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.
研究概览
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：Olivier Hunin, PT, Msc
- 电话号码：+32478836693
- 邮箱：olivier.hunin@uclouvain.be
研究联系人备份
- 姓名：Franck Verschuren, MD, PhD
- 电话号码：+32486120571
- 邮箱：franck.verschuren@uclouvain.be
学习地点
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Brussels Capital
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Woluwe-Saint-Lambert、Brussels Capital、比利时、1200
- 招聘中
- UCLouvain - Institute of Health and Society (IRSS)
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接触：
- Olivier Hunin, PT, Msc
- 电话号码：+32478836693
- 邮箱：olivier.hunin@uclouvain.be
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接触：
- Franck Verschuren, MD, PhD
- 电话号码：+32486120571
- 邮箱：franck.verschuren@uclouvain.be
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
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.
学习计划
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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其他：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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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Participants' representations and definitions of Collaborative Clinical Reasoning, identified through reflexive thematic analysis.
大体时间：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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Enactment of Collaborative Clinical Reasoning in primary care practice, identified through reflexive thematic analysis.
大体时间：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.
大体时间：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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合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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