Implementation of a biopsychosocial approach into physiotherapists’ practice: a review of systematic reviews to map barriers and facilitators and identify specific behavior change techniques

References

• Pincus T, Kent P, Bronfort G, et al. Twenty-Five years with the biopsychosocial model of low back pain—is It time to celebrate? A report from the twelfth international forum for primary care research on low back pain. Spine. 2013;38(24):2118–2123.
   PubMed Web of Science ®Google Scholar
• Melzack R, Wall PD. Pain mechanisms: a new theory. Pain Forum. 1996;5(1):3–11.
   Google Scholar
• Nijs J, Roussel N, Paul Van Wilgen C, et al. Thinking beyond muscles and joints: Therapists' and patients' attitudes and beliefs regarding chronic musculoskeletal pain are key to applying effective treatment. Man Ther. 2013;18(2):96–102.
   PubMed Web of Science ®Google Scholar
• Alhowimel A, Alotaibi M, Radford K, et al. Psychosocial factors associated with change in pain and disability outcomes in chronic low back pain patients treated by physiotherapist: a systematic review. SAGE Open Med. 2018;6:2050312118757387.
   Web of Science ®Google Scholar
• Brinjikji W, Luetmer PH, Comstock B, et al. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015;36(4):811–816.
   PubMed Web of Science ®Google Scholar
• Darlow B, Fullen BM, Dean S, et al. The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: a systematic review. Eur J Pain. 2012;16(1):3–17.
   PubMed Web of Science ®Google Scholar
• Domenech J, Sánchez-Zuriaga D, Segura-Ortí E, et al. Impact of biomedical and biopsychosocial training sessions on the attitudes, beliefs, and recommendations of health care providers about low back pain: a randomised clinical trial. Pain. 2011;152(11):2557–2563.
   PubMed Web of Science ®Google Scholar
• Oliveira CB, Maher CG, Pinto RZ, et al. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur Spine J. 2018;27(11):2791–2803.
   PubMed Web of Science ®Google Scholar
• Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–136.
   PubMed Web of Science ®Google Scholar
• Lin I, Wiles L, Waller R, et al. What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med. 2020;54(2):79–86.
   PubMed Web of Science ®Google Scholar
• Twomey D, Stuart S, Baker K. Pain in parkinson's disease: the lived experience. International Journal of Therapy and Rehabilitation. 2018;25(6):301–308.
   Web of Science ®Google Scholar
• Andrade PMO, Haase VG, Oliveira-Ferreira F. An ICF-based approach for cerebral palsy from a biopsychosocial perspective. Dev Neurorehabil. 2012;15(6):391–400.
   PubMed Web of Science ®Google Scholar
• Pétrin J, Donnelly C, McColl MA, et al. Is it worth it?: the experiences of persons with multiple sclerosis as they access health care to manage their condition. Health Expect. 2020;23(5):1269–1279.
   PubMed Web of Science ®Google Scholar
• Gallagher J, Parenti G, Doyle F. Psychological aspects of cardiac care and rehabilitation: Time to wake up to sleep? Curr Cardiol Rep. 2015;17(12):111.
   PubMed Web of Science ®Google Scholar
• BACPR Standrads Wrtiing Group. Standards and Core Components in Cardiovascular Disease Prevention and Rehabilitation. In: Jones J, Buckley J, Furze G, et al. editors. Cardiovascular prevention and rehabilitation in practice. London, UK:. John Wiley & Sons Ltd; 2020. p. 21–45.
   Google Scholar
• Miaskowski C, Blyth F, Nicosia F, et al. A biopsychosocial model of chronic pain for older adults. Pain Med. 2020;21(9):1793–1805.
   PubMed Web of Science ®Google Scholar
• Borrell-Carrio F, Suchman A, Epstein R. The biopsychosocial model 25 years later: Principles, practice, and scientific inquiry. Ann Fam Med. 2004;2(6):576–582.
   PubMed Web of Science ®Google Scholar
• Holopainen R. Biopsychosocial framework – pain impacting life on multiple biopsychosocial domains. Euro J Physiother. 2021;23(5):268–269.
   Web of Science ®Google Scholar
• Driver C, Oprescu F, Lovell GP. Exploring physiotherapists' considerations regarding the use of psychosocial strategies in practice. Physiother Res Int. 2019;24(4):e1783.
   PubMed Web of Science ®Google Scholar
• Main CJ, George SZ. Psychologically informed practice for management of low back pain: future directions in practice and research. Phys Ther. 2011;91(5):820–824.
   PubMed Web of Science ®Google Scholar
• Holopainen R. Exploring the meaning of the biopsychosocial approach in the management of musculoskeletal conditions patients’ and physiotherapists’ perspective. Finland: University of Jyväskylä; 2021.
   Google Scholar
• NICE. Low back pain and sciatica in over 16s: assessment and management. National Institute for Health and Care Excellence, London. 2016.
   Google Scholar
• APS. Guidelines for the management of acute whiplash-associated disorders- for health professionals. 3rd ed. State Insurance Regulatory Authority, Sydney. 2014.
   Google Scholar
• RACGP. Guideline for the management of knee and hip osteoarthritis. 2nd ed. The Royal Australian College of General Practitioners. 2018.
   Google Scholar
• Kobylańska M, Kowalska J, Neustein J, et al. The role of biopsychosocial factors in the rehabilitation process of individuals with a stroke. Work. 2018;61(4):523–535.
   PubMedGoogle Scholar
• Van Erp RMA, Huijnen IPJ, Jakobs MLG, et al. Effectiveness of primary care interventions using a biopsychosocial approach in chronic low back pain: a systematic review. Pain Pract. 2019;19(2):224–241.
   PubMed Web of Science ®Google Scholar
• Kamper SJ, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and Meta-analysis. BMJ. 2015;350(feb18 5):h444.
   PubMedGoogle Scholar
• O'Sullivan P. It's time for change with the management of non-specific chronic low back pain. Br J Sports Med. 2012;46(4):224–227.
   PubMed Web of Science ®Google Scholar
• Foster NE, Delitto A. Embedding psychosocial perspectives within clinical management of low back pain: Integration of psychosocially informed management principles into physical therapist practice—challenges and opportunities. Phys Ther. 2011;91(5):790–803.
   PubMed Web of Science ®Google Scholar
• Sanders T, Foster NE, Bishop A, et al. Biopsychosocial care and the physiotherapy encounter: physiotherapists’ accounts of back pain consultations. BMC Musculoskelet Disord. 2013;14(1):65.
   PubMed Web of Science ®Google Scholar
• Alexanders J, Anderson A, Henderson S. Musculoskeletal physiotherapists’ use of psychological interventions: a systematic review of therapists’ perceptions and practice. Physiotherapy. 2015;101(2):95–102.
   PubMed Web of Science ®Google Scholar
• Jeffrey JE, Foster NE. A qualitative investigation of physical therapists' experiences and feelings of managing patients with nonspecific low back pain. Phys Ther. 2012;92(2):266–278.
   PubMed Web of Science ®Google Scholar
• Alshehri MA, Alzahrani H, Alotaibi M, et al. Physiotherapists’ pain attitudes and beliefs towards chronic low back pain and their association with treatment selection: a cross-sectional study. BMJ Open. 2020;10(6):e037159.
   PubMed Web of Science ®Google Scholar
• Simpson P, Holopainen R, Schütze R, et al. Training of physical therapists to deliver individualized biopsychosocial interventions to treat musculoskeletal pain conditions: a scoping review. Physical Therapy. 2021;101(10):pzab188.
   PubMed Web of Science ®Google Scholar
• Keefe FJ, Main CJ, George SZ. Advancing psychologically informed practice for patients with persistent musculoskeletal pain: Promise, pitfalls, and solutions. Phys Ther. 2018;98(5):398–407.
   PubMed Web of Science ®Google Scholar
• Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003;362(9391):1225–1230.
   PubMed Web of Science ®Google Scholar
• Cowell I, O'Sullivan P, O'Sullivan K, et al. Perceptions of physiotherapists towards the management of non-specific chronic low back pain from a biopsychosocial perspective: a qualitative study. Musculoskelet Sci Pract. 2018;38:113–119.
   PubMed Web of Science ®Google Scholar
• França AA, Santos VD, Filho RL, et al. It's very complicated’: Perspectives and beliefs of newly graduated physiotherapists about the biopsychosocial model for treating people experiencing non-specific low back pain in Brazil. Musculoskelet Sci Pract. 2019;42:84–89.
   PubMed Web of Science ®Google Scholar
• Gardner T, Refshauge K, Smith L, et al. Physiotherapists’ beliefs and attitudes influence clinical practice in chronic low back pain: a systematic review of quantitative and qualitative studies. J Physiother. 2017;63(3):132–143.
   PubMed Web of Science ®Google Scholar
• Rothman AJ. Is there nothing more practical than a good theory?": why innovations and advances in health behavior change will arise if interventions are used to test and refine theory. Int J Behav Nutr Phys Act. 2004;1(1):11.
   PubMedGoogle Scholar
• French SD, Green SE, O'Connor DA, et al. Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the theoretical domains framework. Implement Sci. 2012;7(1):38.
   PubMedGoogle Scholar
• ICEBeRG Designing theoretically-informed implementation interventions. Implement Sci. 2006;1(1):4.
   PubMedGoogle Scholar
• Michie S, Johnston M, Abraham C, Psychological Theory Group, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14(1):26–33.
   PubMed Web of Science ®Google Scholar
• Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7(1):37.
   PubMed Web of Science ®Google Scholar
• Atkins L, Francis J, Islam R, et al. A guide to using the theoretical domains framework of behaviour change to investigate implementation problems. Implementation Sci. 2017;12(1):77.
   PubMed Web of Science ®Google Scholar
• Francis JJ, O'Connor D, Curran J. Theories of behaviour change synthesised into a set of theoretical groupings: introducing a thematic series on the theoretical domains framework. Implement Sci. 2012;7(1):35.
   PubMed Web of Science ®Google Scholar
• AL Zoubi FM, French SD, Patey AM, et al. Professional barriers and facilitators to using stratified care approaches for managing non-specific low back pain: a qualitative study with Canadian physiotherapists and chiropractors. Chiropr Man Therap. 2019;27(1):68.
   PubMed Web of Science ®Google Scholar
• Richmond H, Hall AM, Hansen Z, et al. Exploring physiotherapists' experiences of implementing a cognitive behavioural approach for managing low back pain and identifying barriers to long-term implementation. Physiotherapy. 2018;104(1):107–115.
   PubMed Web of Science ®Google Scholar
• Willett M, Greig C, Fenton S, et al. Utilising the perspectives of patients with lower-limb osteoarthritis on prescribed physical activity to develop a theoretically informed physiotherapy intervention. BMC Musculoskelet Disord. 2021;22(1):155.
   PubMed Web of Science ®Google Scholar
• Human Behaviour-Change Project London: Centre for Behaviour Change - University College London. 2021. https://www.humanbehaviourchange.org/
   Google Scholar
• Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008.
   PubMed Web of Science ®Google Scholar
• Lorenz RC, Matthias K, Pieper D, et al. A psychometric study found AMSTAR 2 to be a valid and moderately reliable appraisal tool. J Clin Epidemiol. 2019;114:133–140.
   PubMed Web of Science ®Google Scholar
• Hall AM, Scurrey SR, Pike AE, et al. Physician-reported barriers to using evidence-based recommendations for low back pain in clinical practice: a systematic review and synthesis of qualitative studies using the theoretical domains framework. Implementation Sci. 2019;14(1):49.
   PubMedGoogle Scholar
• Little EA, Presseau J, Eccles MP. Understanding effects in reviews of implementation interventions using the theoretical domains framework. Implementation Sci. 2015;10(1):90.
   PubMedGoogle Scholar
• Theory and Technique Tool: British Websites. 2021. https://theoryandtechniquetool.humanbehaviourchange.org/
   Google Scholar
• BCT Theory. How can I use the Theory & Techniques tool?: British websites. 2021. https://theoryandtechniquetool.humanbehaviourchange.org/how-to-use
   Google Scholar
• Michie S, Johnston M, Rothman AJ, et al. Developing an evidence-based online method of linking behaviour change techniques and theoretical mechanisms of action: a multiple methods study. Health Serv Deliv Res. 2021;9(1):1–168.
   Google Scholar
• Holopainen R, Simpson P, Piirainen A, et al. Physiotherapists' perceptions of learning and implementing a biopsychosocial intervention to treat musculoskeletal pain conditions: a systematic review and metasynthesis of qualitative studies. Pain. 2020;161(6):1150–1168.
   PubMed Web of Science ®Google Scholar
• Driver C, Kean B, Oprescu F, et al. Knowledge, behaviors, attitudes and beliefs of physiotherapists towards the use of psychological interventions in physiotherapy practice: a systematic review. Disabil Rehabil. 2017;39(22):2237–2249.
   PubMed Web of Science ®Google Scholar
• Synnott A, O'Keeffe M, Bunzli S, et al. Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review. J Physiother. 2015;61(2):68–76.
   PubMed Web of Science ®Google Scholar
• Gray H, Howe T. Physiotherapists’ assessment and management of psychosocial factors (Yellow and Blue Flags) in individuals with back pain. 2013.
   Google Scholar
• Heslehurst N, Newham J, Maniatopoulos G, et al. Implementation of pregnancy weight management and obesity guidelines: a Meta-synthesis of healthcare professionals' barriers and facilitators using the theoretical domains framework. Obes Rev. 2014;15(6):462–486.
   PubMed Web of Science ®Google Scholar
• Nathan N, Elton B, Babic M, et al. Barriers and facilitators to the implementation of physical activity policies in schools: a systematic review. Prev Med. 2018;107:45–53.
   PubMed Web of Science ®Google Scholar
• Seward K, Finch M, Yoong SL, et al. Factors that influence the implementation of dietary guidelines regarding food provision in Centre based childcare services: a systematic review. Prev Med. 2017;105:197–205.
   PubMed Web of Science ®Google Scholar
• Ng W, Slater H, Starcevich C, et al. Barriers and enablers influencing healthcare professionals' adoption of a biopsychosocial approach to musculoskeletal pain: a systematic review and qualitative evidence synthesis. Pain. 2021;162(8):2154–2185.
   PubMed Web of Science ®Google Scholar
• Demmelmaier I, Denison E, Lindberg P, et al. Tailored skills training for practitioners to enhance assessment of prognostic factors for persistent and disabling back pain: four quasi-experimental single-subject studies. Physiother Theory Pract. 2012;28(5):359–372.
   PubMedGoogle Scholar
• Fritz J, Wallin L, Söderlund A, et al. Implementation of a behavioral medicine approach in physiotherapy: a process evaluation of facilitation methods. Implement Sci. 2019;14(1):94.
   PubMed Web of Science ®Google Scholar
• Birken SA, Powell BJ, Presseau J, et al. Combined use of the consolidated framework for implementation research (CFIR) and the theoretical domains framework (TDF): a systematic review. Implement Sci. 2017;12(1):2.
   PubMedGoogle Scholar