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Understanding the barriers affecting psychologists’ adherence to evidence-based treatment guidelines from a stakeholder standpoint

Published online by Cambridge University Press:  29 October 2019

Tahira Haider  and
Debra Dunstan Open the ORCID record for Debra Dunstan [Opens in a new window]
Tahira Haider*
Affiliation:
School of Psychology, Faculty of Medicine and Health, University of New England, Armidale, NSW, Australia
Debra Dunstan
Affiliation:
School of Psychology, Faculty of Medicine and Health, University of New England, Armidale, NSW, Australia
*
*Corresponding author. Email: [email protected]
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Abstract

Psychologists’ adherence with evidence-based guidelines based on the biopsychosocial premise in the management of musculoskeletal injuries is influenced by the actions by General Practitioners (GPs), insurers, and injured patients’ actions. For data collection, we interviewed GPs (n = 6), insurers (n = 6), and injured people (n = 15) from the two personal injury compensation schemes in New South Wales. Thematic analysis yielded the following: GPs were reticent to access psychological services that represented a poor fit between their practice and treatment guidelines, insurers lacked trust in the validity of “secondary psychological injury” claims’. Injured peoples’ willingness to engage with treatment was impaired by a poor fit between the treatment guidelines and their experience of insurers’ and psychologists’ practices.

Keywords

Disability interventionmusculoskeletal injuriessecondary psychological injuriespersonal injury compensation systemsdisability management
Type
Articles
Information
The Australian Journal of Rehabilitation Counselling , Volume 25 , Issue 2 , December 2019 , pp. 47 - 62
Copyright
© The Author(s) 2019 

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References

Addis, M. E. (2002). Methods for disseminating research products and increasing evidence‐based practice: Promises, obstacles, and future directions. Clinical Psychology: Science and Practice, 9(4), 367–378. doi: 10.1093/clipsy.9.4.367.Google Scholar
Azocar, F., Cuffel, B., McCulloch, J., McCabe, J. F., Tani, S., & Brodey, B. B. (2007). Monitoring patient improvement and treatment outcomes in managed behavioral health. Journal for Healthcare Quality, 29(2), 4–12. doi: 10.1111/j.1945-1474.2007.tb00178.xCrossRefGoogle ScholarPubMed
Bazeley, P., & Jackson, K. (2013). Qualitative data analysis with NVivo. London: Sage Publications.Google Scholar
Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence‐based practice: A critical review of studies from a systems‐contextual perspective. Clinical Psychology Science and Practice, 17(1), 1–30. doi: 10.1111/j.1468-2850.2009.01187.xCrossRefGoogle ScholarPubMed
Bernard, L. C., & Krupat, E. (1994). Health psychology: Biopsychosocial factors in health and illness. Orlando, FL: Harcourt Brace College Publishers.Google Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi: 10.1191/1478088706qp063oaCrossRefGoogle Scholar
Brijnath, B., Mazza, D., Kosny, A., Bunzli, S., Singh, N., Ruseckaite, R., & Collie, A. (2016). Is clinician refusal to treat an emerging problem in injury compensation systems? BMJ open, 6(1), e009423.10.1136/bmjopen-2015-009423CrossRefGoogle ScholarPubMed
Brijnath, B., Mazza, D., Singh, N., Kosny, A., Ruseckaite, R., & Collie, A. (2014). Mental health claims management and return to work: Qualitative insights from Melbourne, Australia. Journal of Occupational Rehabilitation, 24(4), 766–776. doi: 10.1007/s10926-014-9506-9CrossRefGoogle ScholarPubMed
Bruns, D., & Disorbio, J. M. (2014). The psychological evaluation of patients with chronic pain: A review of BHI 2 clinical and forensic interpretive considerations. Psychological Injury and Law, 7(4), 335–361.10.1007/s12207-014-9206-yCrossRefGoogle ScholarPubMed
Collie, A., Ruseckaite, R., Brijnath, B., Kosny, A., & Mazza, D. (2013). Sickness certification of workers compensation claimants by general practitioners in Victoria, 2003–2010. Medical Journal of Australia, 199(7), 480–48310.5694/mja13.10508CrossRefGoogle Scholar
Creswell, J. W. (2014). A concise introduction to mixed methods research. Thousand Oaks, CA: Sage Publications.Google Scholar
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. London, United Kingdom: Sage Publications.Google Scholar
Department Of Health, Australian Government. (2015). New South Wales primary health networks. Retrieved from http://www.health.gov.au/internet/main/publishing.nsf/content/807783FBCA028C76CA257F150001FD3E/$File/NSW_PHNs_April_2015.pdfGoogle Scholar
Douglas, C., Windsor, C., & Wollin, J. (2008). Understanding chronic pain complicating disability: Finding meaning through focus group methodology. Journal of Neuroscience Nursing, 40(3), 158–168.10.1097/01376517-200806000-00006CrossRefGoogle ScholarPubMed
Dunstan, D. A., & Covic, T. (2006). Compensable work disability management: A literature review of biopsychosocial perspectives. Australian Occupational Therapy Journal, 53(2), 67.10.1111/j.1440-1630.2006.00566.xCrossRefGoogle Scholar
Eakin, J. (2010). Towards a ‘standpoint’ perspective: Health and safety in small workplaces from the perspective of the workers. Policy and Practice in Health and Safety, 8(2), 113–127.10.1080/14774003.2010.11667751CrossRefGoogle Scholar
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136.10.1126/science.847460CrossRefGoogle ScholarPubMed
Haider, T., & Dunstan, D. (2019). Barriers to psychologists’ adherence to evidence-based practice guidelines for treating musculoskeletal injuries within the State Insurance. Regulatory Authority Insurance Frameworks. International Journal of Disability Management, 14(1–9). doi: 10.1017/idm.2019.2CrossRefGoogle Scholar
Haider, T., Dunstan, D., & Bhullar, N. (2018). Psychologists’ application of clinical guidelines and recommended protocols & procedures within State Insurance Regulatory Authority insurance frameworks: Outcomes for injured patients with musculoskeletal injuries. Australian Psychologist, 53(6), 517–527. doi: 10.1111/ap.12354CrossRefGoogle Scholar
Heitz, C. A. M., Hilfiker, R., Bachmann, L. M., Joronen, H., Lorenz, T., Uebelhart, D., … Brunner, F. (2009). Comparison of risk factors predicting return to work between patients with subacute and chronic non-specific low back pain: Systematic review. European Spine Journal, 18(12), 1829–1835.10.1007/s00586-009-1083-9CrossRefGoogle ScholarPubMed
Jootun, D., McGhee, G., & Marland, G. R. (2009). Reflexivity: Promoting rigour in qualitative research. Nursing Standard, 23(23), 42–46.Google ScholarPubMed
Kilgour, E., Kosny, A., McKenzie, D., & Collie, A. (2015a). Interactions between injured workers and insurers in workers’ compensation systems: A systematic review of qualitative research literature. Journal of Occupational Rehabilitation, 25(1), 160–181.10.1007/s10926-014-9513-xCrossRefGoogle ScholarPubMed
Kilgour, E., Kosny, A., McKenzie, D., & Collie, A. (2015b). Interactions between injured workers and insurers in workers’ compensation systems: A systematic review of qualitative research literature. Journal of Occupational Rehabilitation, 25(1), 160–181.10.1007/s10926-014-9513-xCrossRefGoogle ScholarPubMed
Kroll, T., Barbour, R., & Harris, J. (2007). Using focus groups in disability research. Qualitative Health Research, 17(5), 690–698.10.1177/1049732307301488CrossRefGoogle ScholarPubMed
Krueger, R. A., & Casey, M. A. (2015). Focus groups: A practical guide for applied research. Singapore: SAGE.Google Scholar
Kuijer, W., Brouwer, S., Preuper, H. S., Groothoff, J. W., Geertzen, J. H., & Dijkstra, P. U. (2006). Work status and chronic low back pain: Exploring the International Classification of Functioning, Disability and Health. Disability and Rehabilitation, 28(6), 379–388.10.1080/09638280500287635CrossRefGoogle ScholarPubMed
Laisné, F., Lecomte, C., & Corbière, M. (2012). Biopsychosocial predictors of prognosis in musculoskeletal disorders: A systematic review of the literature (corrected and republished). Disability and Rehabilitation, 34(22), 1912–1941. doi:10.3109/09638288.2012.729362CrossRefGoogle Scholar
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry (Vol. 75). Newbury Park, London: Sage.Google Scholar
Loisel, P., & Anema, J. R. (2013). Handbook of work disability: Prevention and management. New York, NY: Springer.10.1007/978-1-4614-6214-9CrossRefGoogle Scholar
Mazza, D., & Russell, S. J. (2001). Are GPs using clinical practice guidelines? Australian Family Physician, 30(8), 817.Google ScholarPubMed
McCluskey, S., Burton, A. K., & Main, C. J. (2006). The implementation of occupational health guidelines principles for reducing sickness absence due to musculoskeletal disorders. Occupational Medicine, 56(4), 237–242.10.1093/occmed/kql003CrossRefGoogle ScholarPubMed
Motor Accidents Authority. (2001). MAA guidelines for the management of whiplash-associated disorders. Sydney, Australia: Motor Accidents Authority.Google Scholar
Murgatroyd, D. F., Casey, P. P., Cameron, I. D., & Harris, I. A. (2015). The effect of financial compensation on health outcomes following musculoskeletal injury: Systematic review. PLoS One, 10(2), e0117597.10.1371/journal.pone.0117597CrossRefGoogle ScholarPubMed
Murgatroyd, D. F., Harris, I. A., Tran, Y., & Cameron, I. D. (2016). The association between seeking financial compensation and injury recovery following motor vehicle related orthopaedic trauma. BMC Musculoskeletal Disorders, 17(1), 282.10.1186/s12891-016-1152-2CrossRefGoogle ScholarPubMed
Nicholas, M. K., Linton, S. J., Watson, P. J., Main, C. J., & Decade of the Flags Working Group. (2011). Early identification and management of psychological risk factors (‘yellow flags’) in patients with low back pain: A reappraisal. Physical Therapy, 91(5), 737–753. doi:10.2522/ptj.20100224CrossRefGoogle Scholar
Richmond, H., Hall, A. M., Copsey, B., Hansen, Z., Williamson, E., Hoxey-Thomas, N., … Lamb, S. E. (2015). The effectiveness of cognitive behavioural treatment for non-specific low back pain: A systematic review and meta-analysis. PLoS One, 10(8), e0134192. doi:10.1371/journal.pone.0134192CrossRefGoogle ScholarPubMed
Ruseckaite, R., Collie, A., Scheepers, M., Brijnath, B., Kosny, A., & Mazza, D. (2016). Factors associated with sickness certification of injured workers by General Practitioners in Victoria, Australia. BMC Public Health, 16(1), 298.CrossRefGoogle ScholarPubMed
Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence-based medicine: What it is and what it isn’t. BMJ, 312(7023), 71–72.10.1136/bmj.312.7023.71CrossRefGoogle ScholarPubMed
Schultz, I. Z., Crook, J., Fraser, K., & Joy, P. W. (2000). Models of diagnosis and rehabilitation in musculoskeletal pain-related occupational disability. Journal of Occupational Rehabilitation, 10(4), 271–293.10.1023/A:1009484416267CrossRefGoogle Scholar
Schultz, I. Z., & Gatchel, R. J. (Eds.). (2006). Handbook of complex occupational disability claims: Early risk identification, intervention, and prevention. Dordrecht: Springer Science & Business Media.Google Scholar
Schweikert, B., Jacobi, E., Seitz, R., Cziske, R., Ehlert, A., Knab, J., & Leidl, R. (2006). Effectiveness and cost-effectiveness of adding a cognitive behavioral treatment to the rehabilitation of chronic low back pain. Journal of Rheumatology, 33(12), 2519–2526.Google ScholarPubMed
Tourangeau, A. E., Cummings, G., Cranley, L. A., Ferron, E. M., & Harvey, S. (2010). Determinants of hospital nurse intention to remain employed: Broadening our understanding. Journal of Advanced Nursing, 66(1), 22–32.10.1111/j.1365-2648.2009.05190.xCrossRefGoogle ScholarPubMed
Transport Accident Commission & WorkSafe Victoria. (2012). Clinical framework for the delivery of health services. Retrieved from https://www.tac.vic.gov.au/__data/assets/pdf_file/0010/27595/clinical-framework-single.pdfGoogle Scholar
Turk, D. C. (2014). The biopsychosocial approach to the assessment and intervention for people with musculoskeletal disorders. In Gatchel, R. J. & Schultz, I. Z. (Eds.), Handbook of musculoskeletal pain and disability disorders in the workplace. New York, NY: Springer.Google Scholar
Waddell, C., & Godderis, R. (2005). Rethinking evidence-based practice for children’s mental health. Evidence Based Mental Health, 8(3), 60–62. doi: 10.1136/ebmh.8.3.60CrossRefGoogle ScholarPubMed
Waddell, G. (1992). Biopsychosocial analysis of low back pain. Baillière’s Clinical Rheumatology, 6(3), 523–557.CrossRefGoogle ScholarPubMed
WorkCover NSW. (2010). Psychologists and counsellors guide to WorkCover NSW. Sydney, Australia: WorkCover New South Wales.Google Scholar
WorkCover SA. (2010). Managing acute-subacute low back pain: Clinical practice guidelines. Retrieved from http://library.safework.sa.gov.au/attachments/52922/Managing%20acute-subacute%20low%20back%20pain%20-%20clinical%20practice%20guide.pdfGoogle Scholar
World Health Organization. (2001). International classification of functioning, disability and health (ICF). Geneva: World Health Organization.Google Scholar
World Health Organization. (2017). Disabilities. Retrieved from http://www.who.int/topics/disabilities/en/Google Scholar