Clinicians' adherence to low back pain guidelines in the Czech Republic is low - an exploratory cross-sectional study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F24%3A10489443" target="_blank" >RIV/00064203:_____/24:10489443 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/24:10489443

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=acl6uUvxVC" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=acl6uUvxVC</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.48095/cccsnn2024408" target="_blank" >10.48095/cccsnn2024408</a>

Result language

angličtina

Original language name

Clinicians' adherence to low back pain guidelines in the Czech Republic is low - an exploratory cross-sectional study

Original language description

Aim: One of the potentially important barriers to the implementation of high-value care for individuals with low back pain is non-adherence to clinical practice guidelines. The aim of this study was to explore adherence to clinical guidelines in clinicians treating individuals with non-specific low back pain in the Czech Republic. Subjects and methods: Physiotherapists and physicians actively treating adult individuals with low back pain in the Czech Republic completed a self- -reported clinical behavior questionnaire regarding intervention recommendations and educational statements selection based on clinical practice guidelines following a vignette representing an individual with non-specific low back pain together with demographic data collection and cross-culturally adapted Fear-Avoidance Beliefs Tool. Results: 344 participants were included in the analysis. Overall self-reported adherence to clinical guidelines was only 52% and was negatively associated with female sex (b = -1.04; P = 0.006), physiotherapy profession and lower education level (b = -2.51; P = 0.006), more years of practice (b = -0.04; P = 0.02) and higher Fear-Avoidance Beliefs Tool-CZ score (b = -0.2; P &lt; 0.001). Our model explained 25% of the variance (R2 = 0.25). Conclusion: Our findings suggest that adherence to clinical guidelines regarding recommendations against inappropriate interventions and the promotion of unhelpful narratives is low in the Czech Republic. To facilitate high-value care for individuals with low back pain in the Czech Republic, local high-quality clinical practice guidelines should be developed in the future and different barriers and facilitators to its adaption and adherence should be further examined in quantitative as well as qualitative research so that the most important factors could be effectively targeted.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30306 - Sport and fitness sciences

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Česká a slovenská neurologie a neurochirurgie

ISSN

1210-7859

e-ISSN

1802-4041

Volume of the periodical

87

Issue of the periodical within the volume

6

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

9

Pages from-to

408-416

UT code for WoS article

001387970200001

EID of the result in the Scopus database

2-s2.0-85214402740