NDLI: Research designs and instruments to detect physiotherapy overuse of low-value care services in low back pain management: a scoping review

Content Provider	Springer Nature : BioMed Central
Author	Kühn, Lukas Lindert, Lara Kuper, Paulina Prill, Robert Choi, Kyung-Eun (Anna)
Abstract	Background The provision of low-value physiotherapy services in low back pain management is a known but complex phenomenon. Thus, this scoping review aims to systematically map existing research designs and instruments of the field in order to discuss the current state of research methodologies and contextualize results to domains and perspectives of a referred low-value care typology. Ultimately, results will be illustrated and transferred to conditions of the German health care setting as care delivery conditions of physiotherapy in Germany face unique particularities. Methods The development of this review is guided by the analysis framework of Arksey and O'Malley. A two-stage, audited search strategy was performed in Medline (PubMed), Web of Science, and google scholar. All types of observational studies were included. Identified articles needed to address a pre-determined population, concept, and context framework and had to be published in English or German language. The publication date of included articles was not subject to any limitation. The applied framework to assess the phenomenon of low-value physiotherapy services incorporated three domains (care effectiveness; care efficiency; patient alignment of care) and perspectives (provider; patient; society) of care. Results Thirty-three articles met the inclusion criteria. Seventy-nine percent of articles focused on the appropriateness of physiotherapeutic treatments, followed by education and information (30%), the diagnostic process (15%), and goal-setting practice (12%). Study designs were predominantly cross-sectional (58%). Data sources were mainly survey instruments (67%) of which 50% were self-developed. Most studies addressed the effectiveness domain of care (73%) and the provider perspective (88%). The perspective of patient alignment was assessed by 6% of included articles. None of included articles assessed the society perspective. Four methodical approaches of included articles were rated to be transferrable to Germany. Conclusion Identified research on low-value physiotherapy care in low back pain management was widely unidimensional. Most articles focused on the effectiveness domain of care and investigated the provider perspective. Most measures were indirectly and did not monitor low-value care trends over a set period of time. Research on low-value physiotherapy care in secondary care conditions, such as Germany, was scarce. Registration This review has been registered on open science framework ( https://osf.io/vzq7k https://doi.org/10.17605/OSF.IO/PMF2G ).
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-023-09166-4.pdf
Ending Page	16
Page Count	16
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-023-09166-4
Journal	BMC Health Services Research
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2023-02-23
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Appropriateness of care Health services overuse Medical overuse Physical therapy
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Research designs and instruments to detect physiotherapy overuse of low-value care services in low back pain management: a scoping review protocol

Is low-value care for persistent musculoskeletal pain more common in rural than urban areas? A scoping review

Factors associated with patients’ demand for low-value care: a scoping review

Identifying drivers of health care value: a scoping review of the literature

Self-reported use of family physician, chiropractor and physiotherapy services among adult Canadians with chronic back disorders: an observational study

A scoping review on implementation processes and outcomes of models of care for low back pain in primary healthcare

Second opinions for spinal surgery: a scoping review

Cost-effectiveness of pain management services for chronic low back pain: a systematic review of published studies

Initial treatment approaches and healthcare utilization among veterans with low back pain: a propensity score analysis

Research designs and instruments to detect physiotherapy overuse of low-value care services in low back pain management: a scoping review

Similar Documents

Research designs and instruments to detect physiotherapy overuse of low-value care services in low back pain management: a scoping review protocol

Is low-value care for persistent musculoskeletal pain more common in rural than urban areas? A scoping review

Factors associated with patients’ demand for low-value care: a scoping review

Identifying drivers of health care value: a scoping review of the literature

Self-reported use of family physician, chiropractor and physiotherapy services among adult Canadians with chronic back disorders: an observational study

A scoping review on implementation processes and outcomes of models of care for low back pain in primary healthcare

Second opinions for spinal surgery: a scoping review

Cost-effectiveness of pain management services for chronic low back pain: a systematic review of published studies

Initial treatment approaches and healthcare utilization among veterans with low back pain: a propensity score analysis

Research designs and instruments to detect physiotherapy overuse of low-value care services in low back pain management: a scoping review