Exploring general practitioner identification and management of psychosocial Yellow Flags in acute low back pain

Authors: Crawford, C., Ryan, K. and Shipton, E.A.

Journal: New Zealand Medical Journal

Volume: 120

Issue: 1254

eISSN: 1175-8716

Abstract:

Aim: Over the past decade, psychosocial issues have been increasingly identified as risk factors that are associated with the development of chronicity and disability. These psychosocial risk factors are known as Yellow Flags. In New Zealand, in 1997, the Accident Compensation Corporation (ACC) published the Acute Low Back Pain Guide and the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain. The aim of this qualitative study is to understand the experiences of general practitioners (GPs) in the identification and management of psychosocial. Yellow Flags in patients with acute low back pain. Method: A qualitative research approach was used. GPs were purposively selected and semi-structured interviews were undertaken. Results: The doctor-patient relationship created the key element for the GPs in approaching any psychosocial factors that were identified. The management of psychosocial factors depended on an individual GP's worldview and orientation to the biopsychosocial model of pain. Problems with time management were composed of multifactorial facets. Funding, lack of appropriate training, and the GPs' perception of ACC's rehabilitation model, all formed components of the meanings that the GPs constructed from their experiences. Conclusion: GPs did not use the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain or the screening questionnaire to identify psychosocial risk factors in their patients with low back pain. Investment of resources in GPs is needed to empower them to be effective gatekeepers guarding against chronicity. This demonstrates a need to alter the current ACC Guideline dissemination and implementation. © NZMA.

Source: Scopus

Exploring general practitioner identification and management of psychosocial Yellow Flags in acute low back pain.

Authors: Crawford, C., Ryan, K. and Shipton, E.

Journal: N Z Med J

Volume: 120

Issue: 1254

Pages: U2536

eISSN: 1175-8716

Abstract:

AIM: Over the past decade, psychosocial issues have been increasingly identified as risk factors that are associated with the development of chronicity and disability. These psychosocial risk factors are known as Yellow Flags. In New Zealand, in 1997, the Accident Compensation Corporation (ACC) published the Acute Low Back Pain Guide and the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain. The aim of this qualitative study is to understand the experiences of general practitioners (GPs) in the identification and management of psychosocial Yellow Flags in patients with acute low back pain. METHOD: A qualitative research approach was used. GPs were purposively selected and semi-structured interviews were undertaken. RESULTS: The doctor-patient relationship created the key element for the GPs in approaching any psychosocial factors that were identified. The management of psychosocial factors depended on an individual GP's worldview and orientation to the biopsychosocial model of pain. Problems with time management were composed of multifactorial facets. Funding, lack of appropriate training, and the GPs' perception of ACC's rehabilitation model, all formed components of the meanings that the GPs constructed from their experiences. CONCLUSION: GPs did not use the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain or the screening questionnaire to identify psychosocial risk factors in their patients with low back pain. Investment of resources in GPs is needed to empower them to be effective gatekeepers guarding against chronicity. This demonstrates a need to alter the current ACC Guideline dissemination and implementation.

Source: PubMed

Exploring general practitioner identification and management of psychosocial Yellow Flags in acute low back pain

Authors: Crawford, C., Ryan, K. and Shipton, E.

Journal: New Zealand Medical Journal

Volume: 120

ISSN: 1175-8716

Abstract:

Aim Over the past decade, psychosocial issues have been increasingly identified as risk factors that are associated with the development of chronicity and disability. These psychosocial risk factors are known as Yellow Flags. In New Zealand, in 1997, the Accident Compensation Corporation (ACC) published the Acute Low Back Pain Guide and the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain. The aim of this qualitative study is to understand the experiences of general practitioners (GPs) in the identification and management of psychosocial Yellow Flags in patients with acute low back pain. Method A qualitative research approach was used. GPs were purposively selected and semi-structured interviews were undertaken. Results The doctor-patient relationship created the key element for the GPs in approaching any psychosocial factors that were identified. The management of psychosocial factors depended on an individual GP’s worldview and orientation to the biopsychosocial model of pain. Problems with time management were composed of multifactorial facets. Funding, lack of appropriate training, and the GPs’ perception of ACC’s rehabilitation model, all formed components of the meanings that the GPs constructed from their experiences. Conclusion GPs did not use the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain or the screening questionnaire to identify psychosocial risk factors in their patients with low back pain. Investment of resources in GPs is needed to empower them to be effective gatekeepers guarding against chronicity. This demonstrates a need to alter the current ACC Guideline dissemination and implementation.

Source: Manual

Preferred by: Kath Ryan

Exploring general practitioner identification and management of psychosocial Yellow Flags in acute low back pain.

Authors: Crawford, C., Ryan, K. and Shipton, E.

Journal: The New Zealand medical journal

Volume: 120

Issue: 1254

Pages: U2536

eISSN: 1175-8716

ISSN: 0028-8446

Abstract:

Aim

Over the past decade, psychosocial issues have been increasingly identified as risk factors that are associated with the development of chronicity and disability. These psychosocial risk factors are known as Yellow Flags. In New Zealand, in 1997, the Accident Compensation Corporation (ACC) published the Acute Low Back Pain Guide and the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain. The aim of this qualitative study is to understand the experiences of general practitioners (GPs) in the identification and management of psychosocial Yellow Flags in patients with acute low back pain.

Method

A qualitative research approach was used. GPs were purposively selected and semi-structured interviews were undertaken.

Results

The doctor-patient relationship created the key element for the GPs in approaching any psychosocial factors that were identified. The management of psychosocial factors depended on an individual GP's worldview and orientation to the biopsychosocial model of pain. Problems with time management were composed of multifactorial facets. Funding, lack of appropriate training, and the GPs' perception of ACC's rehabilitation model, all formed components of the meanings that the GPs constructed from their experiences.

Conclusion

GPs did not use the Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain or the screening questionnaire to identify psychosocial risk factors in their patients with low back pain. Investment of resources in GPs is needed to empower them to be effective gatekeepers guarding against chronicity. This demonstrates a need to alter the current ACC Guideline dissemination and implementation.

Source: Europe PubMed Central