The biopsychosocial model is recommended in the management of non-specific low back pain but musculoskeletal practitioners can lack skills in assessing and managing patients using a biopsychosocial framework. Educational interventions have produced equivocal results. There is a need for an alternative educational tool to support practitioners’ development in the application of biopsychosocial model to manage low back pain. A mixed methods study assessed the feasibility and acceptability of an e-learning programme on the biopsychosocial management of non-specific low back pain for osteopaths with more than 15 years’ experience. A sequential explanatory design was conducted, with a feasibility randomised controlled trial and semi-structured interviews explored with thematic analysis. A total of 45 participants participated in the RCT of which 9 also participated in the interview study. The a-priori sample size was not met (45 instead of 50). The recruitment strategies, randomisation, retention, data collection and outcome measures worked well and were found to be feasible for a main trial. The retention, satisfaction and participants’ views of the programme demonstrated a good acceptability of the programme. Data from the semi-structured interviews were organised in three themes, the first two were related to the feasibility and acceptability of the e-learning programme (practical experience of following the course and engagement with the content) and the third relates to the impact of the intervention (perception of the BPS model). A main RCT is feasible and the intervention was received well by the participants. A main RCT is required to assess the effectiveness of the e-learning programme. This work also provided data on aspects so far unreported, including osteopaths’ views on continuing professional development, on e-learning as a form of continuing professional development and osteopaths’ perceptions and challenges concerning the implementation of the biopsychosocial model in practice.

中文翻译：

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电子学习计划对整骨医生背痛态度的影响：混合方法可行性研究

推荐使用生物心理社会模型来管理非特异性腰痛，但肌肉骨骼从业人员可能缺乏使用生物心理社会框架评估和管理患者的技能。教育干预产生了模棱两可的结果。需要一种替代教育工具来支持从业者在应用生物心理社会模型来管理腰痛方面的发展。一项混合方法研究评估了具有超过 15 年经验的整骨医生的非特异性腰痛生物心理社会管理电子学习计划的可行性和可接受性。进行了顺序解释性设计，进行了可行性随机对照试验和半结构化访谈，并通过主题分析进行了探索。共有 45 名参与者参加了 RCT，其中 9 人还参加了访谈研究。未满足先验样本大小（45 而不是 50）。招募策略、随机化、保留、数据收集和结果措施运作良好，并被发现对于主要试验是可行的。该计划的保留率、满意度和参与者的意见表明该计划具有良好的接受度。半结构化访谈的数据分为三个主题，前两个与电子学习计划的可行性和可接受性（跟随课程和参与内容的实践经验）有关，第三个与电子学习计划的影响有关。干预（对 BPS 模型的感知）。一项主要的 RCT 是可行的，参与者对干预措施的接受程度很高。需要一个主要的 RCT 来评估电子学习计划的有效性。这项工作还提供了迄今为止尚未报告的方面的数据，包括整骨医师对持续专业发展的看法、作为一种持续专业发展形式的电子学习以及整骨医师关于在实践中实施生物心理社会模型的看法和挑战。