Collaborative Clinical Reasoning: Perceptions and Practices of General Practitioners, Physical Therapists, and Patients With Low Back Pain in Primary Care
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.
調査の概要
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Olivier Hunin, PT, Msc
- 電話番号：+32478836693
- メール：olivier.hunin@uclouvain.be
研究連絡先のバックアップ
- 名前：Franck Verschuren, MD, PhD
- 電話番号：+32486120571
- メール：franck.verschuren@uclouvain.be
研究場所
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Brussels Capital
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Woluwe-Saint-Lambert、Brussels Capital、ベルギー、1200
- 募集
- UCLouvain - Institute of Health and Society (IRSS)
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コンタクト：
- Olivier Hunin, PT, Msc
- 電話番号：+32478836693
- メール：olivier.hunin@uclouvain.be
-
コンタクト：
- Franck Verschuren, MD, PhD
- 電話番号：+32486120571
- メール：franck.verschuren@uclouvain.be
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
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.
Exclusion Criteria:
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.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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他の：General Practitioners, Physiotherapists, and Patients with non-specific low back
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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.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Participants' representations and definitions of Collaborative Clinical Reasoning, identified through reflexive thematic analysis.
時間枠：From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
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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.
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From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.
時間枠：From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
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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.
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From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
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Barriers and facilitators to the enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.
時間枠：From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
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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.
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From the initial focus groups to the subsequent deliberative workshop, over an estimated 15-month data collection period.
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- RCC
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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