{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:50:29Z","timestamp":1792727429165,"version":"4.5.0"},"reference-count":87,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Health & Medical Research Council of Australia","award":["1178444"],"award-info":[{"award-number":["1178444"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To identify and synthesize patient-related barriers to and enablers of the implementation of high-value physiotherapy (HVP) for chronic pain. Furthermore, to review what patient-related interventions have been used to facilitate the implementation of HVP for chronic pain, as well as their efficacy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We systematically searched the APA PsycInfo, Embase, CINAHL, Medline, Scopus, and PEDro databases for peer-reviewed studies (published in English) of adults with chronic pain. We used the Theoretical Domains Framework of behavior change to synthesize identified themes relating to barriers and enablers. Outcomes from studies reporting on interventions were also qualitatively synthesized.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Fourteen studies reported on barriers and enablers, 8 of which related to exercise adherence. Themes common to barriers and enablers included perceived efficacy of treatment, interrelationship with the physiotherapist, exercise burden, and the patient\u2019s understanding of exercise benefits. Other barriers included fear of movement, fragmented care, and cost. Ten studies explored interventions, 9 of which aimed to improve exercise adherence. Of these, evidence from 4 randomized controlled trials of technology-based interventions demonstrated improved exercise adherence among intervention groups compared with controls.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Patients with chronic pain experience barriers to HVP, including their beliefs, the nature of their interaction with their physiotherapist, perceived treatment efficacy, and cost. Enablers include rapport with their physiotherapist, achievable exercises, and seamless cost-effective care. Technology-based interventions have demonstrated effectiveness at increasing exercise adherence. Our findings suggest that interventions seeking to enhance implementation of HVP need to consider the multifactorial barriers experienced by patients with chronic pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Study registration<\/jats:title>\n                  <jats:p>Open Science Framework (https:\/\/doi.org\/10.17605\/OSF.IO\/AYGZV).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnad134","type":"journal-article","created":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T20:30:36Z","timestamp":1695933036000},"page":"104-115","source":"Crossref","is-referenced-by-count":39,"title":["Patient-related barriers and enablers to the implementation of high-value physiotherapy for chronic pain: a systematic review"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5630-2196","authenticated-orcid":false,"given":"Cameron","family":"Dickson","sequence":"first","affiliation":[{"name":"School of Allied Health Science and Practice, The University of Adelaide , Adelaide, 5005, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0273-3377","authenticated-orcid":false,"given":"Rutger M J","family":"de Zoete","sequence":"additional","affiliation":[{"name":"School of Allied Health Science and Practice, The University of Adelaide , Adelaide, 5005, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5316-0847","authenticated-orcid":false,"given":"Carolyn","family":"Berryman","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance Unit, IIMPACT in Health, The University of South Australia , Adelaide, 5001, Australia"},{"name":"Hopwood Centre for Neurobiology, South Australian Health and Medical Research Institute , Adelaide, 5000, Australia"},{"name":"Brain Stimulation, Imaging and Cognition Group, The University of Adelaide , Adelaide, 5000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9860-7166","authenticated-orcid":false,"given":"Philip","family":"Weinstein","sequence":"additional","affiliation":[{"name":"School of Public Health, The University of Adelaide , Adelaide, 5000, Australia"},{"name":"South Australian Museum , Adelaide, 5000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6280-0391","authenticated-orcid":false,"given":"Kexun Kenneth","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Allied Health Science and Practice, The University of Adelaide , Adelaide, 5005, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5780-3440","authenticated-orcid":false,"given":"Paul","family":"Rothmore","sequence":"additional","affiliation":[{"name":"School of Allied Health Science and Practice, The University of Adelaide , Adelaide, 5005, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"issue":"3","key":"2024020116145680000_pnad134-B1","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1213\/ANE.0000000000001389","article-title":"A systematic review and meta-analysis of the global burden of chronic pain without clear etiology in low- and middle-income countries: trends in heterogeneous data and a proposal for new assessment methods","volume":"123","author":"Jackson","year":"2016","journal-title":"Anesth 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