The attitudes and self-reported practices of New Zealand osteopaths to exercise consultation and its use within osteopathy
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Citation:Mistry, R. (2013). The attitudes and self-reported practices of New Zealand osteopaths to exercise consultation and its use within osteopathy. An unpublished research proposal submitted in partial requirement for the degree of Master of Osteopathy.
Permanent link to Research Bank record:http://hdl.handle.net/10652/2422
Background: Exercise-based interventions are commonly utilised within many healthcare modalities, although their role in New Zealand osteopathy is unclear. Objectives: Investigate osteopaths’ attitudes and practices of exercise consultation, in the context of general health (GH) and specific medical conditions (SMC); identify factors associated with these practices and attitudes. Methods: Descriptive survey design. New Zealand osteopaths with a current annual practicing certificate were sent an online or printed questionnaire. Results: Response rate was 38% (n=125/332). Degree of positive attitude towards advice for general health (GH) =75±9%; and prescription for specific medical conditions (SMC) =73±6% were similar. The most commonly reported exercise consultation provided was advice for SMC (75±24%), followed by advice for GH (63±30%), prescription for SMC (63±30%) and GH (52±32%). Associations with each of these practices were analysed by ANOVA, and were associated with positive attitudes towards exercise consultation (p<0.05 for all). Training institution was associated with attitudes towards exercise prescription (p=0.03). Increased personal exercise duration was weakly predictive of positive attitudes towards exercise advice (r2= 0.04 for regression model) and associated with practice of advice for GH (p=0.01). Level of academic qualification was associated with practice of advice for SMC (p<0.001). Practice style was associated with practice of prescription for SMC (p=0.03). Common forms of exercise delivery by osteopaths included verbal instructions (87%) and physical demonstration of exercises by the practitioner (73%) or by the patient (62%). Conclusions: These data suggest most NZ osteopaths have a positive attitude towards exercise consultation and incorporate exercise within clinical practice through various methods.