Physiotherapists’ perceptions of implementing evidence-based practice for patients with low back pain through the Enhanced Transtheoretical Model Intervention: a qualitative study

Feldman, Ron; Haleva-Amir, Sharon; Pincus, Tamar; Ami, Noa Ben

doi:10.1080/09593985.2022.2062690

Cited by 4 publications

(2 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings are consistent with those of studies that indicate that patients seek a confidence-based relationship with their caregivers [10,11,37,38]. Moreover, the findings regarding patients' perceptions of the ETMI method as a practical tool for the treatment of back pain are consistent with those of several studies addressing patients' perceptions of LBP clinical guidelines [15,39].…”

Section: Discussionsupporting

confidence: 90%

“…While the patient's primary purpose is to reduce their pain, they also expect to receive passive treatment, and information and knowledge regarding their back problem [9]. PTs have indicated that there are barriers to overcome, such as the PTs' communication and education, an individual's reluctance to change their daily routine, interprofessional collaboration, and healthcare complexity [10,11].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patients’ Perceptions and Outcome Measures after Undergoing the Enhanced Transtheoretical Model Intervention (ETMI) for Chronic Low Back Pain: A Mixed-Method Study

Feldman

Nudelman

Haleva-Amir

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

This study aimed to evaluate the outcome measures and perceptions of patients with chronic low back pain (CLBP) after being treated with the Enhanced Transtheoretical Model Intervention (ETMI). In this process evaluation mixed-methods study, 30 patients with CLBP electronically completed self-reported measures (function, pain, and fear-avoidance beliefs) before and after ETMI treatment. Subsequently, each patient participated in one-on-one, semi-structured interviews, which were audio-recorded, transcribed, coded, and analyzed thematically. Quantitative analysis showed significant improvements in function (p < 0.001), pain (p < 0.001), and fear-avoidance beliefs (p < 0.001) after receiving ETMI treatment, with a large effect size (Cohen’s d = 1.234). Moreover, the average number of physiotherapy sessions was 2.6 ± 0.6 for the ETMI intervention, while the annual average number in Maccabi is estimated at 4.1 ± 1.5. Three main themes emerged from the thematic analysis: (1) communication between the patient and the practitioner; (2) psychosocial treatment elements, and (3) ETMI as a long-term solution for CLBP. The findings of the current study highlight patients’ perceived need for an open and sincere dialogue and for receiving reassurance and encouragement about their LBP. Notably, they had no problem with the fact that they did not receive passive treatment. Accordingly, together with the significant improvement in post-treatment outcome measures, patients perceived the ETMI method as a practical tool for self-managing their back problems in the long term.

show abstract