title: Attitudes and beliefs of Brazilian and Australian physiotherapy students towards chronic back pain: a cross-cultural comparison.
abstract: OBJECTIVE
  The attitudes and beliefs of physiotherapists and students can potentially influence the outcome of treatment of low back pain. These attitudes and beliefs may be influenced by external factors, such as ethnicity. No study that compared the attitudes and beliefs of physiotherapy students from different cultural backgrounds, such as from Brazil or Australia, towards chronic low back pain was found. The purpose of the present study was therefore to compare the attitudes and beliefs of Brazilian physiotherapy students with those of Australian physiotherapy students and to published data from North American healthcare providers, and to investigate whether a history of chronic low back pain affects students' attitudes and beliefs.
  
  
  METHODS
  A survey study design was used. Data were collected from 153 Brazilian physiotherapy students and compared with existing data from Australian physiotherapy students who had never been exposed to a chronic low back pain teaching module. Students' attitudes and beliefs were assessed by use of the HC-PAIRS questionnaire. These data were also compared with published data from North American healthcare providers.
  
  
  RESULTS
  The Brazilian physiotherapy students had significantly higher scores on the HC-PAIRS questionnaire than the Australian students and the North American healthcare providers. A previous history of chronic low back pain did not affect students' attitudes and beliefs.
  
  
  CONCLUSIONS
  As demonstrated by higher HC-PAIR scores, the Brazilian physiotherapy students agree more strongly with the notion that low back pain justifies disability and activity limitation than do Australian physiotherapy students and North American healthcare providers. A history of chronic low back pain does not affect students' attitudes and beliefs.
authors.affiliation: School of Physiotherapy, University of Sydney, Sydney, Australia.
authors.forename: Paulo H
authors.initials: PH
authors.lastname: Ferreira
authors.forename: Manuela L
authors.initials: ML
authors.lastname: Ferreira
authors.forename: Jane
authors.initials: J
authors.lastname: Latimer
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Maher
authors.forename: Kathryn
authors.initials: K
authors.lastname: Refshauge
authors.forename: Ana
authors.initials: A
authors.lastname: Sakamoto
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Garofalo
mesh_terms: D000328:Adult; D001294:Attitude to Health; D001315:Australia; D001938:Brazil; D002908:Chronic Disease; D003431:Cross-Cultural Comparison; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000523:psychology*; D008297:Male; D026761:Physical Therapy Specialty / Q000193:education; D013334:Students