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01-12-2021 | Back Pain | Research article

Determinants of clinical practice guidelines’ utilization for the management of musculoskeletal disorders: a scoping review

Authors: Delphine Sorondo, Cyrille Delpierre, Pierre Côté, Louis-Rachid Salmi, Christine Cedraschi, Anne Taylor-Vaisey, Nadège Lemeunier

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Abstract

Context

Many clinical practice guidelines have been developed for the management of musculoskeletal disorders (MSDs). However, there is a gap between evidence-based knowledge and clinical practice, and reasons are poorly understood. Understanding why healthcare providers use clinical practice guidelines is essential to improve their implementation, dissemination, and adherence.

Aim

To identify determinants of clinical practice guidelines’ utilization by health care providers involved in the assessment and management of MSDs.

Method

A scoping review of the literature was conducted. Three databases were searched from inception to March 2021. Article identification, study design, methodological quality, type of healthcare providers, MSDs, barriers and facilitators associated with guidelines’ utilization were extracted from selected articles.

RESULTS: 8671 citations were retrieved, and 43 articles were selected. 51% of studies were from Europe, and most were quantitative studies (64%) following a cross-sectional design (88%). Almost 80% of articles dealt with low back pain guidelines, and the most studied healthcare providers were general practitioners or physiotherapists. Five main barriers to guideline utilization were expressed by providers: 1) disagreement between recommendations and patient expectations; 2) guidelines not specific to individual patients; 3) unfamiliarity with “non-specific” term, or with the bio psychosocial model of MSDs; 4) time consuming; and 5) heterogeneity in guideline methods. Four main facilitators to guideline utilization were cited: 1) clinician’s interest in evidence-based practice; 2) perception from clinicians that the guideline will improve triage, diagnosis and management; 3) time efficiency; and 4) standardized language.

Conclusion

Identifying modifiable determinants is the first step in developing implementation strategies to improve guideline utilization in clinical practice.

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Title: Determinants of clinical practice guidelines’ utilization for the management of musculoskeletal disorders: a scoping review
Authors: Delphine Sorondo
Cyrille Delpierre
Pierre Côté
Louis-Rachid Salmi
Christine Cedraschi
Anne Taylor-Vaisey
Nadège Lemeunier
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Back Pain
Back Pain
Back Pain
Published in: BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-021-04204-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Determinants of clinical practice guidelines’ utilization for the management of musculoskeletal disorders: a scoping review

Abstract

Context

Aim

Method

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Context

Aim

Method

Conclusion

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