ArticleChiropractic & manual therapies2019
Professional barriers and facilitators to using stratified care approaches for managing non-specific low back pain: a qualitative study with Canadian physiotherapists and chiropractors.
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 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
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- Chiropractic specialties in Canada: realizing the full potential of advanced practice: a commentary.The Journal of the Canadian Chiropractic Association · 2026Article
- Value propositions of chiropractic specialties: a national survey of regulators and specialists, informed by practicing chiropractors in Ontario and Quebec.The Journal of the Canadian Chiropractic Association · 2026Article
- The impact of a brief online education intervention on the knowledge, attitudes and beliefs of qualified physiotherapists about chronic low back pain: Pre- and post-intervention survey.The South African journal of physiotherapy · 2026Article
- Critical Evaluation of the 2016 SOSORT Clinical Guidelines on the Detection and Clinical Management of Adolescent Idiopathic Scoliosis Using the AGREE II Tool: A Chiropractic Perspective.Journal of chiropractic medicine · 2024Article
- Barriers and Facilitators to the Implementation of Virtual Reality Interventions for People With Chronic Pain: Scoping Review.JMIR XR and spatial computing · 2024Review
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- Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators-A Scoping Review.International journal of environmental research and public health · 2023Article
- Adherence to evidence-based practice across healthcare professionals in Germany: results from a cross-sectional, nationwide survey.BMC health services research · 2022Article
- Expert guidance for the rehabilitation of children with arthrogryposis: protocol using an integrated knowledge translation approach.Research involvement and engagement · 2022Article
- Assessment and monitoring of Achilles tendinopathy in clinical practice: a qualitative descriptive exploration of the barriers clinicians face.BMJ open sport & exercise medicine · 2022Article
- Patients' Views on the Implementation Potential of a Stratified Treatment Approach for Low Back Pain in Germany: A Qualitative Study.Health services insights · 2020Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Recent clinical practice guidelines for the management of non-specific low back pain (LBP) recommend using stratified care approaches. To date, no study has assessed barriers and facilitators for health professionals in using stratified care approaches for managing non-specific LBP in the Canadian primary care setting. This study aimed to identify and contrast barriers and facilitators to using the stratified care approaches for non-specific LBP among Canadian physiotherapists and chiropractors. Methods: Individual telephone interviews, underpinned by the Theoretical Domains Framework (TDF), explored beliefs and attitudes about, and identified barriers and facilitators to the use of stratified care approaches for managing non-specific LBP in a purposive sample of 13 chiropractors and 14 physiotherapists between September 2015 and June 2016. Interviews were digitally recorded, transcribed verbatim and analysed by two independent assessors using directed content analysis. Results: Three and seven TDF domains were identified as likely relevant for physiotherapists and chiropractors, respectively. Shared key beliefs (and relevant domains of the TDF) for both physiotherapists and chiropractors included: lack of time, cost, and expertise ( Conclusions: Several shared and unique barriers and facilitators to using the stratified care approaches for non-specific LBP among Canadian physiotherapists and chiropractors were identified. Findings may help inform the design of tailored theory-based knowledge translation interventions to increase the uptake of stratified care approaches in clinical practice.
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