Trial reportBMC health services research2020
Confidence, attitudes, beliefs and determinants of implementation behaviours among physiotherapists towards clinical management of low back pain before and after implementation of the BetterBack model of care.
Trial report in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03147300 (Implementation of a Best Practice Primary Health Care Model for Low Back Pain in Sweden), which is not on this map. Cited by 23 papers.
What it found
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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.
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.
Implementation of a Best Practice Primary Health Care Model for Low Back Pain in Sweden (BetterBack): A Cluster Randomised Trial
Who cites it
23 citing papers in PubMed, 62 citations in OpenAlex.
- Determinants and strategies for implementing guideline-adherent physiotherapy: a scoping review.BMJ open · 2026Article
- Effectiveness of strategies for implementing guideline-concordant care in low back pain: a systematic review and meta-analysis of randomised controlled trials.EClinicalMedicine · 2025Article
- Article
- Confidence in providing primary care to patients with low back pain among physiotherapists.BMC primary care · 2025Article
- Enhancing Clinical Confidence: Effects of Medical Screening and Differential Diagnosis Training for Low Back Pain.Journal of multidisciplinary healthcare · 2025Article
- Sustainable implementation efforts in physio- and occupational therapy: a scoping review.Implementation science communications · 2024Article
- Effectiveness of strategies for implementing guideline-concordant care in low back pain: a systematic review and meta-analysis of randomised controlled trials.EClinicalMedicine · 2024Article
- A scoping review on implementation processes and outcomes of models of care for low back pain in primary healthcare.BMC health services research · 2024Article
- Differences in emergency department visits and hospitalization between German and Dutch nursing home residents: a cross-national survey.European geriatric medicine · 2024Article
- Low back pain management in primary healthcare: findings from a scoping review on models of care.BMJ open · 2024Article
- Enrollment, adherence and retention rates among musculoskeletal disorders rehabilitation practitioners in knowledge translation studies: a systematic review and meta-regression.Implementation science communications · 2024Review
- Developing a low back pain guideline implementation programme in collaboration with physiotherapists and chiropractors using the Behaviour Change Wheel: a theory-driven design study.Implementation science communications · 2024Article
- Development of an interdisciplinary training program about chronic pain management with a cognitive behavioural approach for healthcare professionals: part of a hybrid effectiveness-implementation study.BMC medical education · 2024Article
- Article
- Measuring the determinants of implementation behavior in multiprofessional rehabilitation.European journal of physical and rehabilitation medicine · 2023Article
- The Swiss chiropractic practice-based research network: a population-based cross-sectional study to inform future musculoskeletal research.Scientific reports · 2023Article
- Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators-A Scoping Review.International journal of environmental research and public health · 2023Article
- Guideline adherence of physiotherapists in the treatment of patients with low back pain: A qualitative study.Journal of evaluation in clinical practice · 2022Article
- The utilisation of regulated standardised care packages by Danish chiropractors: a mixed methods study.Chiropractic & manual therapies · 2022Article
- Patients' experiences of the BetterBack model of care for low back pain in primary care - a qualitative interview study.International journal of qualitative studies on health and well-being · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundImplementing clinical guidelines is challenging. To facilitate uptake, we developed a model of care (BetterBack Model of Care) and an implementation strategy to support management of low back pain in primary care. The aim of this study was to evaluate physiotherapists´ confidence, attitudes and beliefs in managing patients with low back pain before and after a multifaceted implementation of the BetterBack Model of Care. A further aim was to evaluate determinants of implementation behaviours among physiotherapists.
methodsThis clinical trial was an experimental before and after study within a hybrid type 2 effectiveness-implementation trial. The primary outcome was Practitioner Self-Confidence Scale (PCS), secondary outcomes were the Pain Attitude and Beliefs Scale for Physiotherapists (PABS-PT) and Determinants of Implementation Behaviour Questionnaire (DIBQ). Data was analysed using repeated measures ANOVA and pairwise comparisons.
resultsOne hundred sixteen physiotherapists answered a questionnaire before, directly after, as well as 3 and 12 months after implementation of the Model of Care. PCS improved over time with a large effect size post implementation (η
conclusionsPhysiotherapists´ confidence and biopsychosocial orientation increased after implementation and may have the potential to improve management of low back pain in primary care. The implementation behaviour showed mostly facilitating patterns but changed over time, pinpointing a need to repeatedly monitor these changes. This can inform the need for changes of implementation efforts in different phases and support sustainability strategies. TRAIL REGISTRATION: ClinicalTrials.gov NCT03147300 3 May 2017, prospectivly registered.
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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.