Department of Neuroscience, Uppsala University, Uppsala, Sweden.
Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, Uppsala, Sweden.
Physiother Theory Pract. 2021 May;37(5):583-593. doi: 10.1080/09593985.2019.1639232. Epub 2019 Jul 15.
The objective was to study physical therapists' (PTs') experiences of learning and delivering a complex intervention, a tailored behavioral medicine treatment (BMT) targeting adolescents with pain in primary care.: An explorative study with qualitative approach, using content analysis. Three primary care PTs delivering the treatments in a randomized controlled study were interviewed regarding their views on the BMT.: The participating PTs considered learning about and delivering the BMT as challenging but rewarding. The biopsychosocial approach, tailoring of the treatment and dialogues with parents were identified as key aspects of the BMT program. The process of formulating a functional behavioral analysis was perceived as strenuous. The supervision of the PTs throughout the study was regarded as crucial and necessary for learning about and providing tailored BMT.: Learning about and delivering BMT targeting adolescents with persistent pain is fruitful but laborious and demanding according to three PTs experienced with treatment of pediatric pain in primary care. Extensive education and long periods of supervision seem to be crucial for success and safe delivery according to protocol.
目的是研究物理治疗师（PT）学习和提供复杂干预措施的经验，这是一种针对初级保健中患有疼痛的青少年的定制行为医学治疗（BMT）：一项探索性研究，采用定性方法，使用内容分析。对在随机对照研究中提供治疗的三名初级保健 PT 进行了采访，以了解他们对 BMT 的看法：参与的 PT 认为学习和提供 BMT 具有挑战性，但也有回报。生物心理社会方法、治疗的定制以及与家长的对话被确定为 BMT 计划的关键方面。制定功能行为分析的过程被认为很吃力。整个研究期间对 PT 的监督被认为对学习和提供定制的 BMT 至关重要且必要：根据三名在初级保健中治疗儿科疼痛方面有经验的 PT 的说法，学习和提供针对青少年持续性疼痛的 BMT 是有成效的，但很辛苦，要求也很高。根据方案，广泛的教育和长期的监督似乎对成功和安全的治疗至关重要。
