{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T05:09:40Z","timestamp":1782364180216,"version":"3.54.5"},"reference-count":76,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"D.L. Hart Memorial Outcomes Research"},{"name":"Focus On Therapeutic Outcomes, Inc"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study aimed to investigate the association of physical therapists\u2019 attitudes and beliefs about low back pain (LBP) with treatment outcomes within a publicly funded health care system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data from a national outpatient physical therapy service provider were analyzed. Functional status data were collected at intake and discharge. The Attitudes to Back Pain Scale in Musculoskeletal Practitioners questionnaire was used to assess physical therapists\u2019 attitudes. Multilevel regression models were employed to examine the effects of physical therapists\u2019 attitudes while controlling for patient and physical therapist characteristics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The study included 68 physical therapists and 1043 patients. The physical therapist level explained a small portion of the variance in patients\u2019 function (4%\u201310%). A more biomedically oriented attitude was associated with a slightly lower patient function level (\u03b2\u2009=\u2009\u2212.08), but patient characteristics largely influenced this effect. Other attitude factors were not significantly associated with function. Sensitivity analyses aligned with the main findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The study suggests that physical therapists\u2019 attitudes have a limited impact on LBP treatment outcomes within a publicly funded health care system. While a more biomedically oriented attitude was associated with slight negative effects, the clinical relevance is questionable. Further research in diverse settings is needed to validate and contextualize these findings. The study underscores the importance of considering patient-level factors and health care system context in interpreting practitioner effects on treatment outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>Patient characteristics are more significant in explaining functional outcomes than physical therapists\u2019 characteristics and attitudes. A marginally small association was observed, indicating that a more biomedically oriented attitude among physical therapists was linked to slightly lower patient functioning. Despite the observed association, the clinical relevance of physical therapists\u2019 attitudes in LBP treatment outcomes remains modest.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzaf007","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T05:16:33Z","timestamp":1737436593000},"source":"Crossref","is-referenced-by-count":4,"title":["Association Between Physical Therapists\u2019 Attitudes and Beliefs and the Functional Outcomes of Patients With Low Back Pain: A Multilevel Analysis Study"],"prefix":"10.1093","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0870-3723","authenticated-orcid":false,"given":"Yaniv","family":"Nudelman","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Ariel University , Ariel ,","place":["Israel"]},{"name":"Maccabi Healthcare Services , Department of Physical Therapy, Tel-Aviv ,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3172-5624","authenticated-orcid":false,"given":"Tamar","family":"Pincus","sequence":"additional","affiliation":[{"name":"University of Southampton , University Road, Southampton SO17 1BJ ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5067-5178","authenticated-orcid":false,"given":"Noa Ben","family":"Ami","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Ariel University , Ariel ,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"issue":"10258","key":"2025042902262411300_ref1","doi-asserted-by":"publisher","first-page":"1204","DOI":"10.1016\/S0140-6736(20)30925-9","article-title":"Global burden of 369 diseases and injuries in 204 countries and territories, 1990\u20132019: a systematic analysis for the global burden of disease study 2019","volume":"396","author":"Abbafati","year":"2020","journal-title":"Lancet"},{"issue":"10137","key":"2025042902262411300_ref2","doi-asserted-by":"publisher","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","volume":"391","author":"Hartvigsen","year":"2018","journal-title":"Lancet"},{"issue":"9662","key":"2025042902262411300_ref3","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/S0140-6736(09)60172-0","article-title":"Imaging strategies for low-back pain: systematic review and meta-analysis","volume":"373","author":"Chou","year":"2009","journal-title":"Lancet"},{"key":"2025042902262411300_ref4","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1056\/NEJMoa1209250","article-title":"Magnetic resonance imaging in follow-up assessment of sciatica","volume":"368","author":"Lycklama","year":"2013","journal-title":"N Engl J Med"},{"issue":"6","key":"2025042902262411300_ref5","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1097\/01.BRS.0000049905.44466.73","article-title":"Associations between back pain history and lumbar MRI findings","volume":"28","author":"Videman","year":"2003","journal-title":"Spine (Phila Pa 1976)"},{"key":"2025042902262411300_ref6","doi-asserted-by":"publisher","first-page":"988","DOI":"10.1097\/j.pain.0000000000000146","article-title":"How does pain lead to disability? 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