Klem Nardia-Rose, Ruscoe Jamison, Ng Leo, Smith Anne, O'Sullivan Peter, de Oliveira Beatriz I R
School of Allied Health, Faculty of Health Sciences, Curtin University, Bentley, WA, Australia.
Faculty of Health Science, Curtin University enAble Institute, Bentley, WA, Australia.
Disabil Rehabil. 2024 Dec;46(26):6367-6375. doi: 10.1080/09638288.2024.2328315. Epub 2024 Mar 15.
Psychosocial factors are a barrier to recovery for people with musculoskeletal pain and psychosocial screening tools are consistently recommended by best practice guidelines to assist in identification. However, many physiotherapists do not use these tools. Presently, the perspectives on psychosocial screening tools of Australian physiotherapists are unknown. Exploration of these factors may create targets for increased uptake. The purpose of this paper is to qualitatively explore Australian physiotherapists' attitudes, perceptions, and behaviours towards psychosocial screening tools for musculoskeletal pain conditions.
An Interpretive description qualitative study design was employed. Seventeen Australian physiotherapists were interviewed about their attitudes, perceptions, and behaviours towards psychosocial screening tools. Interviews were transcribed verbatim and analysed according to interpretive description.
Analysis highlighted three major themes: (1) understanding the patient through psychosocial screening, (2) confidence and competence with psychosocial factors, and (3) factors outside of my control influence screening.
This study presents a deeper understanding of Australian physiotherapists' diverse attitudes and practices regarding psychosocial screening tools. The research highlights not only the variability in perspectives towards the relevance of psychosocial factors in patient assessments, but also the influence of external elements such as patient demographics and clinic culture on the utilization of these screening methods.
社会心理因素是肌肉骨骼疼痛患者康复的障碍，最佳实践指南一直推荐使用社会心理筛查工具来辅助识别。然而，许多物理治疗师并不使用这些工具。目前，澳大利亚物理治疗师对社会心理筛查工具的看法尚不清楚。探索这些因素可能会找到提高工具使用率的目标。本文旨在定性探究澳大利亚物理治疗师对肌肉骨骼疼痛状况社会心理筛查工具的态度、看法和行为。
采用解释性描述定性研究设计。对17名澳大利亚物理治疗师就他们对社会心理筛查工具的态度、看法和行为进行了访谈。访谈内容逐字记录，并根据解释性描述进行分析。
分析突出了三个主要主题：（1）通过社会心理筛查了解患者，（2）对社会心理因素的信心和能力，（3）我无法控制的因素影响筛查。
本研究对澳大利亚物理治疗师对社会心理筛查工具的不同态度和做法有了更深入的理解。该研究不仅突出了对社会心理因素在患者评估中相关性看法的差异，还突出了患者人口统计学和诊所文化等外部因素对这些筛查方法使用的影响。
