Abstract Background Healthcare providers' attitudes and beliefs might influence patients’ attitudes and beliefs as well as their management approach. It was hypothesised that osteopaths have a more biopsychosocial mindset towards chronic low back pain (CLBP) because of their holistic reasoning. Objective The primary aim of the study was to assess the beliefs of osteopaths registered in Spain about CLBP and the presence of kinesiophobic and fear-avoidance beliefs. The secondary aim was to compare these results with previous research and cut-off values. Method Members of the Spanish Federation of Osteopaths (FOE) were invited to participate in an online cross-sectional survey based on three questionnaires: the Health Care providers Pain and Impairment Relationship Scale (HC-PAIRS), the Tampa Scale of Kinesiophobia 11-item version for healthcare providers (TSK(11)-HC) and the Fear Avoidance Beliefs Questionnaire for healthcare providers (FABQ-HC). The mean scores were calculated for each questionnaire and correlations were established to assess the strength of the associations between the different instruments. The results were compared to previous research with other HCPs and to cut-off scores when available. Results The response rate was 14.58% (n = 70). The mean score on the HC-PAIRS was 59.44 ± 12.19 [CI 95% 56.54–62.35] and there was a large variation in scores. On the TSK(11)-HC and FABQ-HC 28.6% and 25.7% of the sample respectively reached the cut-off scores. Conclusion The study suggests that the Spanish osteopaths do not have a more biopsychosocial orientation towards the management of CLBP than other HCPs. Approximately a quarter of them hold kinesiophobic and fear-avoidance beliefs that might negatively influence their treatment approach.

中文翻译：

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西班牙注册的整骨医生对慢性腰痛的看法：横断面调查

摘要背景医疗保健提供者的态度和信念可能会影响患者的态度和信念以及他们的管理方法。据推测，整骨医生由于他们的整体推理，对慢性腰痛 (CLBP) 具有更多的生物心理社会心态。目的 本研究的主要目的是评估在西班牙注册的整骨医生对 CLBP 的信念以及是否存在运动恐惧症和恐惧回避信念。次要目的是将这些结果与之前的研究和临界值进行比较。方法 西班牙整骨医师联合会 (FOE) 的成员受邀参加基于三份问卷的在线横断面调查：医疗保健提供者疼痛和损伤关系量表 (HC-PAIRS)、医疗保健提供者的坦帕运动恐惧症 11 项版本 (TSK(11)-HC) 和医疗保健提供者的恐惧避免信念问卷 (FABQ-HC)。计算每个问卷的平均分数，并建立相关性以评估不同工具之间关联的强度。将结果与之前对其他 HCP 的研究进行比较，并在可用时与截止分数进行比较。结果 反应率为 14.58% (n = 70)。HC-PAIRS 的平均得分为 59.44 ± 12.19 [CI 95% 56.54–62.35]，得分差异很大。在 TSK(11)-HC 和 FABQ-HC 上，分别有 28.6% 和 25.7% 的样本达到了截止分数。结论 该研究表明，与其他 HCP 相比，西班牙整骨医生对 CLBP 的管理没有更多的生物心理社会取向。