Evidence map›Paper›PMID 31636895›Full record

ArticleChiropractic & manual therapies2019

Promoting the use of self-management in patients with spine pain managed by chiropractors and chiropractic interns: barriers and design of a theory-based knowledge translation intervention.

Owis Eilayyan, Aliki Thomas, Marie-Christine Hallé, Sara Ahmed, Anthony C Tibbles, Craig Jacobs, Silvano Mior, Connie Davis, Roni Evans, Michael J Schneider and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Chiropractic & manual therapies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Owis Eilayyan1School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y5 Canada.
Aliki Thomas1School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y5 Canada.
Marie-Christine Hallé1School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y5 Canada.
Sara Ahmed1School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y5 Canada.
Anthony C Tibbles3Canadian Memorial Chiropractic College, 6100 Leslie St, North York, ON M2H 3J1 Canada.
Craig Jacobs3Canadian Memorial Chiropractic College, 6100 Leslie St, North York, ON M2H 3J1 Canada.
Silvano Mior3Canadian Memorial Chiropractic College, 6100 Leslie St, North York, ON M2H 3J1 Canada.
Connie Davis4University of British Columbia, 2329 West Mall, Vancouver, BC V6T 1Z4 Canada.
Roni Evans6University of Minnesota, Minneapolis, MN 55455 USA.
Michael J Schneider7University of Pittsburgh, 4200 Fifth Ave, Pittsburgh, PA 15260 USA.
Heather Owens1School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y5 Canada.
Fadi Al Zoubi1School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y5 Canada.
Jan Barnsley8University of Toronto, 27 King's College Cir, Toronto, ON M5S Canada.
Cynthia R Long9Palmer College, Davenport, 1000 Brady St, Davenport, IA 52803 USA.
Andre Bussières1School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y5 Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The literature supports the effectiveness of self-management support (SMS) to improve health outcomes of patients with chronic spine pain. However, patient engagement in SMS programs is suboptimal. The objectives of this study were to: 1) assess participation in self-care (i.e. activation) among patients with spine pain, 2) identify patients' barriers and enablers to using SMS, and 3) map behaviour change techniques (BCTs) to key barriers to inform the design of a knowledge translation (KT) intervention aimed to increase the use of SMS. Methods: In summer 2016, we invited 250 patients with spine pain seeking care at the Canadian Memorial Chiropractic College in Ontario, Canada to complete the Patient Activation Measure (PAM) survey to assess the level of participation in self-care. We subsequently conducted individual interviews, in summer 2017, based on the Theoretical Domains Framework (TDF) in a subset of patients to identify potential challenges to using SMS. The interview guide included 20 open-ended questions and accompanying probes. Findings were deductively analysed guided by the TDF. A panel of 7 experts mapped key barriers to BCTs, designed a KT intervention, and selected the modes of delivery. Results: Two hundred and twenty-three patients completed the PAM. Approximately 24% of respondents were not actively involved in their care. Interview findings from 13 spine pain patients suggested that the potential barriers to using SMS corresponded to four TDF domains: Conclusions: Almost one quarter of study participants were not actively engaged in their spine care. Key barriers likely to influence uptake of SMS among patients were identified and used to inform the design of a theory-based KT intervention to increase their participation level. The proposed multi-component KT intervention may be an effective strategy to optimize the quality of spine pain care and improve patients' health-outcomes

Indexed as

AdolescentAdultAgedBack PainChiropracticFemaleHealth PersonnelHumansKnowledge BasesMaleMiddle AgedOntarioPatientsSelf CareSelf-ManagementSurveys and QuestionnairesChiropracticKnowledge translationSelf-managementSpine painTheoretical domains frameworkTheory-based intervention

Identifiers

PMID31636895
PMCPMC6794734

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.