Clinicians believed that guidelines were categorical , prescriptive , and constrained professional practice ; however , popular clinical practice s superseded the guidelines .
Imaging referrals were used to manage consultations and to obtain definitive diagnoses .
Clinicians ' perceptions reflected a lack of content knowledge and underst and ing of how guidelines are developed .
DISCUSSION Addressing misconceptions and other barriers to uptake of evidence -based guidelines for managing LBP is needed to improve knowledge transfer and close the evidence - practice gap in the treatment of this common condition
INTRODUCTION Despite the availability of evidence -based guidelines for the management of low back pain ( LBP ) that contain consistent messages , large evidence - practice gaps in primary care remain .
OBJECTIVES To perform a systematic review and meta synthesis of qualitative studies that have explored primary care clinicians ' perceptions and beliefs about guidelines for LBP , including perceived enablers and barriers to guideline adherence .
Use of low-back pain guidelines by occupational therapists: a qualitative study of barriers and facilitators.
OBJECTIVE Identify barriers and facilitators related to the use of low-back pain guidelines as perceived by occupational therapists ( OTs ) . METHODS AND PARTICIPANTS A qualitative approach was used . Nine OTs with varied characteristics were r and omly selected . Participants were asked to use the guidelines with at least two clients .  Semi-structured interviews were done to identify barriers and facilitators related to use . Transcripts of the interviews were analyzed . RESULTS Participants agreed with the guidelines , found them compatible with their current practice , and believed using them would help in preventing persistent disability . Some question ed if their work organization , based on group therapy , would limit their use of the guidelines . Because of the guidelines ' biopsychosocial perspective , they anticipated problems regarding client expectations and collaboration with other health professionals . CONCLUSIONS Participating OTs raised few barriers related to them . Barriers were mostly related to client expectations , work organization and peers . It appears the guidelines would be easily implemented by OTs , but environmental elements could limit this
Clinicians believed that guidelines were categorical , prescriptive , and constrained professional practice ; however , popular clinical practice s superseded the guidelines .
Imaging referrals were used to manage consultations and to obtain definitive diagnoses .
Clinicians ' perceptions reflected a lack of content knowledge and underst and ing of how guidelines are developed .
DISCUSSION Addressing misconceptions and other barriers to uptake of evidence -based guidelines for managing LBP is needed to improve knowledge transfer and close the evidence - practice gap in the treatment of this common condition
INTRODUCTION Despite the availability of evidence -based guidelines for the management of low back pain ( LBP ) that contain consistent messages , large evidence - practice gaps in primary care remain .
OBJECTIVES To perform a systematic review and meta synthesis of qualitative studies that have explored primary care clinicians ' perceptions and beliefs about guidelines for LBP , including perceived enablers and barriers to guideline adherence .