Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain

Detalhes bibliográficos
Autor(a) principal: Moniz, Alexandre
Data de Publicação: 2024
Outros Autores: Duarte, Susana T., Aguiar, Pedro, Caeiro, Carmen, Pires, Diogo, Fernandes, Rita, Moço, Diogo, Marques, Marta M., Sousa, Rute, Canhão, Helena, Branco, Jaime, Maria Rodrigues, Ana, Cruz, Eduardo B.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/163790
Resumo: Funding Information: This study was supported by national funds through FCT – Fundação para a Ciência e Tecnologia, I.P., under the PhD grant awarded to STD (UI/BD/150882/2021) and the MyBack Project (PTDC/SAL-SER/7406/2020), in which EBC is the principal investigator. Publisher Copyright: © 2024, The Author(s).
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spelling Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back paina qualitative studyBehaviour changeExerciseImplementation scienceLow back painPrimary healthcareQualitative researchFamily PracticeSDG 3 - Good Health and Well-beingFunding Information: This study was supported by national funds through FCT – Fundação para a Ciência e Tecnologia, I.P., under the PhD grant awarded to STD (UI/BD/150882/2021) and the MyBack Project (PTDC/SAL-SER/7406/2020), in which EBC is the principal investigator. Publisher Copyright: © 2024, The Author(s).Background: Recurrences of low back pain (LBP) are frequent and associated with high levels of disability and medical costs. Regular exercise practice may be an effective strategy to prevent recurrences of LBP, however, the promotion of this behaviour by physiotherapists seems to be challenging. This study aims to explore physiotherapists’ perceived barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice by patients at risk of recurrence of low back pain. Methods: Two focus groups with primary healthcare physiotherapists were conducted, based on a semi-structured interview schedule informed by the Behaviour Change Wheel, including the Capability, Opportunity, Motivation–Behaviour (COM-B) model and the Theoretical Domains Framework (TDF). All focus groups were held through videoconference, audio and video recorded and transcribed verbatim. A deductive content analysis, using a coding matrix based on the COM-B and TDF, was performed by two independent researchers. A third researcher was approached to settle disagreements. Results: In total, 14 physiotherapists participated in the focus groups. The analysis revealed a total of 13 barriers (4 COM-B components and 7 TDF domains) and 23 facilitators (5 COM-B and 13 TDF) to physiotherapists’ implementation of a behaviour change-informed exercise intervention. The most common barriers were the lack of skills and confidence to implement the proposed intervention. These were explained by the fact that it differs from the usual practice of most participants and requires the learning of new skills applied to their contexts. However, for those who had already implemented other similar interventions or whose rationale is aligned with the new intervention, there seemed to exist more positive determinants, such as potential benefits for physiotherapists and the profession, improvement of quality of care and willingness to change clinical practice. For others who did not previously succeed in implementing these types of interventions, more context-related barriers were mentioned, such as lack of time to implement the intervention, schedule incompatibilities and lack of material and human resources. Conclusions: This study identified modifiable barriers and facilitators to physiotherapists’ implementation of a behaviour change-informed exercise intervention for patients at risk of recurrence of LBP in primary healthcare. The findings of this study will allow the systematic and theory-based development of a behaviour change-informed training programme, aimed at physiotherapists and supporting the successful implementation of the exercise intervention.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSEscola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPRUNMoniz, AlexandreDuarte, Susana T.Aguiar, PedroCaeiro, CarmenPires, DiogoFernandes, RitaMoço, DiogoMarques, Marta M.Sousa, RuteCanhão, HelenaBranco, JaimeMaria Rodrigues, AnaCruz, Eduardo B.2024-02-19T23:44:09Z2024-01-262024-01-26T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/163790eng2731-4553PURE: 82797927https://doi.org/10.1186/s12875-024-02274-yinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:48:42Zoai:run.unl.pt:10362/163790Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:59:51.197893Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
a qualitative study
title Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
spellingShingle Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
Moniz, Alexandre
Behaviour change
Exercise
Implementation science
Low back pain
Primary healthcare
Qualitative research
Family Practice
SDG 3 - Good Health and Well-being
title_short Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
title_full Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
title_fullStr Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
title_full_unstemmed Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
title_sort Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain
author Moniz, Alexandre
author_facet Moniz, Alexandre
Duarte, Susana T.
Aguiar, Pedro
Caeiro, Carmen
Pires, Diogo
Fernandes, Rita
Moço, Diogo
Marques, Marta M.
Sousa, Rute
Canhão, Helena
Branco, Jaime
Maria Rodrigues, Ana
Cruz, Eduardo B.
author_role author
author2 Duarte, Susana T.
Aguiar, Pedro
Caeiro, Carmen
Pires, Diogo
Fernandes, Rita
Moço, Diogo
Marques, Marta M.
Sousa, Rute
Canhão, Helena
Branco, Jaime
Maria Rodrigues, Ana
Cruz, Eduardo B.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
RUN
dc.contributor.author.fl_str_mv Moniz, Alexandre
Duarte, Susana T.
Aguiar, Pedro
Caeiro, Carmen
Pires, Diogo
Fernandes, Rita
Moço, Diogo
Marques, Marta M.
Sousa, Rute
Canhão, Helena
Branco, Jaime
Maria Rodrigues, Ana
Cruz, Eduardo B.
dc.subject.por.fl_str_mv Behaviour change
Exercise
Implementation science
Low back pain
Primary healthcare
Qualitative research
Family Practice
SDG 3 - Good Health and Well-being
topic Behaviour change
Exercise
Implementation science
Low back pain
Primary healthcare
Qualitative research
Family Practice
SDG 3 - Good Health and Well-being
description Funding Information: This study was supported by national funds through FCT – Fundação para a Ciência e Tecnologia, I.P., under the PhD grant awarded to STD (UI/BD/150882/2021) and the MyBack Project (PTDC/SAL-SER/7406/2020), in which EBC is the principal investigator. Publisher Copyright: © 2024, The Author(s).
publishDate 2024
dc.date.none.fl_str_mv 2024-02-19T23:44:09Z
2024-01-26
2024-01-26T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/163790
url http://hdl.handle.net/10362/163790
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2731-4553
PURE: 82797927
https://doi.org/10.1186/s12875-024-02274-y
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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