{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T23:27:23Z","timestamp":1772148443910,"version":"3.50.1"},"reference-count":70,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T00:00:00Z","timestamp":1685923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Clinical guidelines consistently recommend screening psychosocial (PS) factors in patients with low back pain (LBP), regardless of its mechanical nature, as recognized contributors to pain chronicity. However, the ability of physiotherapists (PTs) in identifying these factors remains controversial. This study aimed to assess the current identification of psychosocial risk factors by physical therapists (PTs) and which characteristics of PTs are associated with the identification of the main risk for chronicity (physical or psychosocial). A cross-sectional descriptive study surveying Spanish PTs in public and private health services was conducted, including questions on PT characteristics and three low back pain (LBP) patient vignettes with different biopsychosocial (BPS) clinical presentations. From 484 respondents, the majority of PTs agreed regarding the main risk for chronicity for each vignette (PS 95.7% for vignette A, PS and physical 83.5% for vignette B and PS 66% for vignette C). Female PTs were more likely to rate psychosocial compared with males (p &lt; 0.05). PTs with higher levels of social and emotional intelligence (both, p &lt; 0.05) were more likely to identify the main risk for chronicity. However, only gender and social information processing for vignette A (p = 0.024) and emotional clarity for vignette B (p = 0.006) were able to predict the identification of psychosocial and physical risk, respectively. The main risk for chronicity was correctly identified by a large majority of PTs through patient vignettes. Gender, social and emotional intelligence played a relevant role in the recognition of psychosocial risk and biopsychosocial factors.<\/jats:p>","DOI":"10.3390\/jcm12113865","type":"journal-article","created":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T02:08:15Z","timestamp":1686017295000},"page":"3865","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5695-328X","authenticated-orcid":false,"given":"Emilia","family":"Otero-Ketterer","sequence":"first","affiliation":[{"name":"Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, 28922 Alcorc\u00f3n, Spain"},{"name":"Physiotherapy Department, Mutua Universal Mugenat, 28801 Alcal\u00e1 de Henares, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-5921","authenticated-orcid":false,"given":"Cecilia","family":"Pe\u00f1acoba-Puente","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universidad Rey Juan Carlos, 28922 Alcorc\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3271-5767","authenticated-orcid":false,"given":"Ricardo","family":"Ortega-Santiago","sequence":"additional","affiliation":[{"name":"C\u00e1tedra Institucional en Docencia, Cl\u00ednica e Investigaci\u00f3n en Fisioterapia: Terapia Manual, Punci\u00f3n Seca y Ejercicio Terap\u00e9utico, Universidad Rey Juan Carlos, 28922 Alcorc\u00f3n, Spain"},{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Alcorc\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Gal\u00e1n-del-R\u00edo","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Alcorc\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3379-8392","authenticated-orcid":false,"given":"Juan Antonio","family":"Valera-Calero","sequence":"additional","affiliation":[{"name":"Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursery, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain"},{"name":"Grupo InPhysio, Instituto de Investigaci\u00f3n Sanitaria del Hospital Cl\u00ednico San Carlos (IdISSC), 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"ref_1","unstructured":"GBD 2017 Disease and Injury Incidence and Prevalence Collaborators (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990\u20132017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392, 1789\u20131858. Erratum in Lancet 2019, 393, e44."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"E613","DOI":"10.1503\/cmaj.111271","article-title":"The prognosis of acute and persistent low-back pain: A meta-analysis","volume":"184","author":"Maher","year":"2012","journal-title":"Can. Med. Assoc. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"305","DOI":"10.2519\/jospt.2017.7415","article-title":"Risk of Recurrence of Low Back Pain: A Systematic Review","volume":"47","author":"Mills","year":"2017","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","volume":"391","author":"Hartvigsen","year":"2018","journal-title":"Lancet"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"E1026","DOI":"10.1097\/BRS.0000000000003476","article-title":"The Economic and Social Burden of Low Back Pain in Spain: A National Assessment of the Economic and Social Impact of Low Back Pain in Spain","volume":"45","year":"2020","journal-title":"Spine"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1097\/00007632-198709000-00002","article-title":"1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain","volume":"12","author":"Waddell","year":"1987","journal-title":"Spine"},{"key":"ref_7","unstructured":"World Health Organization (2000). The International Classification Functioning, Disability and Health, World Health Organization. Available online: https:\/\/www.who.int\/standards\/classifications\/international-classification-of-functioning-disability-and-health."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/S0140-6736(16)30970-9","article-title":"Non-specific low back pain","volume":"389","author":"Maher","year":"2017","journal-title":"Lancet"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1111\/j.1526-4637.2010.01045.x","article-title":"What Is the Source of Chronic Low Back Pain and Does Age Play a Role?","volume":"12","author":"DePalma","year":"2011","journal-title":"Pain Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"s192","DOI":"10.1007\/s00586-006-1072-1","article-title":"Chapter 4 European guidelines for the management of chronic nonspecific low back pain","volume":"15","author":"Airaksinen","year":"2006","journal-title":"Eur. Spine J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/S0140-6736(21)00733-9","article-title":"Low back pain","volume":"398","author":"Knezevic","year":"2021","journal-title":"Lancet"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/j.pain.0000000000001384","article-title":"Chronic pain as a symptom or a disease: The IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11)","volume":"160","author":"Treede","year":"2019","journal-title":"Pain"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"103635","DOI":"10.1016\/j.brat.2020.103635","article-title":"Fear in the context of pain: Lessons learned from 100 years of fear conditioning research","volume":"131","author":"Meulders","year":"2020","journal-title":"Behav. Res. Ther."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1588","DOI":"10.1097\/j.pain.0000000000000574","article-title":"The fear-avoidance model of pain","volume":"157","author":"Vlaeyen","year":"2016","journal-title":"Pain"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.neubiorev.2021.08.013","article-title":"The anatomy of pain and suffering in the brain and its clinical implications","volume":"130","author":"Adhia","year":"2021","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1097\/j.pain.0000000000001939","article-title":"The revised International Association for the Study of Pain definition of pain: Concepts, challenges, and compromises","volume":"161","author":"Raja","year":"2020","journal-title":"Pain"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"T70","DOI":"10.1016\/j.jpain.2016.01.001","article-title":"The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain","volume":"17","author":"Edwards","year":"2016","journal-title":"J. Pain"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1080\/13548506.2018.1446097","article-title":"Psychosocial predictors in the transition from acute to chronic pain: A systematic review","volume":"23","author":"Hruschak","year":"2018","journal-title":"Psychol. Health Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1097\/AJP.0000000000000838","article-title":"Which Psychological Factors Are Involved in the Onset and\/or Persistence of Musculoskeletal Pain? An Umbrella Review of Systematic Reviews and Meta-Analyses of Prospective Cohort Studies","volume":"36","year":"2020","journal-title":"Clin. J. Pain"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Otero-Ketterer, E., Pe\u00f1acoba-Puente, C., Pinheiro-Araujo, C.F., Valera-Calero, J.A., and Ortega-Santiago, R. (2022). Biopsychosocial Factors for Chronicity in Individuals with Non-Specific Low Back Pain: An Umbrella Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191610145"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1016\/j.jpain.2019.03.001","article-title":"Are Signs of Central Sensitization in Acute Low Back Pain a Precursor to Poor Outcome?","volume":"20","author":"Klyne","year":"2019","journal-title":"J. Pain"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Nieto-Garc\u00eda, J., Suso-Mart\u00ed, L., La Touche, R., and Grande-Alonso, M. (2019). Somatosensory and Motor Differences between Physically Active Patients with Chronic Low Back Pain and Asymptomatic Individuals. Medicina, 55.","DOI":"10.3390\/medicina55090524"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1136\/bjsports-2018-099198","article-title":"Is it time to reframe how we care for people with non-traumatic musculoskeletal pain?","volume":"52","author":"Lewis","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"493","DOI":"10.7326\/M16-2459","article-title":"Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline","volume":"166","author":"Chou","year":"2017","journal-title":"Ann. Intern. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"E333","DOI":"10.36076\/ppj.2015\/18\/E333","article-title":"Low back pain: Guidelines for the clinical classification of predominant neuropathic, nociceptive, or central sensitization pain","volume":"18","author":"Nijs","year":"2015","journal-title":"Pain Physician"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"s169","DOI":"10.1007\/s00586-006-1071-2","article-title":"Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care","volume":"15","author":"Becker","year":"2006","journal-title":"Eur. Spine J."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Karran, E.L., McAuley, J.H., Traeger, A.C., Hillier, S.L., Grabherr, L., Russek, L.N., and Moseley, G.L. (2017). Can screening instruments accurately determine poor outcome risk in adults with recent onset low back pain? A systematic review and meta-analysis. BMC Med., 15, Erratum in BMC Med. 2017, 15, 44.","DOI":"10.1186\/s12916-017-0814-8"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1093\/pm\/pny178","article-title":"Screening Tools to Predict the Development of Chronic Low Back Pain: An Integrative Review of the Literature","volume":"20","author":"Pauli","year":"2019","journal-title":"Pain Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"774","DOI":"10.2519\/jospt.2010.3381","article-title":"Identifying Patient Fear-Avoidance Beliefs by Physical Therapists Managing Patients with Low Back Pain","volume":"40","author":"Calley","year":"2010","journal-title":"J. Orthop. Sport. Phys. Ther."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1093\/ptj\/84.12.1157","article-title":"Screening for Symptoms of Depression by Physical Therapists Managing Low Back Pain","volume":"84","author":"Haggman","year":"2004","journal-title":"Phys. Ther."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Miki, T., Kondo, Y., Takebayashi, T., and Takasaki, H. (2020). Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0227999"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1093\/ptj\/pzy012","article-title":"Physical Therapists\u2019 Ability to Identify Psychological Factors and Their Self-Reported Competence to Manage Chronic Low Back Pain","volume":"98","author":"Brunner","year":"2018","journal-title":"Phys. Ther."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.math.2016.03.010","article-title":"Association between the 10 item \u00d6rebro Musculoskeletal Pain Screening Questionnaire and physiotherapists\u2019 perception of the contribution of biopsychosocial factors in patients with musculoskeletal pain","volume":"23","author":"Beales","year":"2016","journal-title":"Man. Ther."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.math.2012.08.002","article-title":"The predictive validity of the \u00d6rebro Musculoskeletal Pain Questionnaire and the clinicians\u2019 prognostic assessment following manual therapy treatment of patients with LBP and neck pain","volume":"18","author":"Dagfinrud","year":"2013","journal-title":"Man. Ther."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.math.2008.08.003","article-title":"Inter-examiner reliability of a classification system for patients with non-specific low back pain","volume":"14","author":"Fersum","year":"2009","journal-title":"Man. Ther."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.3389\/fpsyg.2020.01917","article-title":"Using Social Psychology Principles to Develop Emotionally Intelligent Healthcare Leaders","volume":"11","author":"Grunberg","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"P\u00e9rez-Fuentes, M.D.C., Molero Jurado, M.D.M., G\u00e1zquez Linares, J.J., and Oropesa Ruiz, N.F. (2018). The Role of Emotional Intelligence in Engagement in Nurses. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15091915"},{"key":"ref_38","first-page":"35","article-title":"Emotional Intelligence among Health Care Professionals","volume":"10","author":"Andal","year":"2021","journal-title":"IOSR J. Nurs. Health Sci."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1179\/ptr.2000.5.3.155","article-title":"The Importance of Emotions in Physiotherapeutic Practice","volume":"5","author":"Gard","year":"2000","journal-title":"Phys. Ther. Rev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.2196\/jmir.6.3.e34","article-title":"Improving the quality of Web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES)","volume":"6","author":"Eysenbach","year":"2004","journal-title":"J. Med. Internet Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1093\/aje\/kwk052","article-title":"Relaxing the Rule of Ten Events per Variable in Logistic and Cox Regression","volume":"165","author":"Vittinghoff","year":"2007","journal-title":"Am. J. Epidemiol."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Zautra, E.K., Zautra, A.J., Gallardo, C.E., and Velasco, L. (2015). Can We Learn to Treat One Another Better? A Test of a Social Intelligence Curriculum. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0128638"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"751","DOI":"10.2466\/pr0.94.3.751-755","article-title":"Validity and Reliability of the Spanish Modified Version of the Trait Meta-Mood Scale","volume":"94","author":"Extremera","year":"2004","journal-title":"Psychol. Rep."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"185","DOI":"10.2190\/DUGG-P24E-52WK-6CDG","article-title":"Emotional Intelligence","volume":"10","author":"Salovey","year":"1990","journal-title":"Imagin. Cogn. Personal."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1111\/j.1553-2712.2011.01185.x","article-title":"Logistic Regression: A Brief Primer","volume":"18","author":"Stoltzfus","year":"2011","journal-title":"Acad. Emerg. Med."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1097\/01.brs.0000163883.65321.33","article-title":"Do Physical Therapists in the United Kingdom Recognize Psychosocial Factors in Patients with Acute Low Back Pain?","volume":"30","author":"Bishop","year":"2005","journal-title":"Spine"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"2949","DOI":"10.1080\/09593985.2021.1949766","article-title":"Agreement and screening accuracy between physical therapists ratings and the \u00d6rebro Musculoskeletal Pain Questionnaire in screening for risk of chronic pain during Musculoskeletal evaluation","volume":"38","author":"Wassinger","year":"2022","journal-title":"Physiother. Theory Pract."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1001\/jama.288.6.756","article-title":"Physician gender effects in medical communication: A meta-analytic review","volume":"288","author":"Roter","year":"2002","journal-title":"JAMA"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1037\/0033-2909.133.4.581","article-title":"The biopsychosocial approach to chronic pain: Scientific advances and future directions","volume":"133","author":"Gatchel","year":"2007","journal-title":"Psychol. Bull."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1179\/108331903225003208","article-title":"Can Aspects of Physiotherapist Communication Influence Patients\u2019 Pain Experiences? A Systematic Review","volume":"8","author":"Jeffels","year":"2003","journal-title":"Phys. Ther. Rev."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"820","DOI":"10.2522\/ptj.20110060","article-title":"Psychologically Informed Practice for Management of Low Back Pain: Future Directions in Practice and Research","volume":"91","author":"Main","year":"2011","journal-title":"Phys. Ther."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1080\/09593985.2016.1194651","article-title":"Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education","volume":"32","author":"Wijma","year":"2016","journal-title":"Physiother. Theory Pract."},{"key":"ref_53","first-page":"71","article-title":"Is Emotional Intelligence a Need Skill for Health Care Provider?","volume":"4","author":"Al","year":"2018","journal-title":"J. Fam. Med. Dis. Prev."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1097\/j.pain.0000000000001809","article-title":"Physiotherapists\u2019 perceptions of learning and implementing a biopsychosocial intervention to treat musculoskeletal pain conditions: A systematic review and metasynthesis of qualitative studies","volume":"161","author":"Holopainen","year":"2020","journal-title":"Pain"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"78","DOI":"10.12968\/bjtr.1998.5.2.14219","article-title":"Expertise in diagnostic reasoning: A comparative study","volume":"5","author":"King","year":"1998","journal-title":"Br. J. Ther. Rehabil."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"156","DOI":"10.12968\/ijtr.2007.14.4.23531","article-title":"Developing clinical expertise for healthcare professionals through masters courses","volume":"14","author":"Rushton","year":"2007","journal-title":"Int. J. Ther. Rehabil."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/S0031-9406(05)65471-5","article-title":"Professional Development: 2. Professional Knowledge and Situated Learning in the Workplace","volume":"85","author":"Richardson","year":"1999","journal-title":"Physiotherapy"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"3467","DOI":"10.1080\/09638288.2019.1596170","article-title":"Implementation of a behavioral medicine approach in physiotherapy: Impact and sustainability","volume":"42","author":"Fritz","year":"2020","journal-title":"Disabil. Rehabil."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"804","DOI":"10.2522\/ptj.20100079","article-title":"Does Teaching Physical Therapists to Deliver a Biopsychosocial Treatment Program Result in Better Patient Outcomes? A Randomized Controlled Trial","volume":"91","author":"Overmeer","year":"2011","journal-title":"Phys. Ther."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/j.1365-2753.2006.00565.x","article-title":"Does physiotherapy management of low back pain change as a result of an evidence-based educational programme?","volume":"12","author":"Stevenson","year":"2006","journal-title":"J. Eval. Clin. Pract."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1111\/jep.13038","article-title":"Physiotherapists\u2019 attitudes toward low back pain treatment: Do work setting and clinical experience with low back patients matter","volume":"25","author":"Roitenberg","year":"2019","journal-title":"J. Eval. Clin. Pract."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1097\/01.BRS.0000115135.19082.97","article-title":"Physiotherapists\u2019 Pain Beliefs and Their Influence on the Management of Patients with Chronic Low Back Pain","volume":"29","author":"Daykin","year":"2004","journal-title":"Spine"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.jphys.2015.02.016","article-title":"Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: A systematic review","volume":"61","author":"Synnott","year":"2015","journal-title":"J. Physiother."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1001\/jama.283.13.1715","article-title":"Comparison of vignettes, standardized patients, and chart abstraction: A prospective validation study of 3 methods for measuring quality","volume":"283","author":"Peabody","year":"2000","journal-title":"JAMA"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"771","DOI":"10.7326\/0003-4819-141-10-200411160-00008","article-title":"Measuring the Quality of Physician Practice by Using Clinical Vignettes: A Prospective Validation Study","volume":"141","author":"Peabody","year":"2004","journal-title":"Ann. Intern. Med."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1111\/j.1475-1313.2010.00713.x","article-title":"A comparison of standardised patients, record abstraction and clinical vignettes for the purpose of measuring clinical practice","volume":"30","author":"Shah","year":"2010","journal-title":"Ophthalmic Physiol. Opt."},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Sheringham, J., Kuhn, I., and Burt, J. (2021). The use of experimental vignette studies to identify drivers of variations in the delivery of health care: A scoping review. BMC Med. Res. Methodol., 21.","DOI":"10.1186\/s12874-021-01247-4"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"e057095","DOI":"10.1136\/bmjopen-2021-057095","article-title":"Development and use of research vignettes to collect qualitative data from healthcare professionals: A scoping review","volume":"12","author":"Tremblay","year":"2022","journal-title":"BMJ Open"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"3270","DOI":"10.1080\/09638288.2020.1851783","article-title":"A critical review of the biopsychosocial model of low back pain care: Time for a new approach?","volume":"44","author":"Mescouto","year":"2022","journal-title":"Disabil. Rehabil."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1080\/01973533.2015.1111212","article-title":"An Empirical Test of Nonresponse Bias in Internet Surveys","volume":"37","author":"Poom","year":"2015","journal-title":"Basic Appl. Soc. Psychol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/11\/3865\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:48:47Z","timestamp":1760125727000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/11\/3865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,5]]},"references-count":70,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023,6]]}},"alternative-id":["jcm12113865"],"URL":"https:\/\/doi.org\/10.3390\/jcm12113865","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,5]]}}}