Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review

Self-management has been an increasingly important aspect of helping people manage their long-term conditions. The aim of this qualitative review was to synthesise the views of physiotherapists concerning their delivery of a self-management approach. A systematic search was conducted on six electron...

Full description

Bibliographic Details
Main Authors: Killingback, Clare, Thompson, Mark, Chipperfield, Sarah, Clark, Carol, Williams, Jonathan
Format: Article
Language:English
Published: Taylor & Francis 2021
Subjects:
Online Access:https://repository.londonmet.ac.uk/6518/1/Killingback%2C%20Thompson%2C%20Chipperfield%2C%20Clark%20%26%20Williams%20%282021%29%20accepted%20manuscript.pdf
_version_ 1804072615838482432
author Killingback, Clare
Thompson, Mark
Chipperfield, Sarah
Clark, Carol
Williams, Jonathan
author_facet Killingback, Clare
Thompson, Mark
Chipperfield, Sarah
Clark, Carol
Williams, Jonathan
author_sort Killingback, Clare
collection LMU
description Self-management has been an increasingly important aspect of helping people manage their long-term conditions. The aim of this qualitative review was to synthesise the views of physiotherapists concerning their delivery of a self-management approach. A systematic search was conducted on six electronic bibliographic databases to identify relevant primary studies. Studies were assessed for quality and data extracted. Qualitative data were analysed using thematic synthesis. A total of 1189 studies were identified and screened. Eleven studies met the inclusion criteria. Findings suggest that for self-management approaches to work, physiotherapists believe that patients need to actively participate. Boundaries on who is the expert were blurred at times with some physiotherapists struggling to relinquish control. High quality patient-therapist relationships are required to build trust in order to support patients in the self-management of their long-term conditions. It is also important to consider the competing paradigms in which a service is delivered as this may facilitate or hinder self-management. Seeing patients as people is integral to supporting self-management approaches. Physiotherapists are well placed to support self-management but there is still a need for a cultural and paradigmatic shift in the physiotherapy profession and in some environments, this shift as yet is to be realised.
first_indexed 2024-07-09T04:01:58Z
format Article
id oai:repository.londonmet.ac.uk:6518
institution London Metropolitan University
language English
last_indexed 2024-07-09T04:01:58Z
publishDate 2021
publisher Taylor & Francis
record_format eprints
spelling oai:repository.londonmet.ac.uk:65182022-04-05T01:58:11Z http://repository.londonmet.ac.uk/6518/ Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review Killingback, Clare Thompson, Mark Chipperfield, Sarah Clark, Carol Williams, Jonathan 610 Medicine & health Self-management has been an increasingly important aspect of helping people manage their long-term conditions. The aim of this qualitative review was to synthesise the views of physiotherapists concerning their delivery of a self-management approach. A systematic search was conducted on six electronic bibliographic databases to identify relevant primary studies. Studies were assessed for quality and data extracted. Qualitative data were analysed using thematic synthesis. A total of 1189 studies were identified and screened. Eleven studies met the inclusion criteria. Findings suggest that for self-management approaches to work, physiotherapists believe that patients need to actively participate. Boundaries on who is the expert were blurred at times with some physiotherapists struggling to relinquish control. High quality patient-therapist relationships are required to build trust in order to support patients in the self-management of their long-term conditions. It is also important to consider the competing paradigms in which a service is delivered as this may facilitate or hinder self-management. Seeing patients as people is integral to supporting self-management approaches. Physiotherapists are well placed to support self-management but there is still a need for a cultural and paradigmatic shift in the physiotherapy profession and in some environments, this shift as yet is to be realised. Taylor & Francis 2021-04-05 Article PeerReviewed text en cc_by_nc_4 https://repository.londonmet.ac.uk/6518/1/Killingback%2C%20Thompson%2C%20Chipperfield%2C%20Clark%20%26%20Williams%20%282021%29%20accepted%20manuscript.pdf Killingback, Clare, Thompson, Mark, Chipperfield, Sarah, Clark, Carol and Williams, Jonathan (2021) Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review. Physiotherapy Theory and Practice. pp. 1-15. ISSN 0959-3985 http://dx.doi.org/10.1080/09593985.2021.1911011 10.1080/09593985.2021.1911011
spellingShingle 610 Medicine & health
Killingback, Clare
Thompson, Mark
Chipperfield, Sarah
Clark, Carol
Williams, Jonathan
Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review
title Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review
title_full Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review
title_fullStr Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review
title_full_unstemmed Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review
title_short Physiotherapists’ views on their role in self-management approaches: a qualitative systematic review
title_sort physiotherapists views on their role in self management approaches a qualitative systematic review
topic 610 Medicine & health
url https://repository.londonmet.ac.uk/6518/1/Killingback%2C%20Thompson%2C%20Chipperfield%2C%20Clark%20%26%20Williams%20%282021%29%20accepted%20manuscript.pdf
work_keys_str_mv AT killingbackclare physiotherapistsviewsontheirroleinselfmanagementapproachesaqualitativesystematicreview
AT thompsonmark physiotherapistsviewsontheirroleinselfmanagementapproachesaqualitativesystematicreview
AT chipperfieldsarah physiotherapistsviewsontheirroleinselfmanagementapproachesaqualitativesystematicreview
AT clarkcarol physiotherapistsviewsontheirroleinselfmanagementapproachesaqualitativesystematicreview
AT williamsjonathan physiotherapistsviewsontheirroleinselfmanagementapproachesaqualitativesystematicreview