ArticleJournal of occupational rehabilitation2009
Physiotherapists and use of low back pain guidelines: a qualitative study of the barriers and facilitators.
Article in Journal of occupational rehabilitation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Low-value interventions to deimplement: A secondary analysis of a systematic review of low back pain clinical practice guidelines.PM & R : the journal of injury, function, and rehabilitation · 2025Pooled it
- Pooled it
- Determinants and strategies for implementing guideline-adherent physiotherapy: a scoping review.BMJ open · 2026Article
- Facilitators of Clinical Guideline Implementation in Tertiary Care: A Systematic Literature Review.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Adherence to neck and low back pain clinical practice guidelines based on clinical specialization: a survey of physical therapists.The Journal of manual & manipulative therapy · 2025Article
- Group exercise in long-term care facilities, alignment with World Health Organization recommendations: a cross-sectional survey.Aging clinical and experimental research · 2025Article
- Guideline adherence of physiotherapists in the treatment of patients with low back pain: A qualitative study.Journal of evaluation in clinical practice · 2022Article
- Does the implementation of clinical practice guidelines for low back and neck pain by physical therapists improve patient outcomes? A systematic review.Implementation science communications · 2022Review
- An Interpretative Phenomenological Analysis of Living with Chronic Low Back Pain in Ethiopia.Journal of pain research · 2022Article
- Physical therapy for patients with low back pain in Germany: a survey of current practice.BMC musculoskeletal disorders · 2021Article
- Determinants of clinical practice guidelines' utilization for the management of musculoskeletal disorders: a scoping review.BMC musculoskeletal disorders · 2021Article
- A strategic initiative to facilitate knowledge translation research in rehabilitation.BMC health services research · 2020Article
- We need to debate the value of manipulative therapy and recognize that we do not always understand from what to attribute our success.The Journal of manual & manipulative therapy · 2018Article
- Barriers and Strategies in Guideline Implementation-A Scoping Review.Healthcare (Basel, Switzerland) · 2016Article
- 'PICO-D Management'; a decision-aid for evidence-based chiropractic education and clinical practice.Chiropractic & manual therapies · 2016Article
- Clinical challenges of classification based targeted therapies for non-specific low back pain: What do physiotherapy practitioners and managers think?Manual therapy · 2015Article
- Article
- Interprofessional practices of physiotherapists working with adults with low back pain in Québec's private sector: results of a qualitative study.BMC musculoskeletal disorders · 2014Article
- A survey of physical therapists' clinical practice patterns and adherence to clinical guidelines in the management of patients with whiplash associated disorders (WAD).The Journal of manual & manipulative therapy · 2014Article
- Speech pathologists' experiences with stroke clinical practice guidelines and the barriers and facilitators influencing their use: a national descriptive study.BMC health services research · 2014Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA new set of clinical practice guidelines (CPGs) for the management of low back pain (LBP) and prevention of persistent disability entitled "Clinic on Low back pain in Interdisciplinary Practice" (CLIP) was developed in the province of Quebec, Canada. The literature shows that simply disseminating CPGs does not necessarily lead to their adoption by clinicians. To improve adherence to CPGs among healthcare professionals, the literature suggests that there is a need to identify and address the factors impeding or facilitating their use. The aim of this study was therefore to identify the barriers to and facilitators of CLIP CPG use, as perceived by physiotherapists (PTs).
methodsA descriptive study using a qualitative method was conducted with a sample of 16 PTs from a variety of professional backgrounds. Each participant used the CPGs over a 6-week period with two patients suffering from LBP, and then participated in a semi-structured interview in which he or she was asked to identify the barriers and facilitators experienced.
resultsThe participating PTs identified many barriers and facilitators pertaining to the guidelines themselves, the users and the environment. Four key nodes emerged from these barriers and facilitators during data analysis. It appears that the clinicians' understanding of the CPGs, the level of compatibility between their practices and the CLIP CPG recommendations, the level of CPG relevance as perceived by the clinicians, and their level of agreement with the CPGs, all affected their use of the guidelines.
conclusionsIn order to increase CLIP CPG use, the implementation strategy to be developed should take into account the barriers and facilitators that were identified in this study.
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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.