{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T13:15:55Z","timestamp":1758892555667,"version":"3.40.5"},"reference-count":47,"publisher":"Aboutscience Srl","license":[{"start":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:00:00Z","timestamp":1726185600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch. Physioter"],"abstract":"<jats:p>Background:\u00a0A new advanced practice model of care enables French physiotherapists to perform medical acts for low back pain (LBP) patients as first-contact physiotherapists (FCPs).\nObjective:\u00a0The aim of this study is to determine the self-perceived competency of FCPs and to further explore factors underpinning this feeling.\nMethods:\u00a0A mixed-methods explanatory sequential design was conducted. A survey was used to self-assess the perceived competency of FCPs in performing medical tasks. Semi-structured interviews were then performed to explore determining factors of perceived competency. Inductive thematic analysis was performed.\nResults:\u00a0Nine FCPs answered the survey and were interviewed (mean age 40.1, standard deviation [SD]: \u00b110.0). FCPs felt very competent with making medical diagnosis (3.44\/4, SD: \u00b10.53), analgesic prescription (3.11, SD: \u00b10.78) and referring onward to physiotherapy (3.78, SD: \u00b10.55). They did not feel competent with nonsteroidal anti-inflammatory drug prescription (2.78, SD: \u00b10.67) and issuing sick leave certificate (2.67, SD: \u00b11.0). The main identified influencing factors were previous FCPs\u2019 experience, training, knowledge, collaboration with family physicians, high responsibility and risk management associated with decision-making.\nConclusion:\u00a0French FCPs appeared to have the necessary skills to directly manage LBP patients without medical referral. Future training focusing on analgesic prescription and issuing sick leave certificate is however needed.<\/jats:p>","DOI":"10.33393\/aop.2024.3056","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T12:46:12Z","timestamp":1726231572000},"page":"56-64","source":"Crossref","is-referenced-by-count":1,"title":["First-contact physiotherapists\u2019 perceived competency in a new model of care for low back pain patients: a mixed methods study"],"prefix":"10.33393","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1184-6568","authenticated-orcid":false,"given":"Am\u00e9lie","family":"Kechichian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elsa","family":"Viain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1918-1576","authenticated-orcid":false,"given":"Thomas","family":"Lathi\u00e8re","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0290-7031","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Desmeules","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5034-0802","authenticated-orcid":false,"given":"Nicolas","family":"Pinsault","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18642","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"unstructured":"World Health Organization. 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