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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

2024-01-26Artigo científico Acesso aberto
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dc.contributor.authorMoniz, Alexandre
dc.contributor.authorDuarte, Susana T.
dc.contributor.authorAguiar, Pedro
dc.contributor.authorCaeiro, Carmen
dc.contributor.authorPires, Diogo
dc.contributor.authorFernandes, Rita
dc.contributor.authorMoço, Diogo
dc.contributor.authorMarques, Marta M.
dc.contributor.authorSousa, Rute
dc.contributor.authorSousa, RD
dc.contributor.authorCanhão, Helena
dc.contributor.authorCanhão, Helena
dc.contributor.authorBranco, Jaime
dc.contributor.authorBranco, Jaime
dc.contributor.authorRodrigues, Ana Maria
dc.contributor.authorCruz, Eduardo B.
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2024-02-19T23:44:09Z
dc.date.available2024-02-19T23:44:09Z
dc.date.issued2024-01-26
dc.descriptionFunding 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).
dc.description.abstractBackground: 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent960116
dc.identifier.doi10.1186/s12875-024-02274-y
dc.identifier.otherPURE: 82797927
dc.identifier.otherPURE UUID: d23fdcb5-9a20-488e-84f6-9a7dbc1d60dd
dc.identifier.otherScopus: 85183441441
dc.identifier.otherPubMed: 38279123
dc.identifier.otherORCID: /0000-0002-0074-7732/work/153570001
dc.identifier.otherORCID: /0000-0003-1894-4870/work/153570121
dc.identifier.otherWOS: 001149902600002
dc.identifier.urihttp://hdl.handle.net/10362/163790
dc.identifier.urlhttps://www.scopus.com/pages/publications/85183441441
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBehaviour change
dc.subjectExercise
dc.subjectImplementation science
dc.subjectLow back pain
dc.subjectPrimary healthcare
dc.subjectQualitative research
dc.subjectFamily Practice
dc.subjectSDG 3 - Good Health and Well-being
dc.titlePhysiotherapists’ 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 painen
dc.title.subtitlea qualitative studyen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Primary Care
degois.publication.volume25
dspace.entity.typePublication
person.familyNameSousa
person.familyNameCanhão
person.familyNameBranco
person.givenNameRute Dinis de
person.givenNameHelena
person.givenNameJaime
person.identifier379800
person.identifier.ciencia-idC210-AF8E-A41D
person.identifier.ciencia-id5A17-C6D9-DBC8
person.identifier.ciencia-idB612-E5C3-60DC
person.identifier.orcid0000-0001-9713-0204
person.identifier.orcid0000-0003-1894-4870
person.identifier.orcid0000-0001-7024-4375
person.identifier.ridC-9611-2018
person.identifier.scopus-author-id57192653685
person.identifier.scopus-author-id6602393492
person.identifier.scopus-author-id8417815400
rcaap.rightsopenAccess
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