Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention
Abstract Background Clinical practice guidelines generally recommend clinicians use self-management support (SMS) when managing patients with spine pain. However, even within the educational setting, the implementation of SMS remains suboptimal. The objectives of this study were to 1) estimate the o...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-09-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-018-2241-1 |
| _version_ | 1818217813665382400 |
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| author | Owis Eilayyan Aliki Thomas Marie-Christine Hallé Sara Ahmed Anthony C. Tibbles Craig Jacobs Silvano Mior Connie Davis Roni Evans Michael J. Schneider Fadi Alzoubi Jan Barnsley Cynthia R. Long Andre Bussières |
| author_facet | Owis Eilayyan Aliki Thomas Marie-Christine Hallé Sara Ahmed Anthony C. Tibbles Craig Jacobs Silvano Mior Connie Davis Roni Evans Michael J. Schneider Fadi Alzoubi Jan Barnsley Cynthia R. Long Andre Bussières |
| author_sort | Owis Eilayyan |
| collection | DOAJ |
| description | Abstract Background Clinical practice guidelines generally recommend clinicians use self-management support (SMS) when managing patients with spine pain. However, even within the educational setting, the implementation of SMS remains suboptimal. The objectives of this study were to 1) estimate the organizational readiness for change toward using SMS at the Canadian Memorial Chiropractic College (CMCC), Toronto, Ontario from the perspective of directors and deans, 2) estimate the attitudes and self-reported behaviours towards using evidence-based practice (EBP), and beliefs about pain management among supervisory clinicians and chiropractic interns, 3) identify potential barriers and enablers to using SMS, and 4) design a theory-based tailored Knowledge Translation (KT) intervention to increase the use of SMS. Methods Mixed method design. We administered three self-administered questionnaires to assess clinicians’ and interns’ attitudes and behaviours toward EBP, beliefs about pain management, and practice style. In addition, we conducted 3 focus groups with clinicians and interns based on the Theoretical Domain Framework (TDF) to explore their beliefs about using SMS for patients with spine pain. Data were analysed using deductive thematic analysis by 2 independent assessors. A panel of 7 experts mapped behaviour change techniques to key barriers identified informing the design of a KT intervention. Results Participants showed high level of EBP knowledge, positive attitude of EBP, and moderate frequency of EBP use. A number of barrier factors were identified from clinicians (N = 6) and interns (N = 16) corresponding to 7 TDF domains: Knowledge; Skills; Environmental context and resources; Emotion; Beliefs about Capabilities; Memory, attention & decision making; and Social Influence. To address these barriers, the expert panel proposed a multifaceted KT intervention composed of a webinar and online educational module on a SMS guided by the Brief Action Planning, clinical vignettes, training workshop, and opinion leader support. Conclusion SMS strategies can help maximizing the health care services for patients with spine pain. This may in turn optimize patients’ health. The proposed theory-based KT intervention may facilitate the implementation of SMS among clinicians and interns. |
| first_indexed | 2024-12-12T07:13:50Z |
| format | Article |
| id | doaj.art-98e412bca4314ab5aed77689847156b7 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-12T07:13:50Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-98e412bca4314ab5aed77689847156b72022-12-22T00:33:33ZengBMCBMC Musculoskeletal Disorders1471-24742018-09-0119111310.1186/s12891-018-2241-1Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation interventionOwis Eilayyan0Aliki Thomas1Marie-Christine Hallé2Sara Ahmed3Anthony C. Tibbles4Craig Jacobs5Silvano Mior6Connie Davis7Roni Evans8Michael J. Schneider9Fadi Alzoubi10Jan Barnsley11Cynthia R. Long12Andre Bussières13School of Physical and Occupational Therapy, McGill UniversitySchool of Physical and Occupational Therapy, McGill UniversitySchool of Physical and Occupational Therapy, McGill UniversitySchool of Physical and Occupational Therapy, McGill UniversityCanadian Memorial Chiropractic CollegeCanadian Memorial Chiropractic CollegeCanadian Memorial Chiropractic CollegeUniversity of British ColumbiaUniversity of MinnesotaUniversity of PittsburghSchool of Physical and Occupational Therapy, McGill UniversityUniversity of TorontoPalmer College DavenportSchool of Physical and Occupational Therapy, McGill UniversityAbstract Background Clinical practice guidelines generally recommend clinicians use self-management support (SMS) when managing patients with spine pain. However, even within the educational setting, the implementation of SMS remains suboptimal. The objectives of this study were to 1) estimate the organizational readiness for change toward using SMS at the Canadian Memorial Chiropractic College (CMCC), Toronto, Ontario from the perspective of directors and deans, 2) estimate the attitudes and self-reported behaviours towards using evidence-based practice (EBP), and beliefs about pain management among supervisory clinicians and chiropractic interns, 3) identify potential barriers and enablers to using SMS, and 4) design a theory-based tailored Knowledge Translation (KT) intervention to increase the use of SMS. Methods Mixed method design. We administered three self-administered questionnaires to assess clinicians’ and interns’ attitudes and behaviours toward EBP, beliefs about pain management, and practice style. In addition, we conducted 3 focus groups with clinicians and interns based on the Theoretical Domain Framework (TDF) to explore their beliefs about using SMS for patients with spine pain. Data were analysed using deductive thematic analysis by 2 independent assessors. A panel of 7 experts mapped behaviour change techniques to key barriers identified informing the design of a KT intervention. Results Participants showed high level of EBP knowledge, positive attitude of EBP, and moderate frequency of EBP use. A number of barrier factors were identified from clinicians (N = 6) and interns (N = 16) corresponding to 7 TDF domains: Knowledge; Skills; Environmental context and resources; Emotion; Beliefs about Capabilities; Memory, attention & decision making; and Social Influence. To address these barriers, the expert panel proposed a multifaceted KT intervention composed of a webinar and online educational module on a SMS guided by the Brief Action Planning, clinical vignettes, training workshop, and opinion leader support. Conclusion SMS strategies can help maximizing the health care services for patients with spine pain. This may in turn optimize patients’ health. The proposed theory-based KT intervention may facilitate the implementation of SMS among clinicians and interns.http://link.springer.com/article/10.1186/s12891-018-2241-1Spine painSelf-managementTheory-based interventionKnowledge translationTheoretical domain frameworkChiropractic |
| spellingShingle | Owis Eilayyan Aliki Thomas Marie-Christine Hallé Sara Ahmed Anthony C. Tibbles Craig Jacobs Silvano Mior Connie Davis Roni Evans Michael J. Schneider Fadi Alzoubi Jan Barnsley Cynthia R. Long Andre Bussières Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention BMC Musculoskeletal Disorders Spine pain Self-management Theory-based intervention Knowledge translation Theoretical domain framework Chiropractic |
| title | Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention |
| title_full | Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention |
| title_fullStr | Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention |
| title_full_unstemmed | Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention |
| title_short | Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention |
| title_sort | promoting the use of self management in novice chiropractors treating individuals with spine pain the design of a theory based knowledge translation intervention |
| topic | Spine pain Self-management Theory-based intervention Knowledge translation Theoretical domain framework Chiropractic |
| url | http://link.springer.com/article/10.1186/s12891-018-2241-1 |
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