Low back pain (LBP) is the leading cause of disability worldwide among all musculoskeletal disorders despite an intense focus in research efforts. Researchers and decision makers have produced multiple clinical practice guidelines for the rehabilitation of LBP, which contain specific recommendations for clinicians. Adherence to these recommendations may have several benefits, such as improving the quality of care for patients living with LBP, by ensuring that the best evidence-based care is being delivered. However, clinicians’ adherence to recommendations from these guidelines is low and numerous implementation barriers and challenges, such as complexity of information and sheer volume of guidelines have been documented. In a previous paper, we performed a systematic review of the literature to identify high-quality clinical practice guidelines on the management of LBP, and developed a concise yet comprehensive infographic that summarizes the recommendations from these guidelines. Considering the wealth of scientific evidence, passive dissemination alone of this research knowledge is likely to have limitations to help clinicians implement these recommendations into routine practice. Thus, an active and engaging dissemination strategy, aimed at improving the implementation and integration of specific recommendations into practice is warranted. In this paper, we argue that a conceptual framework, such as the theoretical domains framework, could facilitate the implementation of these recommendations into clinical practice. Specifically, we present a systematic approach that could serve to guide the development of a theory-informed knowledge translation intervention as a means to overcome implementation challenges in rehabilitation of LBP.

中文翻译：

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如何促进将腰痛管理的临床实践指南整合到实践中？第 2 部分：激活传播的战略计划

尽管研究工作非常关注，但腰痛 (LBP) 是全世界所有肌肉骨骼疾病中导致残疾的主要原因。研究人员和决策者已经制定了多个 LBP 康复的临床实践指南，其中包含对临床医生的具体建议。遵守这些建议可能有几个好处，例如通过确保提供最佳的循证护理来提高 LBP 患者的护理质量。然而，临床医生对这些指南建议的遵守率很低，并且已经记录了许多实施障碍和挑战，例如信息的复杂性和指南的庞大数量。在之前的一篇论文中，我们对文献进行了系统回顾，以确定关于 LBP 管理的高质量临床实践指南，并开发了一个简洁而全面的信息图，总结了这些指南中的建议。考虑到丰富的科学证据，仅被动传播这些研究知识可能会限制临床医生将这些建议实施到日常实践中。因此，有必要制定一项积极且引人入胜的传播策略，旨在改进具体建议的实施和整合到实践中。在本文中，我们认为一个概念框架，例如理论领域框架，可以促进这些建议在临床实践中的实施。具体来说，