PHYSIOTHERAPISTS’ KNOWLEDGE, ATTITUDE AND BELIEFS OF BIOPSYCHOSOCIAL INTERVENTIONS IN NON-SPECIFIC CHRONIC LOW BACK PAIN - A CROSS-SECTIONAL SURVEY OF SOUTH-SOUTH NIGERIA
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Abstract
Background: While the biopsychosocial (BPS) model is the recommended framework for the management of Non-specific chronic low back pain (NSCLBP), there is a paucity of study on the knowledge, attitude and beliefs of BPS model among physiotherapists in Nigeria. Aim: This study investigated the knowledge, attitudes, and beliefs of physiotherapists in South- South Nigeria regarding BPS interventions for NSCLBP and to determine the influence of sociodemographic factors on these variables. Methods: A cross-sectional survey design was employed, involving 80 licensed physiotherapists (46 male, 34 female). Data were collected via an online questionnaire comprising a self- developed knowledge assessment tool on BPS and the validated Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT). Descriptive statistics were used to summarize the data, and Chi- square tests were used to analyze associations between variables at p < 0.05. Results: The findings revealed that all respondents (100%) agreed that psychological support, participation in return to work and social interaction are core components of BPS interventions. Respondents also demonstrated predominantly positive attitudes and beliefs aligned with the BPS model, acknowledging the influence of mental stress (85%) and coping with stress (91.3%). Gender was significantly associated with knowledge of patient self-management (p=0.030), educational level with beliefs about exercise for severe pain (p=0.016), and years of experience with knowledge of treatment standardization (p=0.033). Conclusion: Physiotherapists in South-South Nigeria show a strong theoretical understanding and positive orientation towards the BPS model for managing NSCLBP. However, the influence of demographic factors on specific aspects of their knowledge and beliefs suggests a need for targeted continuing education. These findings can inform curriculum development and professional training to enhance the practical application of holistic, evidence-based LBP care across the region. Keywords: Biopsychosocial Interventions, Non-Specific Chronic Low Back Pain, Knowledge, Attitudes and Beliefs.
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