 38 (S.D.= 7), and a range of scores form 26- 52 was found. As expected, these score corresponded to disagreement with the notion that chronic low back pain justifies impairments and disability. HC-PAIRS may be useful to health care providers intereted inexamining this notion.

(C) Lippincott-Raven Publishers.

Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.