Promoting the use of self-management in patients with spine pain managed by chiropractors and chiropractic interns: barriers and design of a theory-based knowledge translation intervention
department or school: Other UBC
department or school: Non UBC
data provider: DSpace
identifier citation: Chiropractic & Manual Therapies. 2019 Oct 16;27(1):44
rights copyright: The Author(s).
creator: Eilayyan, Owis
creator: Thomas, Aliki
creator: Hallé, Marie-Christine
creator: Ahmed, Sara
creator: Tibbles, Anthony C
creator: Jacobs, Craig
creator: Mior, Silvano
creator: Davis, Connie
creator: Evans, Roni
creator: Schneider, Michael J
creator: Owens, Heather
creator: Zoubi, Fadi A
creator: Barnsley, Jan
creator: Long, Cynthia R
creator: Bussières, Andre
issued: 2019-10-21T17:59:13Z
issued: 2019-10-16
description: Background: The literature supports the effectiveness of self-management support (SMS) to improve health outcomes of patients with chronic spine pain. However, patient engagement in SMS programs is suboptimal. The objectives of this study were to: 1) assess participation in self-care (i.e. activation) among patients with spine pain, 2) identify patients’ barriers and enablers to using SMS, and 3) map behaviour change techniques (BCTs) to key barriers to inform the design of a knowledge translation (KT) intervention aimed to increase the use of SMS. Methods: In summer 2016, we invited 250 patients with spine pain seeking care at the Canadian Memorial Chiropractic College in Ontario, Canada to complete the Patient Activation Measure (PAM) survey to assess the level of participation in self-care. We subsequently conducted individual interviews, in summer 2017, based on the Theoretical Domains Framework (TDF) in a subset of patients to identify potential challenges to using SMS. The interview guide included 20 open-ended questions and accompanying probes. Findings were deductively analysed guided by the TDF. A panel of 7 experts mapped key barriers to BCTs, designed a KT intervention, and selected the modes of delivery. Results: Two hundred and twenty-three patients completed the PAM. Approximately 24% of respondents were not actively involved in their care. Interview findings from 13 spine pain patients suggested that the potential barriers to using SMS corresponded to four TDF domains: Environmental Context and Resources; Emotion; Memory, Attention & Decision-Making; and Behavioural Regulation. The proposed theory-based KT intervention includes paper-based educational materials, webinars and videos, summarising and demonstrating the therapeutic recommendations including exercises and other lifestyle changes. In addition, the KT intervention includes Brief Action Planning, a SMS strategy based on motivational interviewing, along with a SMART plan and reminders. Conclus…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/72019
note: RESEARCH Open AccessPromoting the use of self-management inpatients with spine pain managed bychiropractors and chiropractic interns:barriers and design of a theory-basedknowledge translation interventionOwis Eilayyan1,2*, Aliki Thomas1,2, Marie-Christine Hallé1,2, Sara Ahmed1,2, Anthony C. Tibbles3, Craig Jacobs3,Silvano Mior3, Connie Davis4,5, Roni Evans6, Michael J. Schneider7, Heather Owens1, Fadi Al Zoubi1,2, Jan Barnsley8,Cynthia R. Long9 and Andre Bussières1,2AbstractBackground: The literature supports the effectiveness of self-management support (SMS) to improve healthoutcomes of patients with chronic spine pain. However, patient engagement in SMS programs is suboptimal. Theobjectives of this study were to: 1) assess participation in self-care (i.e. activation) among patients with spine pain, 2)identify patients’ barriers and enablers to using SMS, and 3) map behaviour change techniques (BCTs) to key barriers toinform the design of a knowledge translation (KT) intervention aimed to increase the use of SMS.Methods: In summer 2016, we invited 250 patients with spine pain seeking care at the Canadian MemorialChiropractic College in Ontario, Canada to complete the Patient Activation Measure (PAM) survey to assess the level ofparticipation in self-care. We subsequently conducted individual interviews, in summer 2017, based on the TheoreticalDomains Framework (TDF) in a subset of patients to identify potential challenges to using SMS. The interview guideincluded 20 open-ended questions and accompanying probes. Findings were deductively analysed guided by the TDF.A panel of 7 experts mapped key barriers to BCTs, designed a KT intervention, and selected the modes of delivery.Results: Two hundred and twenty-three patients completed the PAM. Approximately 24% of respondents were notactively involved in their care. Interview findings from 13 spine pain patients suggested that the potential barriers tousing SMS corresponded to four TDF domains: Environmental Context and…
has type: Article
is shown at: 10.14288/1.0384618
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: BioMed Central
publisher DOI: 10.1186/s12998-019-0267-6
rights: Attribution 4.0 International (CC BY 4.0)
rights URI: http://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
subject: Spine pain
subject: Chiropractic
subject: Self-management
subject: Theory-based intervention
subject: Knowledge translation
subject: Theoretical domains framework
type: Text
identifier URI: http://hdl.handle.net/2429/72019