{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:02:49Z","timestamp":1753869769414,"version":"3.41.2"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Ireland's Health Service Executive is developing a new national integrated low back pain (LBP) pathway spanning primary and secondary care to improve LBP healthcare. Clinical pathways are frequently employed to optimise clinical outcomes and resource use but are challenging to implement. Context\u2010specific implementation planning, leveraging implementation science and its conceptual frameworks, should inform successful implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore General Practitioner (GP) perceptions of the new LBP pathway, using their on\u2010the\u2010ground knowledge to assess barriers and facilitators to implementation with the goal of developing tailored implementation strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Qualitative data will be collected through semi\u2010structured one\u2010to\u2010one interviews with a purposive sample of GPs. Data analysis will be guided by Framework Analysis with initial open coding followed by mapping to the domains and constructs of the Consolidated Framework for Implementation Science and Proctor's implementation outcomes of acceptability, appropriateness and feasibility. Potential implementation strategies will be devised from the identified determinants of implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>System\u2010wide changes and improvements in healthcare are difficult to accomplish. The rationale and design of a pre\u2010implementation study with key stakeholders is outlined with the view of informing optimal implementation of Ireland's new national integrated LBP pathway in primary care settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70030","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T06:34:26Z","timestamp":1735972466000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Informing Implementation of a National Integrated Clinical Pathway for Low Back Pain in Ireland: A Pre\u2010Implementation Qualitative Study With General Practitioners"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2490-500X","authenticated-orcid":false,"given":"Cathriona","family":"Murphy","sequence":"first","affiliation":[{"name":"Physiotherapy Department University Hospital Kerry  Tralee Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0300-4395","authenticated-orcid":false,"given":"Helen","family":"French","sequence":"additional","affiliation":[{"name":"School of Physiotherapy Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4078-8499","authenticated-orcid":false,"given":"Geraldine","family":"McCarthy","sequence":"additional","affiliation":[{"name":"School of Medicine University College Dublin  Dublin Ireland"},{"name":"Department of Rheumatology Mater Misericordiae University Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9555-0547","authenticated-orcid":false,"given":"Bianca","family":"Albers","sequence":"additional","affiliation":[{"name":"Institute for Implementation Science in Health Care University of Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8916-9499","authenticated-orcid":false,"given":"Caitriona","family":"Cunningham","sequence":"additional","affiliation":[{"name":"School of Public Health Physiotherapy and Sports Science University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"volume-title":"SAGE","year":"2013","author":"Braun V.","key":"e_1_2_17_2_1"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2018.05.006"},{"key":"e_1_2_17_4_1","unstructured":"CFIR. n.d.: Retrieved May 31 2024 fromhttps:\/\/cfirguide.org\/evaluation\u2010design\/qualitative\u2010data\/."},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20104\u201050"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20103543\u20106"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1098100"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010018\u20102106\u20107"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30489\u20106"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2006.09.007"},{"key":"e_1_2_17_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201013\u2010117"},{"volume-title":"The QUERI Roadmap for Implementation and Quality Improvement","year":"2020","author":"Goodrich D. 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