The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices
Identifieur interne : 000181 ( Main/Exploration ); précédent : 000180; suivant : 000182The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices
Auteurs : Stanley I. Innes [Australie] ; Charlotte Leboeuf-Yde [Australie, France] ; Bruce F. Walker [Australie]Source :
- Chiropractic & Manual Therapies [ 2045-709X ] ; 2017.
Abstract
Psychological factors, such as intolerance of uncertainty (IU), have been shown to impact on the quality of medical care. However, this psychological measure has not been studied in the chiropractic profession. Our objective was to investigate if higher levels of IU in chiropractic students were related to poor choices of management in specific clinical scenarios. Also, we sought to investigate if levels of IU were related to students’ intentions to adopt a prescriptive chiropractic technique system and evaluate their levels of self-belief.
Between October and November of 2016, students from two Australian chiropractic programs (
There was an overall response rate of 53%. Those students who were high in levels of IU were significantly more likely to make incorrect clinical decisions than those with normal or low levels of IU for the neck pain case scenario. No differences were found on the low back pain scenario, on preferences to use a technique system in the future, or on predicted self-rating of competence after graduation.
Psychological factors, such as IU, may have an impact on chiropractic students’ clinical decisions. However, it does not impact on all aspects of practice. This finding has implications for chiropractic educators, especially when dealing with neck pain. However, it may be relevant to continue the search for specific personality profiles in relation to various favourable and unfavourable practice patterns, as it is unknown whether these dynamics are important for other aspects of chiropractic education.
The online version of this article (doi:10.1186/s12998-017-0150-2) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12998-017-0150-2
PubMed: 28815014
PubMed Central: 5518163
Affiliations:
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Innes</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0436 6763</institution-id><institution-id institution-id-type="GRID">grid.1025.6</institution-id><institution>School of Health Professions,</institution><institution>Murdoch University,</institution></institution-wrap>Murdoch, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Murdoch</wicri:regionArea></affiliation></author><author><name sortKey="Leboeuf Yde, Charlotte" sort="Leboeuf Yde, Charlotte" uniqKey="Leboeuf Yde C" first="Charlotte" last="Leboeuf-Yde">Charlotte Leboeuf-Yde</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0436 6763</institution-id><institution-id institution-id-type="GRID">grid.1025.6</institution-id><institution>School of Health Professions,</institution><institution>Murdoch University,</institution></institution-wrap>Murdoch, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Murdoch</wicri:regionArea></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Institut Franco-Européen de Chiropraxie, Ivry sur Seine, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Institut Franco-Européen de Chiropraxie, Ivry sur Seine, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 4910 6535</institution-id><institution-id institution-id-type="GRID">grid.460789.4</institution-id><institution>CIAMS, Univ. 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Walker</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0436 6763</institution-id><institution-id institution-id-type="GRID">grid.1025.6</institution-id><institution>School of Health Professions,</institution><institution>Murdoch University,</institution></institution-wrap>Murdoch, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Murdoch</wicri:regionArea></affiliation></author></analytic><series><title level="j">Chiropractic & Manual Therapies</title><idno type="eISSN">2045-709X</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Psychological factors, such as intolerance of uncertainty (IU), have been shown to impact on the quality of medical care. However, this psychological measure has not been studied in the chiropractic profession. Our objective was to investigate if higher levels of IU in chiropractic students were related to poor choices of management in specific clinical scenarios. Also, we sought to investigate if levels of IU were related to students’ intentions to adopt a prescriptive chiropractic technique system and evaluate their levels of self-belief.</p></sec><sec><title>Method</title><p id="Par2">Between October and November of 2016, students from two Australian chiropractic programs (<italic>N</italic> = 444) answered a questionnaire on measures of IU levels, patient case scenarios for neck and low back pain, and questions about self-ratings of their future chiropractic abilities and perceived need for the adoption of a chiropractic technique system. Associations were tested by the IU score and the therapeutic choices relating to a) a neck pain case scenario, b) a low back pain scenario, c) various technique systems, and d) the self-rated competence level treating the IU score both as a continuous and a categorical variable.</p></sec><sec><title>Results</title><p id="Par3">There was an overall response rate of 53%. Those students who were high in levels of IU were significantly more likely to make incorrect clinical decisions than those with normal or low levels of IU for the neck pain case scenario. No differences were found on the low back pain scenario, on preferences to use a technique system in the future, or on predicted self-rating of competence after graduation.</p></sec><sec><title>Conclusions</title><p id="Par4">Psychological factors, such as IU, may have an impact on chiropractic students’ clinical decisions. However, it does not impact on all aspects of practice. This finding has implications for chiropractic educators, especially when dealing with neck pain. However, it may be relevant to continue the search for specific personality profiles in relation to various favourable and unfavourable practice patterns, as it is unknown whether these dynamics are important for other aspects of chiropractic education.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12998-017-0150-2) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hong, Ry" uniqKey="Hong R">RY Hong</name></author><author><name sortKey="Lee, Ss" uniqKey="Lee S">SS Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shihata, S" uniqKey="Shihata S">S Shihata</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carleton, Rn" uniqKey="Carleton R">RN 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