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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 september 2026 uppdaterad av: 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.

Studieöversikt

Status

Rekrytering

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

225

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

  • Belgien
    • Brussels Capital
      • Woluwe-Saint-Lambert, Brussels Capital, Belgien, 1200

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Hälsovårdsforskning
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Övrig: General Practitioners, Physiotherapists, and Patients with non-specific low back
Övrig: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Participants' representations and definitions of Collaborative Clinical Reasoning, identified through reflexive thematic analysis.
Tidsram: 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.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.
Tidsram: 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.
Tidsram: 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.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Université Catholique de Louvain

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 september 2026

Primärt slutförande (Beräknad)

1 december 2027

Avslutad studie (Beräknad)

1 december 2027

Studieregistreringsdatum

Först inskickad

24 augusti 2026

Först inskickad som uppfyllde QC-kriterierna

31 augusti 2026

Första postat (Faktisk)

3 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

10 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • RCC

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