A1 Journal article (refereed)
Becoming confidently competent : a qualitative investigation of training in cognitive functional therapy for persistent low back pain (2024)
Simpson, P., Holopainen, R., Schütze, R., O’Sullivan, P., Smith, A., & Kent, P. (2024). Becoming confidently competent : a qualitative investigation of training in cognitive functional therapy for persistent low back pain. Physiotherapy Theory and Practice, 40(4), 804-816. https://doi.org/10.1080/09593985.2022.2151333
JYU authors or editors
Publication details
All authors or editors: Simpson, Phoebe; Holopainen, Riikka; Schütze, Robert; O’Sullivan, Peter; Smith, Anne; Kent, Peter
Journal or series: Physiotherapy Theory and Practice
ISSN: 0959-3985
eISSN: 1532-5040
Publication year: 2024
Publication date: 24/11/2022
Volume: 40
Issue number: 4
Pages range: 804-816
Publisher: Taylor & Francis
Publication country: United Kingdom
Publication language: English
DOI: https://doi.org/10.1080/09593985.2022.2151333
Publication open access: Not open
Publication channel open access:
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/85635
Abstract
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.
Keywords: physiotherapy; spinal diseases; physical therapists; education and training; continuing professional education; know-how; competence; experiential learning
Free keywords: biopsychosocial; clinical integration
Contributing organizations
Ministry reporting: Yes
VIRTA submission year: 2022
JUFO rating: 1
