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Developing a low back pain guideline implementation programme in collaboration with physiotherapists and
Maja Husted Hubeishy1,2,3, Camilla Blach Rossen4, Petra Dannapfel5
1Interdisciplinary Research Unit, Elective Surgery Centre, Silkeborg Regional Hospital, Hospital in Central Denmark Region, Falkevej 1-3, 8600, Silkeborg, Denmark. mahchr@rm.dk.
This study developed a tailored program to improve evidence-based low back pain care among Danish physiotherapists and chiropractors, addressing guideline implementation barriers. The program focuses on screening psychosocial factors and patient education for better low back pain management.
Area of Science:
- Health Services Research
- Implementation Science
- Musculoskeletal Health
Background:
- Low back pain is a leading cause of disability globally, necessitating effective evidence-based care.
- Clinical guideline uptake remains suboptimal, highlighting a need for improved implementation strategies.
- This study addresses the need for tailored approaches to enhance guideline adherence in primary care for low back pain.
Purpose of the Study:
- To develop a contextually tailored implementation programme for Danish physiotherapists and chiropractors.
- To enhance evidence-based low back pain care in primary care settings.
- To overcome identified barriers to guideline implementation through a theory-driven approach.
Main Methods:
- A theory-driven development study utilizing the Behaviour Change Wheel framework.
- Involvement of healthcare professionals through four co-design workshops.
- Systematic process of establishing a theoretical frame, understanding behavior, and designing the program.
Main Results:
- The program targets screening psychosocial risk factors and offering patient education for low back pain.
- Intervention strategies include webinars, e-learning, communication exercises, peer learning, and group dialogue.
- Implementation support includes champions, a website, and consultant visits, delivered over 16 weeks.
Conclusions:
- A theory-driven, co-designed program was developed to implement low back pain guidelines.
- The approach successfully identified target behaviors and tailored strategies to contextual barriers.
- Future evaluation will assess the effectiveness of this implementation program.
