{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:56:21Z","timestamp":1782845781481,"version":"3.54.5"},"reference-count":32,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Rehabil Assist Technol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alternate \u201chospital avoidance\u201d models of care are required to manage the increasing demand for acute inpatient beds. There is currently a knowledge gap regarding the perspectives of hospital clinicians on barriers and facilitators to a transition to virtual care for low back pain. We plan to implement a virtual hospital model of care called \u201cBack@Home\u201d and use qualitative interviews with stakeholders to develop and refine the model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aim to explore clinicians\u2019 perspectives on a virtual hospital model of care for back pain (Back@Home) and identify barriers to and enablers of successful implementation of this model of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semistructured interviews with 19 purposively sampled clinicians involved in the delivery of acute back pain care at 3 metropolitan hospitals. Interview data were analyzed using the Theoretical Domains Framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 10 Theoretical Domains Framework domains were identified as important in understanding barriers and enablers to implementing virtual hospital care for musculoskeletal back pain. Key barriers to virtual hospital care included patient access to videoconferencing and reliable internet, language barriers, and difficulty building rapport. Barriers to avoiding admission included patient expectations, social isolation, comorbidities, and medicolegal concerns. Conversely, enablers of implementing a virtual hospital model of care included increased health care resource efficiency, clinician familiarity with telehealth, as well as a perceived reduction in overmedicalization and infection risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The successful implementation of Back@Home relies on key stakeholder buy-in. Addressing barriers to implementation and building on enablers is crucial to clinicians\u2019 adoption of this model of care. Based on clinicians\u2019 input, the Back@Home model of care will incorporate the loan of internet-enabled devices, health care interpreters, and written resources translated into community languages to facilitate more equitable access to care for marginalized groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/47227","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T09:45:58Z","timestamp":1700559958000},"page":"e47227","source":"Crossref","is-referenced-by-count":5,"title":["Clinicians\u2019 Perspective on Implementing Virtual Hospital Care for Low Back Pain: Qualitative Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3726-1477","authenticated-orcid":false,"given":"Alla","family":"Melman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1267-3782","authenticated-orcid":false,"given":"Simon P","family":"Vella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8080-6359","authenticated-orcid":false,"given":"Rachael H","family":"Dodd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0005-7851","authenticated-orcid":false,"given":"Danielle M","family":"Coombs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9249-8808","authenticated-orcid":false,"given":"Bethan","family":"Richards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4059-4085","authenticated-orcid":false,"given":"Eileen","family":"Rogan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4948-0335","authenticated-orcid":false,"given":"Min Jiat","family":"Teng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1628-7857","authenticated-orcid":false,"given":"Chris G","family":"Maher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1457-7252","authenticated-orcid":false,"given":"Narcyz","family":"Ghinea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8544-0448","authenticated-orcid":false,"given":"Gustavo C","family":"Machado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"ref1","unstructured":"Emergency department careAustralian Institute of Health and Welfare20212023-11-03https:\/\/www.aihw.gov.au\/reports-data\/myhospitals\/sectors\/emergency-department-care"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2019-009383"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2020.100089"},{"key":"ref4","unstructured":"Older AustraliansAustralian Institute of Health and Welfare20212023-11-03https:\/\/www.aihw.gov.au\/reports\/older-people\/older-australians\/contents\/demographic-profile"},{"key":"ref5","unstructured":"Potentially preventable hospitalisations in Australia by age groups and small geographic areas, 2017\u201318. Cat. no. HPF 36Australian Institute of Health and Welfare20192023-11-03Canberrahttps:\/\/www.aihw.gov.au\/reports\/primary-health-care\/potentially-preventable-hospitalisations\/contents\/about"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.5694\/mja12.10480"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-043285"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2196\/21064"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/chp.47"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-020-01049-0"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2021.0535"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-022-06054-w"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.14449"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2020-012337"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316665344"},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.4135\/9781526416070","author":"Flick, U","year":"2018","journal-title":"The SAGE Handbook of Qualitative Data Collection"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12480"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-37"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"ref21","unstructured":"Low back pain clinical care standardAustralian Commission on Safety and Quality in Health Care20222023-11-02https:\/\/www.safetyandquality.gov.au\/standards\/clinical-care-standards\/low-back-pain-clinical-care-standard"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2021.06.004"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.2196\/20650"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_320827"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.2196\/34952"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab218"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19159411"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2021.06.009"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1177\/2192568220947744"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-06395-9"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2022.101671"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04113-y"}],"container-title":["JMIR Rehabilitation and Assistive Technologies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/rehab.jmir.org\/2023\/1\/e47227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:54:49Z","timestamp":1782842089000},"score":1,"resource":{"primary":{"URL":"https:\/\/rehab.jmir.org\/2023\/1\/e47227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,21]]},"references-count":32,"URL":"https:\/\/doi.org\/10.2196\/47227","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.47227","asserted-by":"object"}]},"ISSN":["2369-2529"],"issn-type":[{"value":"2369-2529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,21]]}}}