Occupational Therapy Practitioners' Knowledge, Beliefs, and Misconceptions About Back Pain: A Cross-Sectional Survey
Cassandra Ginn1, Hailey Smith1, Amanda Balser1
1Department of Occupational Science & Occupational Therapy, Eastern Kentucky University, Richmond, KY, USA.
Occupational Therapy in Health Care
|May 4, 2026
Summary
Many occupational therapy practitioners hold unhelpful beliefs about back pain. Despite this, they still use some evidence-based strategies, indicating a need to update practitioner knowledge for better adult back pain care.
Area of Science:
- Occupational therapy
- Musculoskeletal health
- Pain management
Background:
- Back pain is a prevalent issue impacting adults.
- Occupational therapy practitioners play a role in supporting clients with back pain.
- Understanding practitioners' beliefs is crucial for effective intervention.
Purpose of the Study:
- To examine U.S. occupational therapy practitioners' attitudes and beliefs regarding the back and back pain.
- To assess practitioners' confidence in supporting adult clients experiencing back pain.
- To identify potential gaps in knowledge and practice for evidence-informed back pain care.
Main Methods:
- A cross-sectional survey was conducted with 95 U.S. occupational therapy practitioners.
- The Back Pain Attitudes Questionnaire (34 items) was utilized for data collection.
- Two 5-point Likert scale items assessed practitioner confidence levels.
Main Results:
- A significant number of participants held beliefs about the back that were not supported by current evidence.
- Despite unhelpful beliefs, many practitioners endorsed evidence-informed strategies for back pain management.
- A mix of accurate and less-supported perspectives was observed among practitioners.
Conclusions:
- Findings reveal opportunities for occupational therapy practitioners to refine their understanding of back pain.
- Critical evaluation and updating of beliefs are recommended to enhance evidence-informed care for adults with back pain.
- Addressing practitioner beliefs can improve the quality of support provided to clients with back pain.


