{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T19:30:45Z","timestamp":1792524645670,"version":"4.5.0"},"reference-count":61,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic musculoskeletal (MSK) pain poses a significant societal burden, yet many evidence\u2010based interventions fail to reach clinical practice, highlighting an implementation gap. This study aimed to identify barriers and facilitators in implementing MSK pain interventions across healthcare settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a scoping review following the Joanna Briggs Institute approach. We searched MEDLINE, EMBASE, CINAHL, PubMed and PsycINFO (up to December 2023) for peer\u2010reviewed qualitative studies exploring the perspectives of patients (18+) and healthcare professionals (HCPs) on implementing MSK pain interventions. Studies were screened independently by two authors, and data were analysed using the General Inductive Approach and mapped to the Theoretical Domains Framework (TDF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 18,220 records, 22 studies were included, involving 307 HCPs and 76 patients across all healthcare sectors. Six major themes emerged: (1) long way from usual care, (2) trust and commitment, (3) support, (4) time and finance, (5) knowledge and skills and (6) patient preferences. The most frequently reported TDF domain was \u2018Environmental Context and Resources\u2019, with key barriers including time constraints, low reimbursement, and insufficient support. Facilitators included leadership, communication, and social networks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implementation of MSK pain interventions is hindered by systemic barriers at individual, organisational, and political levels. Addressing these barriers through targeted strategies is essential for improving sustainable clinical implementation and enhancing patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70108","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T11:23:57Z","timestamp":1745666637000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Barriers and Facilitators for Implementing Interventions for Treating Patients With Chronic Musculoskeletal Pain: A Qualitative Scoping Review Using the Theoretical Domains Framework"],"prefix":"10.1002","volume":"23","author":[{"given":"Mette Dahl","family":"Klausen","sequence":"first","affiliation":[{"name":"Department of Health Science and Technology Faculty of Medicine Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Line","family":"Lindberg","sequence":"additional","affiliation":[{"name":"Department of Health Science and Technology Faculty of Medicine Aalborg University  Aalborg Denmark"},{"name":"The National Research Centre for the Working Environment The Ministry of Employment  Copenhagen Denmark"},{"name":"Department of Clinical Medicine Center for General Practice at Aalborg University Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon Kristoffer","family":"Johansen","sequence":"additional","affiliation":[{"name":"Department of Health Science and Technology Faculty of Medicine Aalborg University  Aalborg Denmark"},{"name":"Department of Clinical Medicine Center for General Practice at Aalborg University Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Skovdal","family":"Rathleff","sequence":"additional","affiliation":[{"name":"Department of Health Science and Technology Faculty of Medicine Aalborg University  Aalborg Denmark"},{"name":"Department of Clinical Medicine Center for General Practice at Aalborg University Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8668-691X","authenticated-orcid":false,"given":"Kristian Damgaard","family":"Lyng","sequence":"additional","affiliation":[{"name":"Department of Health Science and Technology Faculty of Medicine Aalborg University  Aalborg Denmark"},{"name":"Department of Clinical Medicine Center for General Practice at Aalborg University Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100605\u20109"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2049463715587117"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010016\u20100534\u2010z"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2021.1602"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.2011438"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u201013\u20101229"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3138\/ptc\u20102019\u20100062"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001526"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20140570"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.50674"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2018.10.006"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1370"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102296\u201014\u2010181"},{"issue":"1","key":"e_1_2_10_15_1","article-title":"The Effect of Standardised Cancer Pathways on Danish Cancer Patients\u2019 Dissatisfaction With Waiting Time","volume":"64","author":"Dahl T. L.","year":"2017","journal-title":"Danish Medical Journal"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2015.11.021"},{"issue":"7","key":"e_1_2_10_17_1","article-title":"The Clinical Relevance of Magnetic Resonance Imaging of the Lower Back","volume":"185","author":"Dragsb\u00e6k L.","year":"2023","journal-title":"Ugeskrift for Laeger"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2016.12.002"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.4102\/phcfm.v16i1.4318"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13441"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00158"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(18)30489\u20106"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2018.1476996"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2017.05.017"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.03.009"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12963\u2010023\u201000303\u2010z"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2020.1753271"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001809"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1861116"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(18)32279\u20107"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2022.2117864"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102296\u201015\u201013"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019\u2010021\u201010040\u20105"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/nj7612\u2010457a"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12312"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2022.12.015"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/pr9.0000000000000600"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2015.01.001"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010016\u20100506\u20103"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002217"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ajp.0000210947.34676.34"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/xeb.0000000000000050"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.11124\/jbies\u201020\u201000167"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6720783"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2017.03.007"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.5441"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41571"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(16)30947\u20103"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010017\u20101831\u20107"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab188"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12660"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd001431.pub6"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1224936"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.2234"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2015.02.016"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2016.08.002"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/1098214005283748"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1080\/10669817.2017.1323607"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnaa373"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.7326\/m18\u20100850"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2019.100290"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2016.10.004"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/msc.70108","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T14:37:07Z","timestamp":1772980627000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,26]]},"references-count":61,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/msc.70108"],"URL":"https:\/\/doi.org\/10.1002\/msc.70108","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,26]]},"assertion":[{"value":"2025-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70108"}}