| Titre : | Experiences, barriers and needs of physiotherapists with regard to providing self-management support to people with low back pain : A qualitative study (2021) |
| Auteurs : | Charlotte van den Heuvel ; Jorn van der Horst ; Eva Winkelhorst ; Eefje Roelofsen ; Nathan Hutting |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 56, December 2021) |
| Article en page(s) : | 102462 |
| Note générale : | https://doi.org/10.1016/j.msksp.2021.102462 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Autosoins ; Lombalgie ; Techniques de physiothérapie |
| Résumé : | Background A person-centred, biopsychosocial approach focused on self-management and a healthy lifestyle is recommended for managing non-specific low back pain (LBP). Objective What are the experiences of physiotherapists with regard to providing self-management support to people with non-specific LBP? Design Exploratory qualitative. Methods Fourteen semi-structured interviews were conducted with physiotherapists in the Netherlands using a semi-structured and pilot tested interview guide. Data were analysed using inductive thematic analysis. Results Physiotherapists believe that self-management has added value in the management of people with non-specific LBP. Motivational interviewing, providing advice and exercise were most frequently used to facilitate behaviour change aimed at enhancing patients’ self-management. Support regarding self-management skills was not frequently mentioned. Physiotherapists are not fully aware of and do not fully integrate support with regard to important self-management skills. The most important barrier participants experienced with regard to integrating self-management was patient expectations. Another important barrier was addressing psychosocial factors. Most participants expressed a need to better integrate self-management support in their treatment. They explained that they needed more knowledge (courses, knowledge clips), opportunities to exchange experiences (peer review group) and tools for patients (app). Conclusions Physiotherapists do not fully integrate support with regard to important self-management skills in people with non-specific LBP. We recommend that physiotherapists address the identified barriers and needs and better include self-management support in their treatment of people with non-specific LBP. We recommend important stakeholders to collectively work on diminishing barriers to integrating self-management support. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781221001466 |
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