A Preliminary Study of Chiropractors’ Beliefs About Biomedical and Biopsychosocial Pain: A Survey of University of Western States Alumni

OBJECTIVE: The purpose of this preliminary study was to investigate differences between doctors of chiropractic with respect to their preference for the biomedical or biopsychosocial attitude and belief models. METHODS: Alumni of the University of Western States doctor of chiropractic program were asked to complete an online survey that included the Pain Attitudes and Beliefs Scale for Physiotherapists. This scale yields a biomedical score (10-60 scale) and a biopsychosocial score (9-54 scale). These scores are reported for 5 participant characteristics: sex, country of residence (USA vs other), chiropractic program completed (University of Western States vs other), decade of graduation, and years in practice. Secondarily, multiple linear regression was performed to evaluate the independent effects of participant characteristics on the 2 Pain Attitudes and Beliefs Scale for Physiotherapists scales. Cronbach's α for the biomedical scale reached an acceptable level of internal consistency (0.74). In contrast, Cronbach's α for the biopsychosocial scale was 0.40. CONCLUSION: This preliminary study found that in a sample of chiropractic program alumni of the University of Western States, there were no differences with respect to preference for the biomedical or biopsychosocial attitude and belief models. A better understanding requires a larger study comparing attitudes/beliefs with behavior in practice.