Can a tailored implementation programme enhance the adoption of guideline-adherent behaviour in physiotherapists and chiropractors managing patients with low back pain? An implementation study
Rattachement africain : dk, se. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Low back pain (LBP) is the primary contributor to disability worldwide, leading to a significant healthcare burden. Implementing evidence-based practice (EBP) can reduce this burden, as healthcare professionals (HCPs) working evidence-based reduce the number of treatments, the use of imaging and medication compared to HCPs not working evidence-based. Clinical practice guidelines have been published to help HCPs implement research evidence into practice. Unfortunately, studies have consistently shown a lack of adherence to guidelines in LBP care. This study aimed to investigate the implementation outcomes of a tailored programme for implementing key recommendations from LBP guidelines among Danish physiotherapists and chiropractors working in primary care. METHODS: This study was conducted as a 'pre-post' implementation study among 80 physiotherapists and chiropractors from 15 primary care clinics. The implementation object was the two key guideline recommendations: 1) screening of psychosocial risk factors and 2) patient education, including reassuring information. The programme comprised multipronged strategies and was designed as a step-by-step implementation process comprising 16 hours of activities distributed over 16 weeks. Adoption was measured as changes in self-reported behaviour and perceptions of the professional role and culture from baseline to follow-up at 16 weeks. Acceptability and appropriateness of the programme were measured weekly using a four-point Likert scale. Feasibility was measured at 16-week follow-up using a five-point Likert scale. Fidelity was measured as the number of strategies and implementation support delivered as planned and registered by the research team. RESULTS: An increase in the adoption of screening of psychosocial factors and offering patient education, including reassuring information, was seen in 38% and 33% of participants, respectively. Most participants reported that the programme was partly or overall acceptable and appropriate. The feasibility of the implementation programme was assessed as moderate to high, and the fidelity of the implementation programme was determined as high. CONCLUSION: The tailored implementation programme enhanced the adoption of the guidelines and changed the participants' professional identity and culture. Most participants found the programme partly or overall acceptable and appropriate. The programme was feasible, but the perspective requires refinements, as most participants rated it moderately feasible. TRIAL REGISTRATION: Central Denmark Region, Registered November 11, 2021, act no. 1-16-02-93-19.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Can a tailored implementation programme enhance the adoption of guideline-adherent behaviour in physiotherapists and chiropractors managing patients with low back pain? An implementation study
- Date Crossref
- 06/12/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Aarhus University Department of Physiotherapy and Occupational Therapy pays non établi dans la noticeUniversité ou école supérieure
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Aarhus University Hospital pays non établi dans la noticeÉtablissement de santé
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Regionshospitalet Silkeborg pays non établi dans la noticeÉtablissement de santé
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Danish Institute for Quality and Accreditation in Healthcare pays non établi dans la noticeUniversité ou école supérieure
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Aalborg University Department of Health Science and Technology pays non établi dans la noticeUniversité ou école supérieure
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Linköping University Department of Health pays non établi dans la noticeUniversité ou école supérieure
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University of Southern Denmark Department of Sports Science and Clinical Biomechanics pays non établi dans la noticeUniversité ou école supérieure
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Regional Hospital Central Jutland Radiology Department pays non établi dans la noticeÉtablissement de santé
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Central Denmark Region pays non établi dans la noticeOrganisme public
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University Clinic for Interdisciplinary Orthopaedic Pathways (UCOP) pays non établi dans la noticeUniversité ou école supérieure
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The Danish Healthcare Quality Institute (DHQI) pays non établi dans la noticeStructure de recherche
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University Clinic for Innovative Patient Pathways Medical Diagnostic Centre pays non établi dans la noticeUniversité ou école supérieure
Department of Physiotherapy and Occupational Therapy — Aarhus University, Aarhus University Hospital et Regionshospitalet Silkeborg, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.