Collaborative Clinical Reasoning: Perceptions and Practices of General Practitioners, Physical Therapists, and Patients With Low Back Pain in Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 225
- 试验地点
- 1
- 主要终点
- Participants' representations and definitions of Collaborative Clinical Reasoning, identified through reflexive thematic analysis.
研究概览
简要总结
Low back pain is a major health problem in primary care and is associated with a substantial clinical, economic, and societal burden. Although evidence-based recommendations are available, its management remains heterogeneous, poorly coordinated, and often characterized by overmedicalization. In this context, interprofessional collaboration has been identified as a means of improving primary care but does not necessarily ensure a shared understanding of clinical situations. Collaborative Clinical Reasoning (CCR), defined as the process of developing a shared mental model among healthcare professionals and patient partners, remains insufficiently explored in primary care.
This exploratory qualitative study aims to explore the representations and definitions of Collaborative Clinical Reasoning among general practitioners, physiotherapists, and patient partners with low back pain in French-speaking Belgium. It also aims to examine how CCR is implemented in primary care practice and to identify perceived barriers and facilitators to its implementation.
Data will be collected through separate focus groups involving general practitioners, physiotherapists, and patient partners with low back pain. Qualitative data will be analyzed using inductive reflexive thematic analysis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A. General Practitioners
- •Be a general practitioner or a physician in postgraduate training in general practice.
- •Practice general medicine in French-speaking Belgium.
- •Practice general medicine in primary care.
- •B. Physiotherapists
- •Be a physiotherapist.
- •Practice physiotherapy in French-speaking Belgium.
- •Practice physiotherapy in primary care.
- •C. Patients with low back pain
- •Age ≥18 years.
- •Have low back pain (pain between the lower margin of the ribs and the gluteal fold, with or without pain in one or both legs).
- •Have consulted both a general practitioner and a physiotherapist for this condition in primary care in French-speaking Belgium.
排除标准
- •A. General Practitioners
- •1. Be on sick leave during the study (e.g., work incapacity)
- •B. Physiotherapists
- •Practice exclusively in a nursing home or a nursing home with skilled nursing care.
- •Be on sick leave during the study (e.g., work incapacity).
- •C. Patients with low back pain
- •Have a known specific lumbar pathology (e.g., fracture, infection, cancer, lumbar radiculopathy, etc).
- •Have a known general condition that may explain the low back pain (e.g., fibromyalgia, osteoporosis, rheumatologic disease, etc).
- •Have undergone back surgery within the past 12 months.
- •Be pregnant or have had a known pregnancy within the past 12 months.
- •Reside in a nursing home or a nursing home with skilled nursing care.
研究组 & 干预措施
General Practitioners, Physiotherapists, and Patients with non-specific low back
干预措施: Focus groups and deliberative workshop (Other)
结局指标
主要结局
Participants' representations and definitions of Collaborative Clinical Reasoning, identified through reflexive thematic analysis.
时间窗: From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
Participants' representations and definitions of Collaborative Clinical Reasoning will be explored through qualitative data collected during separate focus groups with general practitioners, physiotherapists, and patients with non-specific low back pain, as well as during a subsequent deliberative workshop bringing together these three participant groups.
次要结局
- Enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.(From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.)
- Barriers and facilitators to the enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.(From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.)