An interdisciplinary guideline development process: the Clinic on Low-back pain in Interdisciplinary Practice (CLIP) low-back pain guidelines

Rossignol, Michel; Poitras, Stéphane; Dionne, Clermont E.; Tousignant, Michel; Truchon, Michel; Arsenault, Bertrand; Allard, Pierre; Coté, Manon; Neveu, Alain

doi:10.1186/1748-5908-2-36

Cited by 28 publications

(14 citation statements)

References 23 publications

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“…6,49 Similar screening is equally important for physical therapists, especially as physical therapists assume greater healthcare responsibilities as first-contact primary-care clinicians. 17,18 An important role for physical therapists during the initial evaluation of a patient with low back pain is to perform an evaluation to exclude conditions that may contraindicate physical therapy care or reduce the efficiency or effectiveness of treatment.…”

Section: T T Resultsmentioning

confidence: 99%

“…3,10,19,28,43,52,63 Therefore, screening for somatization and depressive symptoms has been advocated by recent clinical practice guidelines. 6,49 Recognizing these psychosocial characteristics may assist clinicians in (1) classifying a patient's risk status and (2) guiding management and referral decisions to ultimately optimize the patient's treatment outcomes.…”

Section: T T Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Change in Psychosocial Distress Associated With Pain and Functional Status Outcomes in Patients With Lumbar Impairments Referred to Physical Therapy Services

Werneke

Hart²,

George³

et al. 2011

J Orthop Sports Phys Ther

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Section: T T Resultsmentioning

confidence: 99%

Section: T T Methodsmentioning

confidence: 99%

Change in Psychosocial Distress Associated With Pain and Functional Status Outcomes in Patients With Lumbar Impairments Referred to Physical Therapy Services

Werneke

Hart²,

George³

et al. 2011

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

“…2,5 Thus, clinical practice guidelines (CPGs) for LBP based on best evidence recommend that in the absence of severe spinal pathology (or other severe medical problems), individuals with LBP should be reassured and provided with information that includes the fact that LBP is a common, self-limiting condition with a good prognosis and that they should maintain or resume activity and, in most cases, stay at work or return to work early (i.e., after a few days and probably before the pain is totally resolved). 1,5,6 Physiotherapists may find the implementation of such clinical guidelines difficult if the treatment recommendations deviate from those taught in professional training or continuing education programs or that are part of common practice. They may also have attitudes toward and beliefs about LBP that do not necessarily align with best-evidence recommendations.…”

Section: Ré Sumémentioning

confidence: 99%

Management of Low Back Pain by Physical Therapists in Quebec: How Are We Doing?

Derghazarian

Simmonds

2011

Physiotherapy Canada

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Purpose: In this study, we characterized physiotherapists' attitudes and beliefs about the bio-psychosocial problem of low back pain (LBP), their use of clinical practice guidelines (CPGs), and the extent to which their advice and treatment is in line with best-evidence CPGs. Methods: One hundred eight physiotherapists completed an online survey that included questionnaires exploring the strength of physiotherapists' biomedical and bio-psychosocial orientations toward the management of LBP: the Pain Attitudes and Beliefs Scale for Physiotherapists and the Attitudes to Back Pain Scale for musculoskeletal practitioners. In addition, participants responded to questions about treatment recommendations for patients in two vignettes. Results: Only 12% of respondents were aware of CPGs. Physiotherapists with a stronger biomedical orientation scored the severity of spinal pathology higher in the patient vignettes. A stronger biomedical orientation was also associated with disagreement with recommendations to return to usual activity or work. Conclusions:The results suggest limited awareness by physiotherapists of best-evidence CPGs and contemporary understandings of LBP that support early activation and self-management. Research to better understand and facilitate the implementation of best-evidence professional education and clinical practice is an urgent priority.Key Words: practice guideline; mobility limitation; low back pain; health knowledge, attitudes, practice. RÉ SUMÉObjectif : L'objectif de cette é tude é tait de caracté riser les attitudes et les croyances des physiothé rapeutes concernant les problè mes bio-psychosociaux lié s aux lombalgies, l'utilisation des lignes directrices de pratique clinique par ces professionnels et le degré de cohé rence entre leur opinion et leur traitement et les meilleures lignes directives de pratique clinique fondé es sur des é lé ments probants. Mé thode : Un é chantillon de 108 physiothé rapeutes a rempli un sondage en ligne qui comprenait des questionnaires qui se penchaient sur la teneur des orientations biomé dicales et psychosociales des physiothé rapeutes pour la gestion de lombalgies : é chelle des attitudes et des croyances face à la douleur pour les physiothé rapeutes (PABS-PT) et é chelle des attitudes face à la douleur dans les cas de lombalgie pour les praticiens du domaine musculosquelettique (ABS-mp). Les participants ont aussi ré pondu à des questions sur les recommandations de traitement pour deux cas fictifs. Ré sultats : Seuls 12 % des ré pondants connaissaient les lignes directrices de pratique clinique. Les physiothé rapeutes avec l'orientation biomé dicale la plus é levé e ont é valué les pathologies rachidiennes pré senté es avec plus de gravité . Une orientation biomé dicale plus é levé e a é galement é té associé e à un dé saccord avec les recommandations visant un retour aux activité s normales ou au travail. Conclusions : Ces ré sultats suggè rent un faible degré de sensibilisation des physiothé rapeutes aux lignes directrices de pratique cli...

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“…One way to improve validity, appropriateness, applicability and ultimately usage of guidelines is by encouraging participation of end-users in the process of guideline development through communities of practice (CoP) [16]. A CoP is a group of people with a common interest who collaborate over an extended period to share ideas, solve problems, and create knowledge [17].…”

Section: Introductionmentioning

confidence: 99%

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

et al. 2017

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BackgroundOne way to facilitate the translation of research into the occupational health service practice is through clinical practice guidelines. To increase the implementability of guidelines it is important to include the end-users in the development, for example by a community of practice approach. This paper describes the development of an occupational health practice guideline aimed at the management of non-specific low back pain (LBP) by using a community of practice approach. The paper also includes a process evaluation of the development providing insight into the feasibility of the process.MethodsA multidisciplinary community of practice group (n = 16) consisting of occupational nurses, occupational physicians, ergonomists/physical therapists, health and safety engineers, health educators, psychologists and researchers from different types of occupational health services and geographical regions within Sweden met eleven times (June 2012–December 2013) to develop the practice guideline following recommendations of guideline development handbooks. Process-outcomes recruitment, reach, context, satisfaction, feasibility and fidelity were assessed by questionnaire, observations and administrative data.ResultsGroup members attended on average 7.5 out of 11 meetings. Half experienced support from their workplace for their involvement. Feasibility was rated as good, except for time-scheduling. Most group members were satisfied with the structure of the process (e.g. presentations, multidisciplinary group). Fidelity was rated as fairly high.ConclusionsThe described development process is a feasible process for guideline development. For future guideline development expectations of the work involved should be more clearly communicated, as well as the purpose and tasks of the CoP-group. Moreover, possibilities to improve support from managers and colleagues should be explored. This paper has important implications for future guideline development; it provides valuable information on how practitioners can be included in the development process, with the aim of increasing the implementability of the developed guidelines.

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An interdisciplinary guideline development process: the Clinic on Low-back pain in Interdisciplinary Practice (CLIP) low-back pain guidelines

Cited by 28 publications

References 23 publications

Change in Psychosocial Distress Associated With Pain and Functional Status Outcomes in Patients With Lumbar Impairments Referred to Physical Therapy Services

Change in Psychosocial Distress Associated With Pain and Functional Status Outcomes in Patients With Lumbar Impairments Referred to Physical Therapy Services

Management of Low Back Pain by Physical Therapists in Quebec: How Are We Doing?

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

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