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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11130/24:10489443

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30306 - Sport and fitness sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

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

Název periodika

Česká a slovenská neurologie a neurochirurgie

ISSN

1210-7859

e-ISSN

1802-4041

Svazek periodika

87

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

9

Strana od-do

408-416

Kód UT WoS článku

001387970200001

EID výsledku v databázi Scopus

2-s2.0-85214402740