Josephine Ahenkorah Ampiah
‘Specialist before physiotherapist’: physicians’ and physiotherapists’ beliefs and management of chronic low back pain in Ghana – A qualitative study
Ampiah, Josephine Ahenkorah; Moffatt, Fiona; Diver, Claire J.; Ampiah, Paapa Kwesi; Diver, Claire J
Authors
Fiona Moffatt
Claire J. Diver
Paapa Kwesi Ampiah
Claire J Diver
Abstract
Purpose: This study provides an understanding of the chronic low back pain (CLBP) beliefs and management practices of physicians/doctors and physiotherapists in Ghana, and the mechanisms underlying their beliefs and practices. Materials/Methods: Thirty-three individual semi-structured interviews, involving eighteen physiotherapists and fifteen physicians involved with CLBP management, were carried out. Interviews were audio recorded, transcribed, and analysed using Straussian grounded theory principles and critical realist philosophy. Results: Five categories were derived: The predominance of bio-medical/mechanical beliefs, maladaptive beliefs, maladaptive practices, limited involvement of physiotherapists and other healthcare professionals (HCPs) and evidence-based beliefs and practices. The predominant mechanisms underlying the HCPs beliefs and practices were: the healthcare environment (professional roles/identity hinged around paternalistic and biomedical care, fragmented CLBP management, limited physiotherapy/HCPs’ knowledge) and sociocultural environment (sociocultural/patients’ expectations of passive therapy and paternalism). Conclusion: The CLBP beliefs and practices of HCPs involved with CLBP in Ghana is modelled around a professional identity that is largely hinged on paternalism and bio-medical/mechanical understandings. Lack of collaboration and sociocultural expectations also play a significant role. There is the need for a reconstitution of Ghanaian HCPs’ CLBP beliefs and management approaches to align with evidenced-based approaches (e.g., imaging should not be universally prescribed, biopsychosocial and patient-centred care).
Citation
Ampiah, J. A., Moffatt, F., Diver, C. J., Ampiah, P. K., & Diver, C. J. (2024). ‘Specialist before physiotherapist’: physicians’ and physiotherapists’ beliefs and management of chronic low back pain in Ghana – A qualitative study. Disability and Rehabilitation, 1-11. https://doi.org/10.1080/09638288.2024.2356005
Journal Article Type | Article |
---|---|
Acceptance Date | May 13, 2024 |
Online Publication Date | May 20, 2024 |
Publication Date | Jan 1, 2024 |
Deposit Date | Aug 12, 2024 |
Publicly Available Date | Aug 13, 2024 |
Journal | Disability and Rehabilitation |
Electronic ISSN | 0963-8288 |
Publisher | Taylor and Francis |
Peer Reviewed | Peer Reviewed |
Pages | 1-11 |
DOI | https://doi.org/10.1080/09638288.2024.2356005 |
Keywords | Africa, healthcare professionals, Ghana, Chronic low back pain, management, beliefs, doctors, physiotherapists |
Public URL | https://nottingham-repository.worktribe.com/output/35712388 |
Publisher URL | https://www.tandfonline.com/doi/full/10.1080/09638288.2024.2356005#abstract |
Additional Information | Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=idre20; Received: 2023-10-04; Accepted: 2024-05-13; Published: 2024-05-20 |
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https://creativecommons.org/licenses/by/4.0/
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