Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study

Aim: To identify misbeliefs about the origin and meaning of non-specific chronic low back pain and to examine attitudes towards treatment by primary health care providers. Design: Generic qualitative study. Methods: Ten semi-structured interviews were conducted between October and November 2016 with...

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Autores: García-Martínez, Ester, Soler González, Jorge, Blanco Blanco, Joan, Rubí Carnacea, Francesc, Masbernat-Almenara, Maria, Valenzuela Pascual, Francesc
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/73142
Acceso en línea:https://doi.org/10.1186/s12875-021-01617-3
http://hdl.handle.net/10459.1/73142
Access Level:acceso abierto
Palabra clave:Low Back pain
Medicine
Nursing
Pain management
Primary health care
Qualitative research
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spelling Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative studyGarcía-Martínez, EsterSoler González, JorgeBlanco Blanco, JoanRubí Carnacea, FrancescMasbernat-Almenara, MariaValenzuela Pascual, FrancescLow Back painMedicineNursingPain managementPrimary health careQualitative researchAim: To identify misbeliefs about the origin and meaning of non-specific chronic low back pain and to examine attitudes towards treatment by primary health care providers. Design: Generic qualitative study. Methods: Ten semi-structured interviews were conducted between October and November 2016 with physicians and nurses from primary health care centres in Lleida. The interviews were transcribed and analysed using inductive thematic analysis via Atlas.ti-8 software. Results: Five themes were identified: i. beliefs about the origin and meaning of chronic low back pain, ii. psychosocial aspects of pain modulators, iii. Therapeutic exercise as a treatment for chronic low back pain, iv. biomedical attitudes of primary health care providers, and v. difficulties in the clinical approach to chronic low back pain. Conclusion: Primary health care providers have a unifactorial view of chronic low back pain and base their approach on the biomedical model. Professionals attribute chronic low back pain to structural alterations in the lumbar spine while psychosocial factors are only recognized as pain modulators. For professionals, therapeutic exercise represents a possible solution to chronic low back pain; however, they still do not prescribe it and continue to educate on postural hygiene and recommend limiting physical and/or occupational activities, as opposed to clinical practice guidelines. These findings suggest that to improve the adherence of primary health care providers to the biopsychosocial model, it may be necessary first to modify their misbeliefs about non-specific chronic low back pain by increasing their knowledge on pain neurophysiology.This study is funded by a research grant from the College of Catalan Physical Therapists and it was partially funded by a research grant from Instituto de Salud Carlos III through project PI16/01042, and has been co-financed by the European Union (FEDER) “Una manera de hacer Europa”.BioMed Central2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1186/s12875-021-01617-3http://hdl.handle.net/10459.1/73142reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a: https://doi.org/10.1186/s12875-021-01617-3BMC Primary Care volume, 2022, vol. 23, núm. 9cc-by (c)Authors, 2022info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:repositori.udl.cat:10459.1/731422026-06-24T12:42:17Z
dc.title.none.fl_str_mv Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
title Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
spellingShingle Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
García-Martínez, Ester
Low Back pain
Medicine
Nursing
Pain management
Primary health care
Qualitative research
title_short Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
title_full Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
title_fullStr Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
title_full_unstemmed Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
title_sort Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study
dc.creator.none.fl_str_mv García-Martínez, Ester
Soler González, Jorge
Blanco Blanco, Joan
Rubí Carnacea, Francesc
Masbernat-Almenara, Maria
Valenzuela Pascual, Francesc
author García-Martínez, Ester
author_facet García-Martínez, Ester
Soler González, Jorge
Blanco Blanco, Joan
Rubí Carnacea, Francesc
Masbernat-Almenara, Maria
Valenzuela Pascual, Francesc
author_role author
author2 Soler González, Jorge
Blanco Blanco, Joan
Rubí Carnacea, Francesc
Masbernat-Almenara, Maria
Valenzuela Pascual, Francesc
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Low Back pain
Medicine
Nursing
Pain management
Primary health care
Qualitative research
topic Low Back pain
Medicine
Nursing
Pain management
Primary health care
Qualitative research
description Aim: To identify misbeliefs about the origin and meaning of non-specific chronic low back pain and to examine attitudes towards treatment by primary health care providers. Design: Generic qualitative study. Methods: Ten semi-structured interviews were conducted between October and November 2016 with physicians and nurses from primary health care centres in Lleida. The interviews were transcribed and analysed using inductive thematic analysis via Atlas.ti-8 software. Results: Five themes were identified: i. beliefs about the origin and meaning of chronic low back pain, ii. psychosocial aspects of pain modulators, iii. Therapeutic exercise as a treatment for chronic low back pain, iv. biomedical attitudes of primary health care providers, and v. difficulties in the clinical approach to chronic low back pain. Conclusion: Primary health care providers have a unifactorial view of chronic low back pain and base their approach on the biomedical model. Professionals attribute chronic low back pain to structural alterations in the lumbar spine while psychosocial factors are only recognized as pain modulators. For professionals, therapeutic exercise represents a possible solution to chronic low back pain; however, they still do not prescribe it and continue to educate on postural hygiene and recommend limiting physical and/or occupational activities, as opposed to clinical practice guidelines. These findings suggest that to improve the adherence of primary health care providers to the biopsychosocial model, it may be necessary first to modify their misbeliefs about non-specific chronic low back pain by increasing their knowledge on pain neurophysiology.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1186/s12875-021-01617-3
http://hdl.handle.net/10459.1/73142
url https://doi.org/10.1186/s12875-021-01617-3
http://hdl.handle.net/10459.1/73142
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12875-021-01617-3
BMC Primary Care volume, 2022, vol. 23, núm. 9
dc.rights.none.fl_str_mv cc-by (c)Authors, 2022
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv cc-by (c)Authors, 2022
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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