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.
연구 개요
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Olivier Hunin, PT, Msc
- 전화번호: +32478836693
- 이메일: olivier.hunin@uclouvain.be
연구 연락처 백업
- 이름: Franck Verschuren, MD, PhD
- 전화번호: +32486120571
- 이메일: franck.verschuren@uclouvain.be
연구 장소
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Brussels Capital
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Woluwe-Saint-Lambert, Brussels Capital, 벨기에, 1200
- 모병
- UCLouvain - Institute of Health and Society (IRSS)
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연락하다:
- Olivier Hunin, PT, Msc
- 전화번호: +32478836693
- 이메일: olivier.hunin@uclouvain.be
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연락하다:
- Franck Verschuren, MD, PhD
- 전화번호: +32486120571
- 이메일: franck.verschuren@uclouvain.be
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
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.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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다른: 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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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Participants' representations and definitions of Collaborative Clinical Reasoning, identified through reflexive thematic analysis.
기간: 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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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.
기간: 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.
기간: 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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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- RCC
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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