The GLA:D BACK self-management adherence and competence checklist (SMAC Checklist)-Development, content validity and...

Area of Science:

• Musculoskeletal health
• Rehabilitation sciences
• Clinical intervention fidelity

Background:

• Understanding the delivery of self-management interventions is crucial for musculoskeletal conditions.
• Fidelity evaluation helps identify effective components of complex treatments.
• Persistent back pain management requires effective patient education and exercise delivery.

Purpose of the Study:

• To develop a checklist for evaluating clinician delivery of the GLA:D Back intervention.
• To create an adaptable tool for assessing self-management interventions in musculoskeletal pain.
• To enhance the fidelity assessment of patient education and exercise programs.

Main Methods:

• Derived checklist items from behavior change techniques and communication theory.
• Employed a three-step development process: framework creation, content validation, and piloting.
• Focused on practical application and refinement of the fidelity checklist.

Main Results:

• Developed the GLA:D BACK Self-management Adherence and Competence Checklist (SMAC Checklist).
• Demonstrated feasibility and acceptability of the checklist among clinicians.
• Achieved satisfactory observer agreement during pilot testing.

Conclusions:

• The SMAC Checklist is a validated tool for assessing the fidelity of self-management interventions for persistent back pain.
• The checklist is designed to be adaptable for broader use across musculoskeletal pain self-management programs.
• This tool supports consistent and effective delivery of supportive interventions for chronic pain.