Physiotherapists’ Perceptions of Implementing STarT Back in New Zealand: A Thematic Analysis of Focus Group Data

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aut.relation.endpage116
aut.relation.issue3en_NZ
aut.relation.journalNew Zealand Journal of Physiotherapyen_NZ
aut.relation.startpage106
aut.relation.volume50en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorChapple, Cen_NZ
dc.contributor.authorMcKenna, Cen_NZ
dc.contributor.authorHill, Jen_NZ
dc.contributor.authorEllis, Ren_NZ
dc.contributor.authorReid, Den_NZ
dc.contributor.authorMani, Ren_NZ
dc.contributor.authorTumilty, Sen_NZ
dc.contributor.authorDavid, Ben_NZ
dc.date.accessioned2022-11-28T01:23:36Z
dc.date.available2022-11-28T01:23:36Z
dc.date.copyright2022en_NZ
dc.date.issued2022en_NZ
dc.description.abstractSTarT Back is a stratified care approach to identify and manage psychosocial risk factors for persisting low back pain and associated disability. A STarT Back course was held at the School of Physiotherapy, University of Otago, in June 2019, introducing a small cohort of physiotherapists (n = 20) to the approach, including psychologically informed interventions. The study aim was to gain insight into these physiotherapists’ perceptions of the feasibility of implementing STarT Back in their own practice and more widely in New Zealand. Semi-structured focus group interviews were conducted with 14 physiotherapists who attended the training course and had subsequently used STarT Back to different extents in their own practice. Data were analysed using reflexive thematic analysis. Six themes were identified: confidence in current practice; STarT Back as a useful framework; concerns over the low-risk group; difficulties in translation; education is essential; and behaviour change. The need for behaviour change was a unifying theme with interpretation aided by the Capability, Opportunity, and Motivation Behaviour (COM-B) model. Practical suggestions to enhance implementation were made, with participants identifying strategies that promoted use of STarT Back in their practice. Issues identified included concerns about care for low-risk patients, health system structure and funding, and resistance to changing usual practice. Participants were cautious about the feasibility of wider implementation of STarT Back in New Zealand.
dc.identifier.citationNew Zealand Journal of Physiotherapy, 50(3), 106–116. https://doi.org/10.15619/NZJP/50.3.02
dc.identifier.doi10.15619/NZJP/50.3.02en_NZ
dc.identifier.issn0303-7193en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/15665
dc.publisherNew Zealand Society of Physiotherapists Incen_NZ
dc.relation.urihttps://12218-console.memberconnex.com/Folder?Action=View%20File&Folder_id=638&File=Chapple.pdf
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.subjectImplementation; Low Back Pain; Psychosocial Factors; Stratified Care, STarT Back
dc.titlePhysiotherapists’ Perceptions of Implementing STarT Back in New Zealand: A Thematic Analysis of Focus Group Dataen_NZ
dc.typeJournal Article
pubs.elements-id475930
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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