Department of Physiotherapy, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand; and Active Living and Rehabilitation: Aotearoa New Zealand, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Department of Physiotherapy, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
J Prim Health Care. 2022 Jun;14(2):164-172. doi: 10.1071/HC21069.
Introduction The STarT Back Tool (SBT) is used to triage people with acute low back pain (LBP) into treatment groups, matched to their risk of chronicity. It was developed in the UK where it has been shown to improve clinical outcomes, patient satisfaction, and reduce time off work. Successful implementation of the SBT outside the UK is dependent on health practitioner's attitudes and the healthcare system in which they work. Gaining health practitioners' perspectives on the SBT is an important step in implementation. Methods A computerised search of qualitative literature was conducted across seven databases in March 2021 using keywords to identify studies investigating the perspectives of physiotherapists and general practitioners on the use of the SBT in primary health care. Study quality was assessed using the Critical Appraisal Skills Programme (CASP) tool. Data were coded and analysed using reflexive thematic analysis. Results Eight articles met inclusion criteria and included the views of 76 physiotherapists and 65 general practitioners, working in primary health care in four countries. Three themes were created from the data: 'Making it work', identifies factors that influence implementation and continued use of the SBT. The second 'will I do it?', captured potential consequences of adopting the SBT, and the third, 'it's all about the patient' emphasised how the SBT may affect patients. Discussion Physiotherapists and general practitioners found using the SBT frequently enhanced practice. General practitioners expressed concerns about time constraints and the SBT's potential to undermine clinical experience. Findings from this study will inform modifications to contextualise the tool to each healthcare environment.
简介 STarT Back 工具（SBT）用于将急性腰痛（LBP）患者分诊到治疗组中，根据其慢性风险进行匹配。它是在英国开发的，已被证明可以改善临床结果、患者满意度并减少工作缺勤。SBT 在英国以外的成功实施取决于卫生保健从业者的态度和他们工作的医疗保健系统。了解卫生保健从业者对 SBT 的看法是实施的重要步骤。
方法 2021 年 3 月，使用关键词在七个数据库中进行了计算机检索定性文献，以确定研究物理治疗师和全科医生对 SBT 在初级保健中使用的看法的研究。使用批判性评估技能计划（CASP）工具评估研究质量。使用反思性主题分析对数据进行编码和分析。
结果 符合纳入标准的有 8 篇文章，包括来自四个国家初级保健中 76 名物理治疗师和 65 名全科医生的观点。从数据中创建了三个主题：“使之发挥作用”，确定了影响 SBT 的实施和持续使用的因素。第二个主题是“我会这样做吗？”，捕捉采用 SBT 的潜在后果，第三个主题是“这一切都是为了患者”，强调了 SBT 如何可能影响患者。
讨论 物理治疗师和全科医生发现使用 SBT 经常增强了实践。全科医生对时间限制和 SBT 可能破坏临床经验的潜在问题表示关注。本研究的结果将为调整工具以适应每个医疗保健环境提供信息。
