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The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices.

Identifieur interne : 000930 ( PubMed/Curation ); précédent : 000929; suivant : 000931

The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices.

Auteurs : Stanley I. Innes [Australie] ; Charlotte Leboeuf-Yde [Australie] ; Bruce F. Walker [Australie]

Source :

RBID : pubmed:28815014

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.

DOI: 10.1186/s12998-017-0150-2
PubMed: 28815014

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pubmed:28815014

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<title xml:lang="en">The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices.</title>
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<name sortKey="Innes, Stanley I" sort="Innes, Stanley I" uniqKey="Innes S" first="Stanley I" last="Innes">Stanley I. Innes</name>
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<name sortKey="Leboeuf Yde, Charlotte" sort="Leboeuf Yde, Charlotte" uniqKey="Leboeuf Yde C" first="Charlotte" last="Leboeuf-Yde">Charlotte Leboeuf-Yde</name>
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<name sortKey="Walker, Bruce F" sort="Walker, Bruce F" uniqKey="Walker B" first="Bruce F" last="Walker">Bruce F. Walker</name>
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<name sortKey="Leboeuf Yde, Charlotte" sort="Leboeuf Yde, Charlotte" uniqKey="Leboeuf Yde C" first="Charlotte" last="Leboeuf-Yde">Charlotte Leboeuf-Yde</name>
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<title level="j">Chiropractic & manual therapies</title>
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<div type="abstract" xml:lang="en">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.</div>
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<Title>Chiropractic & manual therapies</Title>
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<ArticleTitle>The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Between October and November of 2016, students from two Australian chiropractic programs (N = 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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">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.</AbstractText>
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<Affiliation>Institut Franco-Européen de Chiropraxie, Ivry sur Seine, Paris, France.</Affiliation>
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<Affiliation>CIAMS, Univ. Paris-Sud, Université Paris-Saclay, 91405 Orsay Cedex, France.</Affiliation>
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<Affiliation>CIAMS, Université d'Orléans, 45067 Orléans, France.</Affiliation>
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