ArticleMusculoskeletal care2025
Barriers and Facilitators for Implementing Interventions for Treating Patients With Chronic Musculoskeletal Pain: A Qualitative Scoping Review Using the Theoretical Domains Framework.
Article in Musculoskeletal care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic musculoskeletal (MSK) pain poses a significant societal burden, yet many evidence-based interventions fail to reach clinical practice, highlighting an implementation gap. This study aimed to identify barriers and facilitators in implementing MSK pain interventions across healthcare settings.
methodsWe conducted a scoping review following the Joanna Briggs Institute approach. We searched MEDLINE, EMBASE, CINAHL, PubMed and PsycINFO (up to December 2023) for peer-reviewed qualitative studies exploring the perspectives of patients (18+) and healthcare professionals (HCPs) on implementing MSK pain interventions. Studies were screened independently by two authors, and data were analysed using the General Inductive Approach and mapped to the Theoretical Domains Framework (TDF).
resultsFrom 18,220 records, 22 studies were included, involving 307 HCPs and 76 patients across all healthcare sectors. Six major themes emerged: (1) long way from usual care, (2) trust and commitment, (3) support, (4) time and finance, (5) knowledge and skills and (6) patient preferences. The most frequently reported TDF domain was 'Environmental Context and Resources', with key barriers including time constraints, low reimbursement, and insufficient support. Facilitators included leadership, communication, and social networks.
conclusionImplementation of MSK pain interventions is hindered by systemic barriers at individual, organisational, and political levels. Addressing these barriers through targeted strategies is essential for improving sustainable clinical implementation and enhancing patient care.
Indexed as
Identifiers
What OpenQuestion holds
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.