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Becoming confidently competent : a qualitative investigation of training in cognitive functional therapy for persistent low back pain

Publiceringsår

2024

Upphovspersoner

Simpson, Phoebe; Holopainen, Riikka; Schütze, Robert; O’Sullivan, Peter; Smith, Anne; Kent, Peter

Abstrakt

Background Physiotherapists trained to deliver biopsychosocial interventions for complex musculoskeletal pain problems often report difficulties in confidence and competency at the end of training. Cognitive Functional Therapy (CFT) is an individualized biopsychosocial intervention and understanding the facilitators and barriers to training in CFT will help inform future training programs. This study aimed to explore physiotherapists’ and trainers’ perceptions of the process of developing competency in CFT. Methods A cross-sectional qualitative design using interviews of 18 physiotherapists and two trainers investigated training in CFT for persistent LBP via reflexive thematic analysis. Results Physiotherapists reported undergoing a complex behavior change process during training. Four themes emerged: 1) Pre-training factors; 2) Behavior change process; 3) Physiotherapy culture and context; and 4) Confident competence and beyond. Key components included graduated practice exposure linked to experiential learning with feedback and clear competency guidelines. Pre-training and contextual factors were facilitators or barriers depending on the individual. Physiotherapists supported ongoing learning, even after competency was achieved. Conclusions This study provides insight into the processes of change during progress toward competency in CFT. It highlights facilitators and barriers to competency including physiotherapy culture and the clinical environment. The study also describes important educational components, including experiential learning and clinical integration, which may be used to inform future post-graduate training.
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Organisationer och upphovspersoner

Jyväskylä universitet

Holopainen Riikka Orcid -palvelun logo

Publikationstyp

Publikationsform

Artikel

Moderpublikationens typ

Tidning

Artikelstyp

En originalartikel

Målgrupp

Vetenskaplig

Kollegialt utvärderad

Kollegialt utvärderad

UKM:s publikationstyp

A1 Originalartikel i en vetenskaplig tidskrift

Publikationskanalens uppgifter

Förläggare

Taylor & Francis

Volym

40

Nummer

4

Sidor

804-816

Publikationsforum

65075

Publikationsforumsnivå

1

Öppen tillgång

Öppen tillgänglighet i förläggarens tjänst

Nej

Parallellsparad

Ja

Övriga uppgifter

Vetenskapsområden

Hälsovetenskap; Vårdvetenskap

Nyckelord

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Publiceringsland

Förenade kungariket

Förlagets internationalitet

Internationell

Språk

engelska

Internationell sampublikation

Ja

Sampublikation med ett företag

Ja

DOI

10.1080/09593985.2022.2151333

Publikationen ingår i undervisnings- och kulturministeriets datainsamling

Ja