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dc.contributor.authorBussières, André E.
dc.contributor.authorAl Zoubi, Fadi
dc.contributor.authorQuon, Jeffrey A.
dc.contributor.authorAhmed, Sara
dc.contributor.authorThomas, Aliki
dc.contributor.authorStuber, Kent
dc.contributor.authorSajko, Sandy
dc.contributor.authorFrench, Simon
dc.contributor.authorMembers of the Canadian Chiropractic Guideline Initiative
dc.date.accessioned2016-04-01T17:49:10Z
dc.date.available2016-04-01T17:49:10Z
dc.date.issued2016-04-01
dc.identifier.otherDOI: 10.1186/s13012-015-0213-5
dc.identifier.urihttp://hdl.handle.net/1974/14169
dc.description.abstractBackground Despite available evidence for optimal management of spinal pain, poor adherence to guidelines and wide variations in healthcare services persist. One of the objectives of the Canadian Chiropractic Guideline Initiative is to develop and evaluate targeted theory- and evidence-informed interventions to improve the management of non-specific neck pain by chiropractors. In order to systematically develop a knowledge translation (KT) intervention underpinned by the Theoretical Domains Framework (TDF), we explored the factors perceived to influence the use of multimodal care to manage non-specific neck pain, and mapped behaviour change techniques to key theoretical domains. Methods Individual telephone interviews exploring beliefs about managing neck pain were conducted with a purposive sample of 13 chiropractors. The interview guide was based upon the TDF. Interviews were digitally recorded, transcribed verbatim and analysed by two independent assessors using thematic content analysis. A 15-member expert panel formally met to design a KT intervention. Results Nine TDF domains were identified as likely relevant. Key beliefs (and relevant domains of the TDF) included the following: influence of formal training, colleagues and patients on clinicians (Social Influences); availability of educational material (Environmental Context and Resources); and better clinical outcomes reinforcing the use of multimodal care (Reinforcement). Facilitating factors considered important included better communication (Skills); audits of patients’ treatment-related outcomes (Behavioural Regulation); awareness and agreement with guidelines (Knowledge); and tailoring of multimodal care (Memory, Attention and Decision Processes). Clinicians conveyed conflicting beliefs about perceived threats to professional autonomy (Social/Professional Role and Identity) and speed of recovery from either applying or ignoring the practice recommendations (Beliefs about Consequences). The expert panel mapped behaviour change techniques to key theoretical domains and identified relevant KT strategies and modes of delivery to increase the use of multimodal care among chiropractors. Conclusions A multifaceted KT educational intervention targeting chiropractors’ management of neck pain was developed. The KT intervention consisted of an online education webinar series, clinical vignettes and a video underpinned by the Brief Action Planning model. The intervention was designed to reflect key theoretical domains, behaviour change techniques and intervention components. The effectiveness of the proposed intervention remains to be tested.en_US
dc.language.isoenen_US
dc.subjectTheoretical Domains frameworken_US
dc.subjectKnowledge Translationen_US
dc.subjectInterviewsen_US
dc.subjectContent Analysisen_US
dc.subjectIntervention Designen_US
dc.subjectMultifaceted Interventionen_US
dc.subjectChiropracticen_US
dc.subjectNeck Painen_US
dc.subjectSelf-Managementen_US
dc.titleFast Tracking the Design of Theory-Based KT Interventions Through a Consensus Processen_US
dc.typejournal articleen_US


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