Evidence map›Paper›PMID 39289772›Full record

ArticleImplementation science communications2024

Views and perspectives toward implementing the Global Spine Care Initiative (GSCI) model of care, and related spine care program by the people in Cross Lake, Northern Manitoba, Canada: a qualitative study using the Theoretical Domain Framework (TDF).

Nicole Robak, Elena Broeckelmann, Silvano Mior, Melissa Atkinson-Graham, Jennifer Ward, Muriel Scott, Steven Passmore, Deborah Kopansky-Giles, Patricia Tavares, Jean Moss and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

18 authors.

Nicole RobakFaculty of Kinesiology and Recreation Management, Frank Kennedy Centre, University of Manitoba, University Crescent University of Manitoba (Fort Garry Campus), Winnipeg, MB, Canada.ORCID http://orcid.org/0009-0001-0761-4916
Elena BroeckelmannFaculty of Kinesiology and Recreation Management, Frank Kennedy Centre, University of Manitoba, University Crescent University of Manitoba (Fort Garry Campus), Winnipeg, MB, Canada.ORCID http://orcid.org/0009-0003-2972-5179
Silvano MiorGraduate Education and Research, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON, M2H 3J1, Canada.ORCID http://orcid.org/0000-0001-6575-2797
Melissa Atkinson-GrahamGraduate Education and Research, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON, M2H 3J1, Canada.ORCID http://orcid.org/0000-0003-3534-0331
Jennifer WardFaculty of Kinesiology and Recreation Management, Frank Kennedy Centre, University of Manitoba, University Crescent University of Manitoba (Fort Garry Campus), Winnipeg, MB, Canada.
Muriel ScottCross Lake Health Services, Cross Lake, P.O. Box 190, Manitoba, R0B 0J0, Canada.
Steven PassmoreFaculty of Kinesiology and Recreation Management, Frank Kennedy Centre, University of Manitoba, University Crescent University of Manitoba (Fort Garry Campus), Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-9506-1687
Deborah Kopansky-GilesGraduate Education and Research, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON, M2H 3J1, Canada.ORCID http://orcid.org/0000-0002-4651-3499
Patricia TavaresGraduate Education and Research, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON, M2H 3J1, Canada.ORCID http://orcid.org/0000-0002-3674-0559
Jean MossWorld Spine Care Canada, 3000 Langstaff Road Unit 15, Concord, ON, L4K 4R7, Canada.ORCID http://orcid.org/0000-0003-4561-6709
Jacqueline LadwigFaculty of Kinesiology and Recreation Management, Frank Kennedy Centre, University of Manitoba, University Crescent University of Manitoba (Fort Garry Campus), Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0003-1380-2734
Cheryl GlazebrookFaculty of Kinesiology and Recreation Management, Frank Kennedy Centre, University of Manitoba, University Crescent University of Manitoba (Fort Garry Campus), Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0001-5908-4542
David MoniasCross Lake Band, Cross Lake, No. 276 Pimicikamak Okimawin, P.O Box 10, Cross Lake, MB, R0B0J0, Canada.
Helga HamiltonCross Lake Health Services, Cross Lake, P.O. Box 190, Manitoba, R0B 0J0, Canada.
Donnie McKayCross Lake Health Services, Cross Lake, P.O. Box 190, Manitoba, R0B 0J0, Canada.
Randall SmolinskiCross Lake Nursing Station, Box 160 Cross Lake, Manitoba, R0B 0J0, Canada.
Scott HaldemanUniversity of California, Irvine, Irvine, CA, 92697, USA.ORCID http://orcid.org/0000-0002-8688-9562
André BussièresFaculty of Kinesiology and Recreation Management, Frank Kennedy Centre, University of Manitoba, University Crescent University of Manitoba (Fort Garry Campus), Winnipeg, MB, Canada. andre.bussieres@uqtr.ca.ORCID http://orcid.org/0000-0002-2818-6949

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBack pain is very common and a leading cause of disability worldwide. Due to health care system inequalities, Indigenous communities have a disproportionately higher prevalence of injury and acute and chronic diseases compared to the general Canadian population. Indigenous communities, particularly in northern Canada, have limited access to evidence-based spine care. Strategies established in collaboration with Indigenous peoples are needed to address unmet healthcare needs, including spine care (chiropractic and movement program) services. This study aimed to understand the views and perspectives of Cross Lake community leaders and clinicians working at Cross Lake Nursing Station (CLNS) in northern Manitoba regarding the implementation of the Global Spine Care Initiative (GSCI) model of spine care (MoC) and related implementation strategies.

methodA qualitative exploratory design using an interpretivist paradigm was used. Twenty community partners were invited to participate in semi-structured interviews underpinned by the Theoretical Domains Framework (TDF) adapted to capture pertinent information. Data were analyzed deductively and inductively, and the interpretation of findings were explored in consultation with community members and partners.

resultsCommunity leaders (n = 9) and physicians, nurses, and allied health workers (n = 11) emphasized: 1) the importance of contextualizing the MoC (triaging and care pathway) and proposed new services through in-person community engagement; 2) the need and desire for local non-pharmacological spine care approaches; and 3) streamlining patient triage and CLNS workflow. Recommendations for the streamlining included reducing managerial/administrative duties, educating new incoming clinicians, incorporating follow-up appointments for spine pain patients, and establishing an electronic medical record system along with a patient portal. Suggestions regarding how to sustain the new spine care services included providing transportation, protecting allocated clinic space, resolving insurance coverage discrepancies, addressing misconceptions about chiropractic care, instilling the value of physical activity for self-care and pain relief, and a short-term (30-day) incentivised movement program which considers a variety of movement options and offers a social component after each session.

conclusionCommunity partners were favorable to the inclusion of a refined GSCI MoC. Adapting the TDF to unique Indigenous needs may help understand how best to implement the MoC in communities with similar needs.

Indexed as

ChiropracticImplementation scienceIndigenousMedically underserved areaNon-pharmacologicalQualitative researchSpine careTheoretical domains frameworkVulnerable population

Identifiers

PMID39289772
PMCPMC11406944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.