What behaviour change techniques have been used to improve adherence to evidence-based low back pain imaging?
نویسندگان
چکیده
Abstract Background Despite international guideline recommendations, low back pain (LBP) imaging rates have been increasing over the last 20 years. Previous systematic reviews report limited effectiveness of implementation interventions aimed at reducing unnecessary LBP imaging. No previous analysed these to ascertain what behaviour change techniques (BCTs) used in this field. Understanding implemented field is an essential first step before exploring intervention effectiveness. Methods We searched EMBASE, Ovid (Medline), CINAHL and Cochrane CENTRAL from inception February 1, 2021, as well hand-searched 6 relevant conducted citation tracking included studies. Two authors independently screened titles, abstracts, full texts for eligibility extracted data on study characteristics. Study were qualitatively by three coders identify BCTs, which mapped mechanisms action theoretical domains framework (TDF) using Theory Techniques Tool. Results identified 36 eligible studies 1984 citations our electronic search a further 2 hand-searching resulting 38 that targeted physician reduce The countries primary ( n = 31) or emergency care 7) settings. Thirty-four BCT synthesis found most frequently BCTs ‘4.1 instruction how perform behaviour’ (e.g. Active/passive dissemination and/or educational seminars/workshops), followed ‘9.1 credible source’, ‘2.2 feedback reports physicians’ image ordering) 7.1 prompts cues (electronic decision support hard-copy posters/booklets office). This review highlighted majority education target knowledge some cases also skills beliefs about capabilities bring behaviour. Additionally, we there be growing use hard copy reminders memory environmental context resources. Conclusions reduction ordering lacked theory inform their design failed known physician-reported barriers following guidelines. Protocol Registation PROSPERO CRD42017072518
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ژورنال
عنوان ژورنال: Implementation Science
سال: 2021
ISSN: ['1748-5908']
DOI: https://doi.org/10.1186/s13012-021-01136-w