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Archives of Public Health
Published in: Archives of Public Health 1/2014

Open Access 01-12-2014 | Research

Development of a theory- and evidence-based intervention to enhance implementation of physical therapy guidelines for the management of low back pain

Authors: Geert M Rutten, Janneke Harting, Leona K Bartholomew, Jozé C Braspenning, Rob van Dolder, Marcel FGJ Heijmans, Erik JM Hendriks, Stef PJ Kremers, Roland PS van Peppen, Steven TJ Rutten, Angelique Schlief, Nanne K de Vries, Rob AB Oostendorp

Published in: Archives of Public Health | Issue 1/2014

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Abstract

Background

Systematic planning could improve the generally moderate effectiveness of interventions to enhance adherence to clinical practice guidelines. The aim of our study was to demonstrate how the process of Intervention Mapping was used to develop an intervention to address the lack of adherence to the national CPG for low back pain by Dutch physical therapists.

Methods

We systematically developed a program to improve adherence to the Dutch physical therapy guidelines for low back pain. Based on multi-method formative research, we formulated program and change objectives. Selected theory-based methods of change and practical applications were combined into an intervention program. Implementation and evaluation plans were developed.

Results

Formative research revealed influential determinants for physical therapists and practice quality managers. Self-regulation was appropriate because both the physical therapists and the practice managers needed to monitor current practice and make and implement plans for change. The program stimulated interaction between practice levels by emphasizing collective goal setting. It combined practical applications, such as knowledge transfer and discussion-and-feedback, based on theory-based methods, such as consciousness raising and active learning. The implementation plan incorporated the wider environment. The evaluation plan included an effect and process evaluation.

Conclusions

Intervention Mapping is a useful framework for formative data in program planning in the field of clinical guideline implementation. However, a decision aid to select determinants of guideline adherence identified in the formative research to analyse the problem may increase the efficiency of the application of the Intervention Mapping process.
Appendix
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Metadata
Title
Development of a theory- and evidence-based intervention to enhance implementation of physical therapy guidelines for the management of low back pain
Authors
Geert M Rutten
Janneke Harting
Leona K Bartholomew
Jozé C Braspenning
Rob van Dolder
Marcel FGJ Heijmans
Erik JM Hendriks
Stef PJ Kremers
Roland PS van Peppen
Steven TJ Rutten
Angelique Schlief
Nanne K de Vries
Rob AB Oostendorp
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Archives of Public Health / Issue 1/2014
Electronic ISSN: 2049-3258
DOI
https://doi.org/10.1186/2049-3258-72-1

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