Chiropr Man Therap. 2019 Oct 16;27:44. doi: 10.1186/s12998-019-0267-6. eCollection 2019.
Promoting the use of self-management in patients with spine pain managed by chiropractors and chiropractic interns: barriers and design of a theory-based knowledge translation intervention.
Eilayyan O1,2, Thomas A1,2, Hallé MC1,2, Ahmed S1,2, Tibbles AC3, Jacobs C3, Mior S3, Davis C4,5, Evans R6, Schneider MJ7, Owens H1, Zoubi FA1,2, Barnsley J8, Long CR9, Bussières A1,2.
The literature supports the effectiveness of self-management support (SMS) to improve health outcomes of patients with chronic spine pain. However, patient engagement in SMS programs is suboptimal. The objectives of this study were to: 1) assess participation in self-care (i.e. activation) among patients with spine pain, 2) identify patients’ barriers and enablers to using SMS, and 3) map behaviour change techniques (BCTs) to key barriers to inform the design of a knowledge translation (KT) intervention aimed to increase the use of SMS.