The attitudes and beliefs of UK osteopaths towards the management of low back pain: A cross-sectional study

Bar-Zaccay, Avishag; Bailey, Daniel

doi:10.1016/j.ijosm.2018.03.006

Cited by 19 publications

(28 citation statements)

References 29 publications

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“…Following the removal of duplicates, 549 articles were retained for further screening. After title, abstract, and full-text screening, 6 articles (14,15,17,(30)(31)(32) from studies were included for nal synthesis (Fig. 1).…”

Section: Results Of the Searchmentioning

confidence: 99%

“…In total, 405 osteopaths contributed to the ndings, of which, 368 osteopaths responded to questionnaires and 37 osteopaths were interviewed. Studies were all conducted in high-income countries such as the United Kingdom (n = 5) (14,15,(30)(31)(32) and Italy (n = 1) (17). There were 2 QUAN papers (14,15) that covered attitudes and beliefs; 3 QUAL papers that covered current practice, barriers and enablers for utilizing BPS approach (17,30,31); and 1 MM paper that covered all these concepts (32) .…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…The two surveys (14,15) scored a total of 3 out 4 points (75%) on the MMAT tool, and the mixed methods study (32) scored 9 out of 11 points (82%) (Table 4).…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

“…The QUAN variables included ABS-mp, PABS.PT and HC-PAIRS. Three studies (14,15,32) had utilised PABS.PT enabling pooling of PABS.PT data that indicated that osteopaths utilize a biomedical approach more (though not statistically signi cant) than the BPS approach in their clinical practice, refer Fig. 2.…”

Section: : Current Practicementioning

confidence: 99%

“…Osteopaths are one of the groups of primary healthcare professionals who manage MSK pain conditions via a range of conservative interventions including manual therapy, exercise therapy and self-management advice (13). Despite evidence emphasizing the assessment of PS factors in pain population, osteopaths may be inclined to have a greater orientation towards the biomedical rather than the biopsychosocial (BPS) model of care (14)(15)(16)(17) and have a relatively low utilisation of CPGs in osteopathic practice (18)(19)(20). The reasons for non-adherence to CPG recommendations may include inadequate knowledge, perceived time, skills and con dence to incorporate a psychologically informed approach in people with chronic LBP (21,22).…”

Section: Introductionmentioning

confidence: 99%

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Title: Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain – A mixed methods systematic review

Sampath

Darlow

Tumilty

et al. 2021

Preprint

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Background: Clinical practice guidelines commonly recommend adopting a biopsychosocial (BPS) framework by practitioners managing musculoskeletal (MSK) pain. However, it remains unclear how osteopaths implement a BPS framework in the management of MSK pain. Hence, the objective of this review was to systematically appraise the literature on the current practices, barriers and facilitators experienced by osteopaths in implementing a BPS framework of care when managing people with MSK pain.Methods: The following electronic databases from January 2005 to August 2020 were searched: PubMed, CINAHL, Science Direct, Google Scholar, ProQuest Central and SCOPUS. Two independent reviewers reviewed the articles retrieved from the databases to assess for eligibility. Any studies (quantitative, qualitative and mixed methods) that investigated the use or application of the BPS approach in osteopathic practice were included in the review. The critical appraisal skills program (CASP) checklist was used to appraise the qualitative studies and the Mixed Methods Appraisal Tool (MMAT) was used to appraise quantitative or mixed methods studies. Advanced convergent meta-integration was used to synthesise data from quantitative, qualitative and mixed methods studies.Results: a total of 6 articles (two quantitative, three qualitative and one mixed methods) were included in the final review. While two key concepts (current practice and embracing a BPS approach) were generated using advanced meta-integration synthesis, two concepts (barriers and enablers) were informed from qualitative only data.Discussion: Our review finding showed that current osteopathic practice occurs within in the biomedical model of care. Although, osteopaths are aware of the theoretical underpinnings of the BPS model and identified the need to embrace the BPS model, various barriers exist that stop osteopaths BPS model use in osteopathic clinical practice. Ongoing education and/or workshops may be necessary to enable osteopaths to implement a BPS approach.

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Section: Results Of the Searchmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

“…The two surveys (14,15) scored a total of 3 out 4 points (75%) on the MMAT tool, and the mixed methods study (32) scored 9 out of 11 points (82%) (Table 4).…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

Section: : Current Practicementioning

confidence: 99%