A2 Review article, Literature review, Systematic review
Training of Physical Therapists to Deliver Individualized Biopsychosocial Interventions to Treat Musculoskeletal Pain Conditions : A Scoping Review (2021)
Simpson, P., Holopainen, R., Schütze, R., O’Sullivan, P., Smith, A., Linton, S. J., Nicholas, M., & Kent, P. (2021). Training of Physical Therapists to Deliver Individualized Biopsychosocial Interventions to Treat Musculoskeletal Pain Conditions : A Scoping Review. Physical Therapy, 101(10), Article pzab188. https://doi.org/10.1093/ptj/pzab188
JYU authors or editors
Publication details
All authors or editors: Simpson, Phoebe; Holopainen, Riikka; Schütze, Robert; O’Sullivan, Peter; Smith, Anne; Linton, Steven J; Nicholas, Michael; Kent, Peter
Journal or series: Physical Therapy
ISSN: 0031-9023
eISSN: 1538-6724
Publication year: 2021
Publication date: 30/07/2021
Volume: 101
Issue number: 10
Article number: pzab188
Publisher: Oxford University Press (OUP)
Publication country: United States
Publication language: English
DOI: https://doi.org/10.1093/ptj/pzab188
Publication open access: Not open
Publication channel open access: Channel is not openly available
Abstract
Current guidelines recommend management of musculoskeletal pain conditions from a biopsychosocial approach, however biopsychosocial interventions delivered by physical therapists vary considerably in effectiveness. It is unknown whether the differences are explained by the intervention itself, the training and/or competency of physical therapists delivering the intervention, or fidelity of the intervention. The aim was to investigate and map the training, competency assessments and fidelity checking of individualized biopsychosocial interventions delivered by physical therapists to treat musculoskeletal pain conditions.
Methods
A scoping review methodology was employed, using Arksey and O’Malley’s framework. Seven electronic databases were searched between January to March 2019, with a bridge search completed in January 2020. Full text peer-reviewed papers, with an individualized biopsychosocial intervention were considered, and thirty-two studies were included.
Results
Reporting overall was sparse and highly variable. There was a broad spectrum of the training. More sophisticated training involved workshops combining didactic and experiential learning, over longer durations with supervision and feedback. Less sophisticated training was brief, involving lectures or seminars, with no supervision or feedback. Competency assessments and fidelity testing were underperformed.
Conclusion
Training in some interventions may not have facilitated the implementation of skills or techniques to enable the paradigm shift and behavior change required for physical therapists to effectively deliver a biopsychosocial intervention. Lack of competency assessments and fidelity checking may have impacted on the methodological quality of biopsychosocial interventions.
Impact
This study highlighted problematic reporting, training, assessment of competency and fidelity checking of physical therapist delivered individualized biopsychosocial interventions. Findings here highlight why previous interventions may have shown small effect sizes and areas for improvement in future interventions. These findings can help inform future research and facilitate more widespread implementation of physical therapist delivered biopsychosocial interventions for people with musculoskeletal pain and thereby improve their quality of life.
Keywords: physiotherapy; pain; musculoskeletal system; treatment methods; intervention; intervention (treatment methods); biopsychology; psychosocial rehabilitation; physical therapists; further education
Free keywords: physical therapists; pain management; musculoskeletal pain; education; behavior therapy
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2021
JUFO rating: 2
