Exploring factors influencing chiropractors’ adherence to radiographic guidelines for low back pain using the Theoretical Domains Framework ...

• Main Authors: To, Daphne, Hall, Amanda, Bussières, André, French, Simon D., Lawrence, Rebecca, Pike, Andrea, Patey, Andrea M., Brake-Patten, Debbie, O’Keefe, Lino, Elliott, Barbara, De Carvalho, Diana
• Format: Article in Journal/Newspaper
• Language: English
• Published: My University 2022
• Subjects: Canada; Newfoundland
• Online Access: https://dx.doi.org/10.20381/ruor-27789; https://ruor.uottawa.ca/handle/10393/43575

Abstract Background The inappropriate use of lumbar spine imaging remains common in primary care despite recommendations from evidence-based clinical practice guidelines to avoid imaging in the absence of red flags. This study aimed to explore factors influencing ordering behaviours and adherence to radiographic guidelines for low back pain (LBP) in chiropractors in Newfoundland and Labrador (NL), Canada. Methods We conducted two focus groups in December 2018 with chiropractors in different regions of NL (eastern, n = 8; western, n = 4). An interview guide based on the Theoretical Domains Framework (TDF) served to identify perceived barriers to, and enablers of, target behaviours of guideline adherence and managing LBP without X-rays. We conducted thematic analysis of chiropractors’ statements into relevant theoretical domains, followed by grouping of similar statements into specific beliefs. Domains key to changing radiographic guideline adherence, LBP imaging behaviours, and/or informing intervention ...