Background

A person-centred, biopsychosocial approach focused on self-management and a healthy lifestyle is recommended for managing non-specific low back pain (LBP).

Objective

What are the experiences of physiotherapists with regard to providing self-management support to people with non-specific LBP?

Design

Exploratory qualitative.

Methods

Fourteen semi-structured interviews were conducted with physiotherapists in the Netherlands using a semi-structured and pilot tested interview guide. Data were analysed using inductive thematic analysis.

Results

Physiotherapists believe that self-management has added value in the management of people with non-specific LBP. Motivational interviewing, providing advice and exercise were most frequently used to facilitate behaviour change aimed at enhancing patients’ self-management. Support regarding self-management skills was not frequently mentioned. Physiotherapists are not fully aware of and do not fully integrate support with regard to important self-management skills. The most important barrier participants experienced with regard to integrating self-management was patient expectations. Another important barrier was addressing psychosocial factors. Most participants expressed a need to better integrate self-management support in their treatment. They explained that they needed more knowledge (courses, knowledge clips), opportunities to exchange experiences (peer review group) and tools for patients (app).

Conclusions

Physiotherapists do not fully integrate support with regard to important self-management skills in people with non-specific LBP. We recommend that physiotherapists address the identified barriers and needs and better include self-management support in their treatment of people with non-specific LBP. We recommend important stakeholders to collectively work on diminishing barriers to integrating self-management support.

中文翻译：

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物理治疗师在为腰痛患者提供自我管理支持方面的经验、障碍和需求：一项定性研究

背景

建议采用以人为本的、注重自我管理和健康生活方式的生物心理社会方法来管理非特异性腰痛 (LBP)。

客观的

物理治疗师在为非特异性 LBP 患者提供自我管理支持方面有何经验？

设计

探索性定性。

方法

使用半结构化和试点测试的访谈指南，对荷兰的物理治疗师进行了 14 次半结构化访谈。使用归纳主题分析对数据进行分析。

结果

物理治疗师认为，自我管理在非特异性 LBP 患者的管理中具有附加价值。动机访谈、提供建议和锻炼最常用于促进旨在增强患者自我管理的行为改变。关于自我管理技能的支持并未经常提及。物理治疗师并不完全了解也没有完全整合重要的自我管理技能方面的支持。参与者在整合自我管理方面遇到的最重要障碍是患者的期望。另一个重要障碍是解决社会心理因素。大多数参与者表示需要在他们的治疗中更好地整合自我管理支持。他们解释说他们需要更多的知识（课程、知识片段），

结论

物理治疗师没有完全整合对非特异性 LBP 患者重要的自我管理技能的支持。我们建议物理治疗师解决已确定的障碍和需求，并在治疗非特异性 LBP 患者时更好地提供自我管理支持。我们建议重要的利益相关者共同努力减少整合自我管理支持的障碍。