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'Leaving my comfort zone'. A qualitative study of physiotherapists' experiences blending an eHealth psychosocial intervention with face-to-face physiotherapy.
Bijker, L; Scholten-Peeters, G G M; Donker, M H; Coppieters, M W; Cuijpers, P; Busink, V; Poolman, E Y; de Wit, L M.
Afiliación
  • Bijker L; Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences - Program Musculoskeletal Health, the Netherlands; Amsterdam Public Health Research Institute, Department of Clinical Psychology, Vrije Universiteit Amsterdam, the Netherlands. Electronic address: l.bijk
  • Scholten-Peeters GGM; Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences - Program Musculoskeletal Health, the Netherlands. Electronic address: g.g.m.scholten-peeters@vu.nl.
  • Donker MH; Department of Health Sciences, Vrije Universiteit Amsterdam, the Netherlands. Electronic address: m.h.donker@vu.nl.
  • Coppieters MW; Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences - Program Musculoskeletal Health, the Netherlands; School of Health Sciences and Social Work, and Menzies Health Institute Queensland, Griffith University, Brisbane & Gold Coast, Australia. Electroni
  • Cuijpers P; Amsterdam Public Health Research Institute, Department of Clinical Psychology, Vrije Universiteit Amsterdam, the Netherlands. Electronic address: p.cuijpers@vu.nl.
  • Busink V; Amsterdam Public Health Research Institute, Department of Clinical Psychology, Vrije Universiteit Amsterdam, the Netherlands.
  • Poolman EY; Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences - Program Musculoskeletal Health, the Netherlands; Amsterdam Public Health Research Institute, Department of Clinical Psychology, Vrije Universiteit Amsterdam, the Netherlands. Electronic address: e.y.po
  • de Wit LM; Amsterdam Public Health Research Institute, Department of Clinical Psychology, Vrije Universiteit Amsterdam, the Netherlands. Electronic address: l.m.de.wit@vu.nl.
Musculoskelet Sci Pract ; 73: 103121, 2024 10.
Article en En | MEDLINE | ID: mdl-38936263
ABSTRACT

BACKGROUND:

Many physiotherapists do not feel adequately equipped to address psychosocial risk factors in people with complex pain states. Hence, a biopsychosocial blended intervention (Back2Action) was developed to assist physiotherapists to manage people with persistent spinal pain and coexisting psychosocial risk factors associated with the development or maintenance of persistent pain.

OBJECTIVE:

This study aimed to gain insight into the experiences of physiotherapists with this blended psychosocial intervention.

DESIGN:

and

methods:

This was an interpretative qualitative study with a reflexive thematic analysis of semi-structured interviews with physiotherapists (N = 15) who delivered Back2Action. The interview started with the grand-tour question "What was your experience in using Back2Action?" Physiotherapist were encouraged to provide examples, and follow-up questions were posed to ensure a deeper understanding could be reached.

RESULTS:

Four themes were constructed Physiotherapists became increasingly aware of (1) their own implicit expectations, biases and skills, and underlying treatment paradigms, and (2) the implicit expectations from their patients towards them. This led to (3) creating a deeper and stronger therapeutic alliance with the patient, but also (4) an understanding that implementation of a true biopsychosocial intervention - even if offered in a blended form - requires more practice, confidence and resources.

CONCLUSIONS:

Back2Action is considered a valuable treatment to deliver a biopsychosocial intervention in primary care. Considering the high level of knowledge, skills and competency of the participating physiotherapists, the perceived barriers may be more difficult to overcome for more junior physiotherapists.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modalidades de Fisioterapia / Investigación Cualitativa / Fisioterapeutas Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Musculoskelet Sci Pract Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modalidades de Fisioterapia / Investigación Cualitativa / Fisioterapeutas Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Musculoskelet Sci Pract Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos