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Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review

The use of the biopsychosocial model in primary care physiotherapy for chronic pain is far from the recommendations given in research and current guidelines. To understand why physiotherapists have difficulty implementing a biopsychosocial approach, more insight is needed on the barriers and facilit...

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Autores principales: van Dijk, Han, Köke, Albère J. A., Elbers, Stefan, Mollema, Jurgen, Smeets, Rob J. E. M., Wittink, Harriët
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861865/
https://www.ncbi.nlm.nih.gov/pubmed/36674387
http://dx.doi.org/10.3390/ijerph20021634
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author van Dijk, Han
Köke, Albère J. A.
Elbers, Stefan
Mollema, Jurgen
Smeets, Rob J. E. M.
Wittink, Harriët
author_facet van Dijk, Han
Köke, Albère J. A.
Elbers, Stefan
Mollema, Jurgen
Smeets, Rob J. E. M.
Wittink, Harriët
author_sort van Dijk, Han
collection PubMed
description The use of the biopsychosocial model in primary care physiotherapy for chronic pain is far from the recommendations given in research and current guidelines. To understand why physiotherapists have difficulty implementing a biopsychosocial approach, more insight is needed on the barriers and facilitators. This scoping review aimed to investigate and map these barriers and facilitators that physiotherapists working in primary care reportedly face when treating patients with chronic musculoskeletal pain from a biopsychosocial perspective. Four electronic databases (PubMed, Embase, CINAHL and ERIC) and the grey literature were searched. Studies were included if they investigated the experiences of physiotherapists in the treatment of chronic pain from a biopsychosocial perspective in primary care. Extracted data were discussed and sub grouped in themes following a qualitative content analysis approach. To align with current use of theories on behavior change, the resulting themes were compared to the Theoretical Domains Framework. After screening, twenty-four studies were included. Eight groups of barriers and facilitators were identified, thematically clustered in six themes: knowledge, skills, and attitudes; environmental context and resources; role clarity; confidence; therapeutic alliance; and patient expectations. The results of this review can be used to inform the development of implementation programs.
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spelling pubmed-98618652023-01-22 Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review van Dijk, Han Köke, Albère J. A. Elbers, Stefan Mollema, Jurgen Smeets, Rob J. E. M. Wittink, Harriët Int J Environ Res Public Health Review The use of the biopsychosocial model in primary care physiotherapy for chronic pain is far from the recommendations given in research and current guidelines. To understand why physiotherapists have difficulty implementing a biopsychosocial approach, more insight is needed on the barriers and facilitators. This scoping review aimed to investigate and map these barriers and facilitators that physiotherapists working in primary care reportedly face when treating patients with chronic musculoskeletal pain from a biopsychosocial perspective. Four electronic databases (PubMed, Embase, CINAHL and ERIC) and the grey literature were searched. Studies were included if they investigated the experiences of physiotherapists in the treatment of chronic pain from a biopsychosocial perspective in primary care. Extracted data were discussed and sub grouped in themes following a qualitative content analysis approach. To align with current use of theories on behavior change, the resulting themes were compared to the Theoretical Domains Framework. After screening, twenty-four studies were included. Eight groups of barriers and facilitators were identified, thematically clustered in six themes: knowledge, skills, and attitudes; environmental context and resources; role clarity; confidence; therapeutic alliance; and patient expectations. The results of this review can be used to inform the development of implementation programs. MDPI 2023-01-16 /pmc/articles/PMC9861865/ /pubmed/36674387 http://dx.doi.org/10.3390/ijerph20021634 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
van Dijk, Han
Köke, Albère J. A.
Elbers, Stefan
Mollema, Jurgen
Smeets, Rob J. E. M.
Wittink, Harriët
Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review
title Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review
title_full Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review
title_fullStr Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review
title_full_unstemmed Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review
title_short Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review
title_sort physiotherapists using the biopsychosocial model for chronic pain: barriers and facilitators—a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861865/
https://www.ncbi.nlm.nih.gov/pubmed/36674387
http://dx.doi.org/10.3390/ijerph20021634
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