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Collaborative Clinical Reasoning: Perceptions and Practices of General Practitioners, Physical Therapists, and Patients With Low Back Pain in Primary Care

7 de septiembre de 2026 actualizado por: Université Catholique de Louvain

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.

Descripción general del estudio

Estado

Reclutamiento

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Estimado)

225

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Copia de seguridad de contactos de estudio

Ubicaciones de estudio

  • Bélgica
    • Brussels Capital
      • Woluwe-Saint-Lambert, Brussels Capital, Bélgica, 1200
        • Reclutamiento
        • UCLouvain - Institute of Health and Society (IRSS)
        • Contacto:
        • Contacto:

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

A. General Practitioners

  1. Be a general practitioner or a physician in postgraduate training in general practice.
  2. Practice general medicine in French-speaking Belgium.
  3. Practice general medicine in primary care.

B. Physiotherapists

  1. Be a physiotherapist.
  2. Practice physiotherapy in French-speaking Belgium.
  3. Practice physiotherapy in primary care.

C. Patients with low back pain

  1. Age ≥18 years.
  2. 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).
  3. Have consulted both a general practitioner and a physiotherapist for this condition in primary care in French-speaking Belgium.

Exclusion Criteria:

A. General Practitioners

1. Be on sick leave during the study (e.g., work incapacity)

B. Physiotherapists

  1. Practice exclusively in a nursing home or a nursing home with skilled nursing care.
  2. Be on sick leave during the study (e.g., work incapacity).

C. Patients with low back pain

  1. Have a known specific lumbar pathology (e.g., fracture, infection, cancer, lumbar radiculopathy, etc).
  2. Have a known general condition that may explain the low back pain (e.g., fibromyalgia, osteoporosis, rheumatologic disease, etc).
  3. Have undergone back surgery within the past 12 months.
  4. Be pregnant or have had a known pregnancy within the past 12 months.
  5. Reside in a nursing home or a nursing home with skilled nursing care.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Investigación de servicios de salud
  • Asignación: N / A
  • Modelo Intervencionista: Asignación de un solo grupo
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Otro: General Practitioners, Physiotherapists, and Patients with non-specific low back
Otro: Focus groups and deliberative workshop
General practitioners, physiotherapists, and patients will first participate in separate focus groups for each stakeholder group. A subsequent mixed deliberative workshop will bring together participants from the three stakeholder groups to discuss and refine the findings.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Participants' representations and definitions of Collaborative Clinical Reasoning, identified through reflexive thematic analysis.
Periodo de tiempo: 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.
From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.
Periodo de tiempo: From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
The enactment of Collaborative Clinical Reasoning in primary care practice 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.
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.
Periodo de tiempo: From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
Barriers and facilitators influencing the enactment of Collaborative Clinical Reasoning in primary care practice 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.
From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Université Catholique de Louvain

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Estimado)

1 de septiembre de 2026

Finalización primaria (Estimado)

1 de diciembre de 2027

Finalización del estudio (Estimado)

1 de diciembre de 2027

Fechas de registro del estudio

Enviado por primera vez

24 de agosto de 2026

Primero enviado que cumplió con los criterios de control de calidad

31 de agosto de 2026

Publicado por primera vez (Actual)

3 de septiembre de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

10 de septiembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

7 de septiembre de 2026

Última verificación

1 de septiembre de 2026

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • RCC

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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