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Implementation of a multidisciplinary rehabilitation program for patients with chronic low back pain—experiences and perspectives of rehabilitation team members
Author(s) -
Faymonville Lisa,
Schmidt Anne Mette,
Handberg Charlotte
Publication year - 2021
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.13441
Subject(s) - rehabilitation , focus group , checklist , qualitative research , psychological intervention , low back pain , multidisciplinary approach , medicine , chronic pain , competence (human resources) , psychology , nursing , physical therapy , alternative medicine , social psychology , social science , pathology , marketing , sociology , business , cognitive psychology
Study rationale Low back pain is a common condition and one of the leading reasons for years of chronic disability. Rehabilitation has been shown to be effective on low back pain, because it is based on the complex and multifactorial mechanisms that low back pain entails. Aim The aim of this study was to describe and interpret rehabilitation team members' experiences and perspectives regarding an integrated rehabilitation program for patients with chronic low back pain. Methods and Materials This qualitative study used the Interpretive Description methodology. Data consisted of participant observation of 28 rehabilitation team members and four semi‐structured focus group interviews with 20 of the 28 participants. The COREQ checklist was used to consolidate the findings in the study. Results The results represented an insight into rehabilitation team members' experiences and perspectives regarding the implementation of an integrated rehabilitation program for patients with chronic low back pain. The significance of the rehabilitation team members' expectations was underlined as they initially had positive expectations but along the implementing of the program found their expectations challenged. The challenges they experienced were related to their professional competence, the incongruity of the two programs being compared, and to their utilization of quick fixes. Conclusion This Interpretive Description study provides insight into the complexity and challenges related to implementation practice. It identifies important elements when implementing a new rehabilitation intervention in clinical practice and emphasizes the importance of expectations among rehabilitation team members in the implementation process. There should be a specific focus on the importance of involving rehabilitation team members when new interventions are to be implemented, as participation contributes to increased positivity in relation to new initiatives.