Evidence map›Paper›PMID 41316306›Full record

ArticleImplementation science : IS2025

Implementing an integrated psychological and physical intervention in routine physiotherapy practice for patients with musculoskeletal road traffic injury: protocol for a hybrid implementation-effectiveness type III cluster randomised controlled trial.

Michele Sterling, Yanfei Xie, Christopher Papic, Ana Paula Carvalho-E-Silva, Chloe-Emily Eather, Roma Forbes, Jason Lodge, Robert S Ware, Nadine E Foster, Julia Treleaven and 13 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science : IS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

23 authors.

Michele SterlingRECOVER Injury Research Centre, The University of Queensland, Level 7 STARS Building, Herston Road, Brisbane, 4006, Australia. m.sterling@uq.edu.au.ORCID 0000-0003-1772-2248
Yanfei XieRECOVER Injury Research Centre, The University of Queensland, Level 7 STARS Building, Herston Road, Brisbane, 4006, Australia.
Christopher PapicRECOVER Injury Research Centre, The University of Queensland, Level 7 STARS Building, Herston Road, Brisbane, 4006, Australia.
Ana Paula Carvalho-E-SilvaSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Chloe-Emily EatherRECOVER Injury Research Centre, The University of Queensland, Level 7 STARS Building, Herston Road, Brisbane, 4006, Australia.
Roma ForbesSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Jason LodgeSchool of Education, The University of Queensland, Brisbane, Australia.
Robert S WareGriffith Biostatistics Unit, Griffith University, Brisbane, Australia.
Nadine E FosterCentre for Innovation in Pain and Health Research (CIPHeR), The University of Queensland, Brisbane, Australia.
Julia TreleavenCentre for Innovation in Pain and Health Research (CIPHeR), The University of Queensland, Brisbane, Australia.
Helen SlaterCurtin School of Allied Health, Curtin University, Perth, Australia.
Haitham TuffahaCentre for the Business and Economics of Health, The University of Queensland, Brisbane, Australia.
Kerry PeekSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Johanna LynchGeneral Practice Clinical Unit, The University of Queensland Medical School, Brisbane, Australia.
Shaun O'LearyCentre for Innovation in Pain and Health Research (CIPHeR), The University of Queensland, Brisbane, Australia.
Trudy RebbeckSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Simon FrenchDepartment of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Kerrie EvansSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Tim AustinCamperdown Physiotherapy, Sydney, Australia.
David BrentnallAxis Rehabilitation, Brisbane, Australia.
Michael NicholasSydney Medical School-Northern, Faculty of Medicine and Health, The Kolling Institute, The University of Sydney, Sydney, Australia.
Emily HodkinsonHealthia Limited, Bowen Hills, Brisbane, QLD, Australia.
Rachel A ElphinstonRECOVER Injury Research Centre, The University of Queensland, Level 7 STARS Building, Herston Road, Brisbane, 4006, Australia.

Funding

Medical Research Future Fund 2024146
6 · The paper itself

Abstract

backgroundUp to 50% of individuals with musculoskeletal road traffic injury (RTI) develop chronic pain, resulting in substantial individual and societal burden. Integrated psychological and physical care, such as StressModex, improves patient outcomes compared to physical treatment alone. However, StressModex is not routinely implemented in physiotherapy practice, due to limited training access and physiotherapists' lack of confidence in delivering psychological care. To address this gap, we developed a blended learning implementation strategy-Physiotherapist bIopsyChosocial On-line Training (PICOT)-guided by the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. The aims of this trial are to compare: (1) the effectiveness of PICOT versus in-person training on the reach of StressModex in routine community private physiotherapy practice; (2) the effectiveness of PICOT versus in-person training on adoption, implementation fidelity, sustainability, and maintenance of StressModex; (3) the effectiveness of PICOT versus in-person training on patient health outcomes; and (4) the cost-effectiveness of PICOT versus in-person training. Trial outcomes are informed by the RE-AIM framework.

methodsThis is a hybrid type III implementation-effectiveness, cluster randomised, superiority trial with embedded economic and qualitative process evaluations. Thirty primary care physiotherapy clinics across Australia will be randomly assigned to either the PICOT or traditional 2-day in-person training. PICOT includes a 6-week online program, 6 weeks (once/week) of real-time online group training with individualised feedback, then 3 clinical supervision on-line sessions (once per fortnight). All on-line sessions are co-facilitated by a clinical psychologist and expert physiotherapist. Following training, physiotherapists will deliver StressModex to eligible patients (≥ 18 years, ≤ 12 weeks of musculoskeletal spinal pain post RTI, and at risk of poor recovery). The primary implementation outcome is reach, defined as the proportion of eligible patients treated with StressModex over 8 months. Secondary outcomes include adoption (training participation and initial uptake), implementation (dose, fidelity, and sustainability of delivery), patient health outcomes (collected at Time1, 8 weeks, 6-, and 12 months), and cost-effectiveness. DISCUSSION: This trial will provide critical evidence on scalable training models for embedding integrated psychological and physical care into physiotherapy practice. Findings will inform strategies to improve the implementation and sustainment of evidence-based interventions for musculoskeletal RTIs.

trial registrationACTRN12624001268538. Registered on 18 October 2024. https://www.anzctr.org.au/Trial/Registration/TrialReview.aspxid=388006&showOriginal=true&isReview=true.

Indexed as

Accidents, TrafficPhysical TherapistsPhysical Therapy ModalitiesChronic PainCost-Benefit AnalysisEquivalence Trials as TopicHumansImplementation ScienceRandomized Controlled Trials as TopicBiopsychosocial treatmentBlended learningHybrid effectiveness-implementation randomised controlled trialIntegrated psychological and physical careMusculoskeletal injuryOnline trainingPhysiotherapyRoad traffic injury

Identifiers

PMID41316306
PMCPMC12664231

What OpenQuestion holds

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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.