Perspectives and Experiences of Physiotherapists and General Practitioners in the Use of the STarT Back Tool: A Review and Meta-synthesis

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aut.relation.endpage172
aut.relation.issue2en_NZ
aut.relation.journalJournal of Primary Health Careen_NZ
aut.relation.startpage164
aut.relation.volume14en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorHill, Jen_NZ
dc.contributor.authorTry, Fen_NZ
dc.contributor.authorAgnew, Gen_NZ
dc.contributor.authorSaywell, Nen_NZ
dc.date.accessioned2023-01-13T01:47:13Z
dc.date.available2023-01-13T01:47:13Z
dc.date.copyright2022en_NZ
dc.date.issued2022en_NZ
dc.description.abstractIntroduction The STarT Back Tool (SBT) is used to triage people with acute low back pain (LBP) into treatment groups, matched to their risk of chronicity. It was developed in the UK where it has been shown to improve clinical outcomes, patient satisfaction, and reduce time off work. Successful implementation of the SBT outside the UK is dependent on health practitioner's attitudes and the healthcare system in which they work. Gaining health practitioners' perspectives on the SBT is an important step in implementation. Methods A computerised search of qualitative literature was conducted across seven databases in March 2021 using keywords to identify studies investigating the perspectives of physiotherapists and general practitioners on the use of the SBT in primary health care. Study quality was assessed using the Critical Appraisal Skills Programme (CASP) tool. Data were coded and analysed using reflexive thematic analysis. Results Eight articles met inclusion criteria and included the views of 76 physiotherapists and 65 general practitioners, working in primary health care in four countries. Three themes were created from the data: 'Making it work', identifies factors that influence implementation and continued use of the SBT. The second 'will I do it?', captured potential consequences of adopting the SBT, and the third, 'it's all about the patient' emphasised how the SBT may  affect patients. Discussion Physiotherapists and general practitioners found using the SBT frequently enhanced practice. General practitioners expressed concerns about time constraints and the SBT's potential to undermine clinical experience. Findings from this study will inform modifications to contextualise the tool to each healthcare environment.en_NZ
dc.identifier.citationJournal of Primary Health Care 14(2) 164-172 https://doi.org/10.1071/HC21069
dc.identifier.doi10.1071/HC21069en_NZ
dc.identifier.issn1172-6156en_NZ
dc.identifier.issn1172-6156en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/15804
dc.languageengen_NZ
dc.publisherRoyal New Zealand College of General Practitionersen_NZ
dc.relation.urihttps://www.publish.csiro.au/HC/HC21069
dc.rights.accessrightsOpenAccessen_NZ
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectGeneral Practitionersen_NZ
dc.subjectHumansen_NZ
dc.subjectLow Back Painen_NZ
dc.subjectPhysical Therapistsen_NZ
dc.titlePerspectives and Experiences of Physiotherapists and General Practitioners in the Use of the STarT Back Tool: A Review and Meta-synthesisen_NZ
dc.typeJournal Article
pubs.elements-id457872
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences/Physiotherapy Department
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