ArticleImplementation science : IS2008
Acceptance and perceived barriers of implementing a guideline for managing low back in general practice.
Article in Implementation science : IS, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physician-reported barriers to using evidence-based recommendations for low back pain in clinical practice: a systematic review and synthesis of qualitative studies using the Theoretical Domains Framework.Implementation science : IS · 2019Pooled it
- Self-reported acceptability and feasibility of a multimodal intervention to reduce antibiotic prescriptions for urinary tract infections in primary care: a process evaluation of the RedAres trial among general practitioners and medical practice assistants.BMC health services research · 2025Trial
- Tools to overcome potential barriers to chlamydia screening in general practice: Qualitative evaluation of the implementation of a complex intervention.BMC family practice · 2016Trial
- Cost-effectiveness of a multifaceted implementation strategy for the Dutch multidisciplinary guideline for nonspecific low back pain: design of a stepped-wedge cluster randomised controlled trial.BMC public health · 2015Trial
- Developing an evidence brief for policy on implementing deprescribing practices across different levels of healthcare: a protocol.BMJ open · 2025Article
- Exploring patients' lived experience on the barriers to accessing low back pain health services.African journal of primary health care & family medicine · 2022Article
- Participation in Low Back Pain Management: It Is Time for the To-Be Scenarios in Digital Public Health.International journal of environmental research and public health · 2022Article
- Back pain treatment: a new perspective.Therapeutic advances in musculoskeletal disease · 2022Review
- Determinants of clinical practice guidelines' utilization for the management of musculoskeletal disorders: a scoping review.BMC musculoskeletal disorders · 2021Article
- Concordance of patient beliefs and expectations regarding the management of low back pain with guideline recommendations - a cross-sectional study in Germany.BMC family practice · 2020Article
- Care for low back pain: can health systems deliver?Bulletin of the World Health Organization · 2019Article
- Well informed physician-patient communication in consultations on back pain - study protocol of the cluster randomized GAP trial.BMC family practice · 2019Article
- Physiotherapists' views of implementing a stratified treatment approach for patients with low back pain in Germany: a qualitative study.BMC health services research · 2018Article
- General practitioners' views on managing knee osteoarthritis: a thematic analysis of factors influencing clinical practice guideline implementation in primary care.BMC rheumatology · 2018Article
- Patient Perspectives on Communication with Primary Care Physicians about Chronic Low Back Pain.The Permanente journal · 2017Article
- Barriers and Strategies in Guideline Implementation-A Scoping Review.Healthcare (Basel, Switzerland) · 2016Article
- Developmental evaluation as a strategy to enhance the uptake and use of deprescribing guidelines: protocol for a multiple case study.Implementation science : IS · 2015Article
- [Comparison of two screening questionnaires for patients with low back pain. Collation of risk factors for chronification].Schmerz (Berlin, Germany) · 2014Article
- Patients' expectations of acute low back pain management: implications for evidence uptake.BMC family practice · 2013Article
- Survey based investigation into general practitioner referral patterns for spinal manipulative therapy.Chiropractic & manual therapies · 2013Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplementation of guidelines in clinical practice is difficult. In 2003, the German College of General Practitioners and Family Physicians (DEGAM) released an evidence-based guideline for the management of low back pain (LBP) in primary care. The objective of this study is to explore the acceptance of guideline content and perceived barriers to implementation.
methodsSeventy-two general practitioners (GPs) participating in quality circles within the framework of an educational intervention study for guideline implementation evaluated the LBP-guideline and its practicability with a standardised questionnaire. In addition, statements of group discussions were recorded using the metaplan technique and were incorporated in the discussion.
resultsMost GPs agree with the guideline content but believe that guideline stipulations are not congruent with patient wishes. Non-adherence to the guideline and contradictory information for patients by other professionals (e.g., GPs, orthopaedic surgeons, physiotherapists) are important barriers to guideline adherence. Almost half of the GPs have no access to recommended multimodal pain programs for patients with chronic LBP.
conclusionPromoting adherence to the LBP guideline requires more than enhancing knowledge about evidence-based management of LBP. Public education and an interdisciplinary consensus are important requirements for successful guideline implementation into daily practice. Guideline recommendations need to be adapted to the infrastructure of the health care system.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.