Assessing attitudes of patient-centred care among students in international chiropractic educational programs

A cross-sectional survey

Karin Hammerich*, Kent Stuber, Sheilah Hogg-Johnson, Anser Abbas, Martin Harris, Henrik Hein Lauridsen, Nadège Lemeunier, Michele Maiers, Peter McCarthy, Vanessa Morales, Corrie Myburgh, Vanessa Petrini, Katherine Pohlman, Silvano Mior

*Corresponding author for this work

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Abstract

Background: Patient-centred care is internationally recognized as a foundation of quality patient care. Attitudes of students towards patient-centred care have been assessed in various health professions. However, little is known how chiropractic students' attitudes towards patient-centred care compare to those of other health professions or whether they vary internationally, and between academic programs. Objective: To assess the association of select variables on student attitude towards patient-centred care among select chiropractic programs worldwide. Methods: We conducted a cross-sectional study using the Patient-Practitioner Orientation Scale (PPOS) to assess students' patient-centred attitudes towards the doctor-patient relationship. Eighteen items were scored on a 1 to 6 Likert scale; higher scores indicating more patient-centredness. All students from seven chiropractic educational programs worldwide were invited to complete an online survey. Results were analyzed descriptively and inferentially for overall, sharing and caring subscales. General linear regression models were used to assess the association of various factors with PPOS scores. Results: There were 1858 respondents (48.9% response rate). Student average age was 24.7 (range = 17-58) years and 56.2% were female. The average overall PPOS score was 4.18 (SD = 0.48) and average sharing and caring subscale scores were 3.89 (SD = 0.64) and 4.48 (SD = 0.52), respectively. There were small but significant differences in all PPOS scores by gender, age, and program. Year/semester of study within a program typically was not associated with scores, neither was history of previous chiropractic care nor having family members who are health professionals. Conclusion: This is the first international study assessing students' attitudes of patient-centred care in chiropractic educational programs. We found small but significantly different PPOS scores between chiropractic programs worldwide that did not change across year/semester of study. Scores tended to be lower than those reported among medical students. Observed differences may be related to curricular content, extent of patient exposure and/or regional cultural realities.

Original languageEnglish
Article number46
JournalChiropractic and Manual Therapies
Volume27
Number of pages9
ISSN1746-1340
DOIs
Publication statusPublished - 12. Sep 2019

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Chiropractic
Patient-Centered Care
Cross-Sectional Studies
Health Occupations
Linear Models
Quality of Health Care

Keywords

  • Chiropractic students
  • Clinical education
  • Patient-centred care
  • Surveys and questionnaires

Cite this

Hammerich, Karin ; Stuber, Kent ; Hogg-Johnson, Sheilah ; Abbas, Anser ; Harris, Martin ; Lauridsen, Henrik Hein ; Lemeunier, Nadège ; Maiers, Michele ; McCarthy, Peter ; Morales, Vanessa ; Myburgh, Corrie ; Petrini, Vanessa ; Pohlman, Katherine ; Mior, Silvano. / Assessing attitudes of patient-centred care among students in international chiropractic educational programs : A cross-sectional survey. In: Chiropractic and Manual Therapies. 2019 ; Vol. 27.
@article{4d40b761bfa340d08390cd3d75f00746,
title = "Assessing attitudes of patient-centred care among students in international chiropractic educational programs: A cross-sectional survey",
abstract = "Background: Patient-centred care is internationally recognized as a foundation of quality patient care. Attitudes of students towards patient-centred care have been assessed in various health professions. However, little is known how chiropractic students' attitudes towards patient-centred care compare to those of other health professions or whether they vary internationally, and between academic programs. Objective: To assess the association of select variables on student attitude towards patient-centred care among select chiropractic programs worldwide. Methods: We conducted a cross-sectional study using the Patient-Practitioner Orientation Scale (PPOS) to assess students' patient-centred attitudes towards the doctor-patient relationship. Eighteen items were scored on a 1 to 6 Likert scale; higher scores indicating more patient-centredness. All students from seven chiropractic educational programs worldwide were invited to complete an online survey. Results were analyzed descriptively and inferentially for overall, sharing and caring subscales. General linear regression models were used to assess the association of various factors with PPOS scores. Results: There were 1858 respondents (48.9{\%} response rate). Student average age was 24.7 (range = 17-58) years and 56.2{\%} were female. The average overall PPOS score was 4.18 (SD = 0.48) and average sharing and caring subscale scores were 3.89 (SD = 0.64) and 4.48 (SD = 0.52), respectively. There were small but significant differences in all PPOS scores by gender, age, and program. Year/semester of study within a program typically was not associated with scores, neither was history of previous chiropractic care nor having family members who are health professionals. Conclusion: This is the first international study assessing students' attitudes of patient-centred care in chiropractic educational programs. We found small but significantly different PPOS scores between chiropractic programs worldwide that did not change across year/semester of study. Scores tended to be lower than those reported among medical students. Observed differences may be related to curricular content, extent of patient exposure and/or regional cultural realities.",
keywords = "Chiropractic students, Clinical education, Patient-centred care, Surveys and questionnaires",
author = "Karin Hammerich and Kent Stuber and Sheilah Hogg-Johnson and Anser Abbas and Martin Harris and Lauridsen, {Henrik Hein} and Nad{\`e}ge Lemeunier and Michele Maiers and Peter McCarthy and Vanessa Morales and Corrie Myburgh and Vanessa Petrini and Katherine Pohlman and Silvano Mior",
year = "2019",
month = "9",
day = "12",
doi = "10.1186/s12998-019-0263-x",
language = "English",
volume = "27",
journal = "Chiropractic & Manual Therapies",
issn = "1746-1340",
publisher = "BioMed Central",

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Hammerich, K, Stuber, K, Hogg-Johnson, S, Abbas, A, Harris, M, Lauridsen, HH, Lemeunier, N, Maiers, M, McCarthy, P, Morales, V, Myburgh, C, Petrini, V, Pohlman, K & Mior, S 2019, 'Assessing attitudes of patient-centred care among students in international chiropractic educational programs: A cross-sectional survey', Chiropractic and Manual Therapies, vol. 27, 46. https://doi.org/10.1186/s12998-019-0263-x

Assessing attitudes of patient-centred care among students in international chiropractic educational programs : A cross-sectional survey. / Hammerich, Karin; Stuber, Kent; Hogg-Johnson, Sheilah; Abbas, Anser; Harris, Martin; Lauridsen, Henrik Hein; Lemeunier, Nadège; Maiers, Michele; McCarthy, Peter; Morales, Vanessa; Myburgh, Corrie; Petrini, Vanessa; Pohlman, Katherine; Mior, Silvano.

In: Chiropractic and Manual Therapies, Vol. 27, 46, 12.09.2019.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Assessing attitudes of patient-centred care among students in international chiropractic educational programs

T2 - A cross-sectional survey

AU - Hammerich, Karin

AU - Stuber, Kent

AU - Hogg-Johnson, Sheilah

AU - Abbas, Anser

AU - Harris, Martin

AU - Lauridsen, Henrik Hein

AU - Lemeunier, Nadège

AU - Maiers, Michele

AU - McCarthy, Peter

AU - Morales, Vanessa

AU - Myburgh, Corrie

AU - Petrini, Vanessa

AU - Pohlman, Katherine

AU - Mior, Silvano

PY - 2019/9/12

Y1 - 2019/9/12

N2 - Background: Patient-centred care is internationally recognized as a foundation of quality patient care. Attitudes of students towards patient-centred care have been assessed in various health professions. However, little is known how chiropractic students' attitudes towards patient-centred care compare to those of other health professions or whether they vary internationally, and between academic programs. Objective: To assess the association of select variables on student attitude towards patient-centred care among select chiropractic programs worldwide. Methods: We conducted a cross-sectional study using the Patient-Practitioner Orientation Scale (PPOS) to assess students' patient-centred attitudes towards the doctor-patient relationship. Eighteen items were scored on a 1 to 6 Likert scale; higher scores indicating more patient-centredness. All students from seven chiropractic educational programs worldwide were invited to complete an online survey. Results were analyzed descriptively and inferentially for overall, sharing and caring subscales. General linear regression models were used to assess the association of various factors with PPOS scores. Results: There were 1858 respondents (48.9% response rate). Student average age was 24.7 (range = 17-58) years and 56.2% were female. The average overall PPOS score was 4.18 (SD = 0.48) and average sharing and caring subscale scores were 3.89 (SD = 0.64) and 4.48 (SD = 0.52), respectively. There were small but significant differences in all PPOS scores by gender, age, and program. Year/semester of study within a program typically was not associated with scores, neither was history of previous chiropractic care nor having family members who are health professionals. Conclusion: This is the first international study assessing students' attitudes of patient-centred care in chiropractic educational programs. We found small but significantly different PPOS scores between chiropractic programs worldwide that did not change across year/semester of study. Scores tended to be lower than those reported among medical students. Observed differences may be related to curricular content, extent of patient exposure and/or regional cultural realities.

AB - Background: Patient-centred care is internationally recognized as a foundation of quality patient care. Attitudes of students towards patient-centred care have been assessed in various health professions. However, little is known how chiropractic students' attitudes towards patient-centred care compare to those of other health professions or whether they vary internationally, and between academic programs. Objective: To assess the association of select variables on student attitude towards patient-centred care among select chiropractic programs worldwide. Methods: We conducted a cross-sectional study using the Patient-Practitioner Orientation Scale (PPOS) to assess students' patient-centred attitudes towards the doctor-patient relationship. Eighteen items were scored on a 1 to 6 Likert scale; higher scores indicating more patient-centredness. All students from seven chiropractic educational programs worldwide were invited to complete an online survey. Results were analyzed descriptively and inferentially for overall, sharing and caring subscales. General linear regression models were used to assess the association of various factors with PPOS scores. Results: There were 1858 respondents (48.9% response rate). Student average age was 24.7 (range = 17-58) years and 56.2% were female. The average overall PPOS score was 4.18 (SD = 0.48) and average sharing and caring subscale scores were 3.89 (SD = 0.64) and 4.48 (SD = 0.52), respectively. There were small but significant differences in all PPOS scores by gender, age, and program. Year/semester of study within a program typically was not associated with scores, neither was history of previous chiropractic care nor having family members who are health professionals. Conclusion: This is the first international study assessing students' attitudes of patient-centred care in chiropractic educational programs. We found small but significantly different PPOS scores between chiropractic programs worldwide that did not change across year/semester of study. Scores tended to be lower than those reported among medical students. Observed differences may be related to curricular content, extent of patient exposure and/or regional cultural realities.

KW - Chiropractic students

KW - Clinical education

KW - Patient-centred care

KW - Surveys and questionnaires

U2 - 10.1186/s12998-019-0263-x

DO - 10.1186/s12998-019-0263-x

M3 - Journal article

VL - 27

JO - Chiropractic & Manual Therapies

JF - Chiropractic & Manual Therapies

SN - 1746-1340

M1 - 46

ER -