Evidence map›Paper›PMID 36674387›Full record

ArticleInternational journal of environmental research and public health2023

Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators-A Scoping Review.

Han van Dijk, Albère J A Köke, Stefan Elbers, Jurgen Mollema, Rob J E M Smeets, Harriët Wittink

Abstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Han van DijkResearch Group Lifestyle and Health, Utrecht University of Applied Sciences, 3584 CH Utrecht, The Netherlands.ORCID 0000-0003-4037-4616
Albère J A KökeDepartment of Rehabilitation Medicine, Research School CAPHRI, Maastricht University, 6211 LK Maastricht, The Netherlands.ORCID 0000-0002-4546-4576
Stefan ElbersKantar Public, Behavioural Insights & Communications, 1079 LH Amsterdam, The Netherlands.ORCID 0000-0002-8928-4307
Jurgen MollemaResearch Group Lifestyle and Health, Utrecht University of Applied Sciences, 3584 CH Utrecht, The Netherlands.
Rob J E M SmeetsDepartment of Rehabilitation Medicine, Research School CAPHRI, Maastricht University, 6211 LK Maastricht, The Netherlands.ORCID 0000-0002-9503-366X
Harriët WittinkResearch Group Lifestyle and Health, Utrecht University of Applied Sciences, 3584 CH Utrecht, The Netherlands.ORCID 0000-0001-5592-2879

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of the biopsychosocial model in primary care physiotherapy for chronic pain is far from the recommendations given in research and current guidelines. To understand why physiotherapists have difficulty implementing a biopsychosocial approach, more insight is needed on the barriers and facilitators. This scoping review aimed to investigate and map these barriers and facilitators that physiotherapists working in primary care reportedly face when treating patients with chronic musculoskeletal pain from a biopsychosocial perspective. Four electronic databases (PubMed, Embase, CINAHL and ERIC) and the grey literature were searched. Studies were included if they investigated the experiences of physiotherapists in the treatment of chronic pain from a biopsychosocial perspective in primary care. Extracted data were discussed and sub grouped in themes following a qualitative content analysis approach. To align with current use of theories on behavior change, the resulting themes were compared to the Theoretical Domains Framework. After screening, twenty-four studies were included. Eight groups of barriers and facilitators were identified, thematically clustered in six themes: knowledge, skills, and attitudes; environmental context and resources; role clarity; confidence; therapeutic alliance; and patient expectations. The results of this review can be used to inform the development of implementation programs.

Indexed as

Chronic PainPhysical TherapistsAttitude of Health PersonnelHumansModels, BiopsychosocialPhysical Therapy Modalitiesbarriers and facilitatorsbiopsychosocialchronic painphysiotherapyprimary health care

Identifiers

PMID36674387
PMCPMC9861865

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Registered trials

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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.