Exploring Physiotherapists’ Use of Clinical Practice Guidelines, Screening, and Stratification Tools for People With Low Back Pain in New Zealand

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aut.relation.endpage69
aut.relation.issue2en_NZ
aut.relation.journalNew Zealand Journal of Physiotherapyen_NZ
aut.relation.startpage59
aut.relation.volume48en_NZ
aut.researcherReid, Duncan
dc.contributor.authorHill, Jen_NZ
dc.contributor.authorBedford, Jen_NZ
dc.contributor.authorHouston, Den_NZ
dc.contributor.authorA. Reid, Den_NZ
dc.contributor.authorBaxter, GDen_NZ
dc.contributor.authorEllis, Ren_NZ
dc.date.accessioned2020-09-07T23:39:48Z
dc.date.available2020-09-07T23:39:48Z
dc.date.copyright2020-07-23en_NZ
dc.date.issued2020-07-23en_NZ
dc.description.abstractLow back pain (LBP) is a leading cause of disability in New Zealand and is associated with significant treatment and societal costs. Clinical practice guidelines (CPGs) for LBP increasingly recommend the use of screening and stratification tools to aid the early identification of psychosocial factors that can contribute to chronic LBP. This survey of New Zealand physiotherapists examined their use of CPGs, screening, and stratification tools in clinical practice, and identified their perceived barriers to using these tools. In total, 228 physiotherapists completed the survey. Over half of the respondents (53%) regularly used CPGs for LBP in clinical practice, with the Accident Compensation Corporation’s New Zealand Acute Low Back Pain Guide being the most commonly used guideline (84%). Most (94%) respondents reported screening people with LBP for psychosocial factors; 37% used formal screening tools and 22% used risk stratification tools. Key perceived barriers to using CPGs, screening, and stratification tools included lack of training and exposure, time constraints, and lack of resources. An analysis using chi-square tests revealed significant associations (p < 0.05) between the use of screening tools, and postgraduate qualifications and years of experience. Further research is required to better understand whether a stratified model of care for LBP may be implemented in New Zealand and the supports required to ensure the success of such a model.
dc.identifier.citationNew Zealand Journal of Physiotherapy, 48(2), 59–69. https://doi.org/10.15619/NZJP/48.2.02
dc.identifier.doi10.15619/nzjp/48.2.02en_NZ
dc.identifier.issn0303-7193en_NZ
dc.identifier.issn2230-4886en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13640
dc.publisherPhysiotherapy New Zealanden_NZ
dc.rightsNew Zealand Journal of Physiotherapy. All rights reserved. Permission is given to copy, store and redistribute the material in this publication for non-commercial purposes, in any medium or format as long as appropriate credit is given to the source of the material. No derivatives from the original articles are permissible.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectLow Back Pain; Physiotherapy; Stratified Care; Clinical Guidelines; Screening Tools
dc.titleExploring Physiotherapists’ Use of Clinical Practice Guidelines, Screening, and Stratification Tools for People With Low Back Pain in New Zealanden_NZ
dc.typeJournal Article
pubs.elements-id388899
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/SPRINZ
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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