Trial reportBMC health services research2025
Capabilities, opportunities and motivations in implementing guideline-oriented biopsychosocial low back pain management: perceptions of occupational healthcare professionals after an educational intervention.
Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Where is the patient in the records? Evaluating physiotherapists' first visit in occupational health primary care pathway for low back pain.BMJ open quality · 2026Trial
- Implementing a guideline-based model of care for hip and knee osteoarthritis in Finland (FIN-OA): Protocol for a benchmarking-controlled trial.Osteoarthritis and cartilage open · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe explored Finnish occupational healthcare professionals' (HCP) perceptions of biopsychosocial (BPS) low back pain (LBP) management after an educational intervention.
methodsWe conducted twelve group interviews of 51 physicians, physiotherapists and nurses from intervention units in a cluster randomized controlled trial (ISRCTN11875357). We used deductive and inductive content analysis to examine the data, and the Capability-Opportunity-Motivation-Behaviour (COM-B) model to identify the facilitators of and barriers to changes in three target behaviours: (A) forming a common BPS-based understanding with patients, (B) systematically using risk stratification tools, and (C) multidisciplinary collaboration in individualized care planning.
resultsFacilitators and barriers were categorized into the following COM-B domains. Most of the facilitators were in the Capability and Motivation domains: increased confidence regarding managing treatment decisions, improved therapeutic alliance and renewed professional identity. Significant system-level barriers were mostly in the Opportunity domain: time constraints, limited resources and unclear treatment pathways. The HCPs reported improved individual skills and awareness after the training, but varying organizational policies and lacking incentives hindered the adoption of BPS methods in multidisciplinary teams. Initial resistance to change decreased as positive patient outcomes emerged. The perceived benefits were increased multidisciplinary collaboration and a shift toward holistic pain management. Those who embraced BPS management reported greater professional satisfaction and confidence when handling LBP patients.
conclusionsTo effectively implement BPS management in occupational health services, organizational and system-level barriers must be addressed and HCPs' skills and motivation enhanced. For sustained support through policy initiatives and reinforced multidisciplinary collaboration, future strategies should integrate BPS practices into routine workflows.
trial registrationThe trial was retrospectively registered on 13.05.2019 ISRCTN11875357.
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