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Acceptance and perceived barriers of implementing a guideline for managing low back in general practice

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Acceptance and perceived barriers of implementing a guideline for managing low back in general practice. / Chenot, Jean-François; Scherer, Martin; Becker, Annette; Donner-Banzhoff, Norbert; Baum, Erika; Leonhardt, Corinna; Keller, Stefan; Pfingsten, Michael; Hildebrandt, Jan; Basler, Heinz-Dieter; Kochen, Michael M.

In: IMPLEMENT SCI, Vol. 3, 2008, p. 7.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Chenot, J-F, Scherer, M, Becker, A, Donner-Banzhoff, N, Baum, E, Leonhardt, C, Keller, S, Pfingsten, M, Hildebrandt, J, Basler, H-D & Kochen, MM 2008, 'Acceptance and perceived barriers of implementing a guideline for managing low back in general practice', IMPLEMENT SCI, vol. 3, pp. 7. https://doi.org/10.1186/1748-5908-3-7

APA

Chenot, J-F., Scherer, M., Becker, A., Donner-Banzhoff, N., Baum, E., Leonhardt, C., Keller, S., Pfingsten, M., Hildebrandt, J., Basler, H-D., & Kochen, M. M. (2008). Acceptance and perceived barriers of implementing a guideline for managing low back in general practice. IMPLEMENT SCI, 3, 7. https://doi.org/10.1186/1748-5908-3-7

Vancouver

Chenot J-F, Scherer M, Becker A, Donner-Banzhoff N, Baum E, Leonhardt C et al. Acceptance and perceived barriers of implementing a guideline for managing low back in general practice. IMPLEMENT SCI. 2008;3:7. https://doi.org/10.1186/1748-5908-3-7

Bibtex

@article{bcb4582819a249a992e692abb0777272,
title = "Acceptance and perceived barriers of implementing a guideline for managing low back in general practice",
abstract = "BACKGROUND: Implementation of guidelines in clinical practice is difficult. In 2003, the German College of General Practitioners and Family Physicians (DEGAM) released an evidence-based guideline for the management of low back pain (LBP) in primary care. The objective of this study is to explore the acceptance of guideline content and perceived barriers to implementation.METHODS: Seventy-two general practitioners (GPs) participating in quality circles within the framework of an educational intervention study for guideline implementation evaluated the LBP-guideline and its practicability with a standardised questionnaire. In addition, statements of group discussions were recorded using the metaplan technique and were incorporated in the discussion.RESULTS: Most GPs agree with the guideline content but believe that guideline stipulations are not congruent with patient wishes. Non-adherence to the guideline and contradictory information for patients by other professionals (e.g., GPs, orthopaedic surgeons, physiotherapists) are important barriers to guideline adherence. Almost half of the GPs have no access to recommended multimodal pain programs for patients with chronic LBP.CONCLUSION: Promoting adherence to the LBP guideline requires more than enhancing knowledge about evidence-based management of LBP. Public education and an interdisciplinary consensus are important requirements for successful guideline implementation into daily practice. Guideline recommendations need to be adapted to the infrastructure of the health care system.",
author = "Jean-Fran{\c c}ois Chenot and Martin Scherer and Annette Becker and Norbert Donner-Banzhoff and Erika Baum and Corinna Leonhardt and Stefan Keller and Michael Pfingsten and Jan Hildebrandt and Heinz-Dieter Basler and Kochen, {Michael M}",
year = "2008",
doi = "10.1186/1748-5908-3-7",
language = "English",
volume = "3",
pages = "7",
journal = "IMPLEMENT SCI",
issn = "1748-5908",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Acceptance and perceived barriers of implementing a guideline for managing low back in general practice

AU - Chenot, Jean-François

AU - Scherer, Martin

AU - Becker, Annette

AU - Donner-Banzhoff, Norbert

AU - Baum, Erika

AU - Leonhardt, Corinna

AU - Keller, Stefan

AU - Pfingsten, Michael

AU - Hildebrandt, Jan

AU - Basler, Heinz-Dieter

AU - Kochen, Michael M

PY - 2008

Y1 - 2008

N2 - BACKGROUND: Implementation of guidelines in clinical practice is difficult. In 2003, the German College of General Practitioners and Family Physicians (DEGAM) released an evidence-based guideline for the management of low back pain (LBP) in primary care. The objective of this study is to explore the acceptance of guideline content and perceived barriers to implementation.METHODS: Seventy-two general practitioners (GPs) participating in quality circles within the framework of an educational intervention study for guideline implementation evaluated the LBP-guideline and its practicability with a standardised questionnaire. In addition, statements of group discussions were recorded using the metaplan technique and were incorporated in the discussion.RESULTS: Most GPs agree with the guideline content but believe that guideline stipulations are not congruent with patient wishes. Non-adherence to the guideline and contradictory information for patients by other professionals (e.g., GPs, orthopaedic surgeons, physiotherapists) are important barriers to guideline adherence. Almost half of the GPs have no access to recommended multimodal pain programs for patients with chronic LBP.CONCLUSION: Promoting adherence to the LBP guideline requires more than enhancing knowledge about evidence-based management of LBP. Public education and an interdisciplinary consensus are important requirements for successful guideline implementation into daily practice. Guideline recommendations need to be adapted to the infrastructure of the health care system.

AB - BACKGROUND: Implementation of guidelines in clinical practice is difficult. In 2003, the German College of General Practitioners and Family Physicians (DEGAM) released an evidence-based guideline for the management of low back pain (LBP) in primary care. The objective of this study is to explore the acceptance of guideline content and perceived barriers to implementation.METHODS: Seventy-two general practitioners (GPs) participating in quality circles within the framework of an educational intervention study for guideline implementation evaluated the LBP-guideline and its practicability with a standardised questionnaire. In addition, statements of group discussions were recorded using the metaplan technique and were incorporated in the discussion.RESULTS: Most GPs agree with the guideline content but believe that guideline stipulations are not congruent with patient wishes. Non-adherence to the guideline and contradictory information for patients by other professionals (e.g., GPs, orthopaedic surgeons, physiotherapists) are important barriers to guideline adherence. Almost half of the GPs have no access to recommended multimodal pain programs for patients with chronic LBP.CONCLUSION: Promoting adherence to the LBP guideline requires more than enhancing knowledge about evidence-based management of LBP. Public education and an interdisciplinary consensus are important requirements for successful guideline implementation into daily practice. Guideline recommendations need to be adapted to the infrastructure of the health care system.

U2 - 10.1186/1748-5908-3-7

DO - 10.1186/1748-5908-3-7

M3 - SCORING: Journal article

C2 - 18257923

VL - 3

SP - 7

JO - IMPLEMENT SCI

JF - IMPLEMENT SCI

SN - 1748-5908

ER -