What does it take to facilitate the integration of clinical practice guidelines for the management of low back pain into practice? Part 2: A strategic plan to activate dissemination.

clinical guidelines evidence-based care implementation knowledge translation low back pain

Journal

Pain practice : the official journal of World Institute of Pain
ISSN: 1533-2500
Titre abrégé: Pain Pract
Pays: United States
ID NLM: 101130835

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 04 05 2021
received: 27 04 2021
accepted: 08 05 2021
pubmed: 18 5 2021
medline: 27 1 2022
entrez: 17 5 2021
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 33998767
doi: 10.1111/papr.13032
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

107-112

Informations de copyright

© 2021 World Institute of Pain.

Références

James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 Diseases and Injuries for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1789-858.
Martin BI, Deyo RA, Mirza SK, Turner JA, Comstock BA, Hollingworth W, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299:656-64.
Surkitt LD, Ford JJ, Hahne AJ, Pizzari T, McMeeken JM. Efficacy of directional preference management for low back pain: a systematic review. Phys Ther. 2012;92:652-65.
Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389:736-47.
van Erp RMA, Huijnen IPJ, Jakobs MLG, Kleijnen J, Smeets RJEM. Effectiveness of primary care interventions using a biopsychosocial approach in chronic low back pain: a systematic review. Pain Pract. 2019;19:224-41.
Karayannis NV, Jull GA, Hodges PW. Physiotherapy movement based classification approaches to low back pain: comparison of subgroups through review and developer/expert survey. BMC Musculoskelet Disord. 2012;13:24.
Koes BW, van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2010;19:2075-94.
Dijkers MP, Ward I, Annaswamy T, Dedrick D, Feldpausch J, Moul A, et al. Quality of rehabilitation clinical practice guidelines: an overview study of AGREE II appraisals. Arch Phys Med Rehabil. 2020;101:1643-55. https://doi.org/10.1016/j.apmr.2020.03.022
Zadro J, O’Keeffe M, Maher C. Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review. BMJ Open. 2019;9:e032329.
Kamper SJ, Logan G, Copsey B, Thompson J, Machado GC, Abdel-Shaheed C, et al. What is usual care for low back pain? A systematic review of health care provided to patients with low back pain in family practice and emergency departments. Pain. 2020;161:694-702.
Derghazarian T, Simmonds MJ. Management of low back pain by physical therapists in Quebec: How are we doing? Physiother Canada. 2011;63:464-73.
O’Connell NE, Cook CE, Wand BM, Ward SP. Clinical guidelines for low back pain: a critical review of consensus and inconsistencies across three major guidelines. Best Pract Res Clin Rheumatol. 2016;30:968-80. https://doi.org/10.1016/j.berh.2017.05.001
Hanney WJ, Masaracchio M, Liu X, Kolber MJ. The influence of physical therapy guideline adherence on healthcare utilization and costs among patients with low back pain: a systematic review of the literature. PLoS One. 2016;11:1-18.
Fischer F, Lange K, Klose K, Greiner W, Kraemer A. Barriers and Strategies in Guideline Implementation-a scoping review. Healthcare. 2016;4:36.
Slade SC, Kent P, Patel S, Bucknall T, Buchbinder R. Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain: a systematic review and metasynthesis of qualitative studies. Clin J Pain. 2016;32:800-16.
Grimshaw JM, Patey AM, Kirkham KR, Hall A, Dowling SK, Rodondi N, et al. De-implementing wisely: developing the evidence base to reduce low-value care. BMJ Qual Saf. 2020;29:409-17.
Krum R. Cool Infographics: Effective Communication with Data Visualization and Design. Hoboken, NJ: Wiley; 2013.
Zadro JR, O’Keefe M, Allison JL, Lembke KA, Forbes JL, Maher CG. Effectiveness of implementation strategies to improve adherence of physical therapist treatment choices to clinical practice guidelines for musculoskeletal conditions: systematic review. Phys Ther. 2020;100:1516-41.
Zidarov D, Thomas A, Poissant L. Knowledge translation in physical therapy: from theory to practice. Disabil Rehabil. 2013;35:1571-7.
O’Connell NE, Ward SP. Low back pain: what have clinical guidelines ever done for us? J Orthop Sports Phys Ther. 2018;48:54-7.
Glasgow RE, Vinson C, Chambers D, Khoury MJ, Kaplan RM, Hunter C. National institutes of health approaches to dissemination and implementation science: current and future directions. Am J Public Health. 2012;102:1274-81.
Implementation Science. Aims and scope. http://www.implementationscience.com/about#aimsscope. Accessed 27 Jan 2021.
Canadian Institutes of Health Research. Guide to Knowledge Translation Planning at CIHR: Integrated and End-of-Grant Approaches. Ottawa, ON; 2012. http://www.cihr.ca/e/45321.html
French SD, Green SE, O’Connor DA, McKenzie JE, Francis JJ, Michie S, et al. Developing theory-informed behavior change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework. Implement Sci. 2012;7:38. https://doi.org/10.1186/1748-5908-7-38
Hudon A, Gervais M-J, Hunt M. The contribution of conceptual frameworks to knowledge translation interventions in physical therapy. Phys Ther. 2015;95:630-9.
Cabana MD, Rushton JL, Rush AJ. Implementing practice guidelines for depression: applying a new framework to an old problem. Gen Hosp Psychiatry. 2002;24:35-42.
Barosi G. Strategies for dissemination and implementation of guidelines. Neurol Sci. 2006;27(Suppl 3):231-4.
Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Heal Care. 2005;14:26-33.
Cane J, O’Connor D, Michie S. Validation of the theoretical domains framework for use in behavior change and implementation research. Implement Sci. 2012;7:1-17.
Michie S, Pilling S, Garety P, Whitty P, Eccles MP, Johnston M, et al. Difficulties implementing a mental health guideline: an exploratory investigation using psychological theory. Implement Sci. 2007;2:1-8.
French SD, McKenzie JE, O’Connor DA, Grimshaw JM, Mortimer D, Francis JJ, et al. Evaluation of a theory-informed implementation intervention for the management of acute low back pain in general medical practice: the IMPLEMENT Cluster Randomised Trial. PLoS One. 2013;8:e65471.
Bussières AE, Patey AM, Francis JJ, Sales AE, Grimshaw JM. Identifying factors likely to influence compliance with diagnostic imaging guideline recommendations for spine disorders among chiropractors in North America: a focus group study using the Theoretical Domains Framework. Implement Sci. 2012;7:1-11.
Al Zoubi FM, Menon A, Mayo NE, Bussières AE. The effectiveness of interventions designed to increase the uptake of clinical practice guidelines and best practices among musculoskeletal professionals: a systematic review. BMC Health Serv Res. 2018;18:1-11.
Turner PA, Harby-Owren H, Shackleford F, So A, Fosse T, Whitfield TWA. Audits of physiotherapy practice. Physiother Theory Pract. 1999;15:261-74.
De Souza FS, Ladeira CE, Costa LOP. Adherence to back pain clinical practice guidelines by Brazilian physical therapists. Spine. 1976;2017:E1251-58.

Auteurs

Christian Longtin (C)

School of Rehabilitation, University of Shebrooke, Sherbrooke, Quebec, Canada.

Simon Décary (S)

School of Rehabilitation, University of Shebrooke, Sherbrooke, Quebec, Canada.
Research Centre of the CHUS, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada.

Chad E Cook (CE)

Department of Orthopedics, Duke University, Durham, North Carolina, USA.

Yannick Tousignant-Laflamme (Y)

School of Rehabilitation, University of Shebrooke, Sherbrooke, Quebec, Canada.
Research Centre of the CHUS, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH