Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain
Background: Physiotherapists trained to deliver biopsychosocial interventions for complex musculoskeletal pain problems often report difficulties in confidence and competency at the end of training. Cognitive Functional Therapy (CFT) is an individualized biopsychosocial intervention and understandin...
| Main Authors: | , , , , , |
|---|---|
| Format: | Journal Article |
| Language: | English |
| Published: |
TAYLOR & FRANCIS INC
2022
|
| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/93043 |
| _version_ | 1848765689935953920 |
|---|---|
| author | Simpson, Phoebe Holopainen, R. Schütze, R. O’Sullivan, P. Smith, Anne Kent, Peter |
| author_facet | Simpson, Phoebe Holopainen, R. Schütze, R. O’Sullivan, P. Smith, Anne Kent, Peter |
| author_sort | Simpson, Phoebe |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Physiotherapists trained to deliver biopsychosocial interventions for complex musculoskeletal pain problems often report difficulties in confidence and competency at the end of training. Cognitive Functional Therapy (CFT) is an individualized biopsychosocial intervention and understanding the facilitators and barriers to training in CFT will help inform future training programs. This study aimed to explore physiotherapists’ and trainers’ perceptions of the process of developing competency in CFT. Methods: A cross-sectional qualitative design using interviews of 18 physiotherapists and two trainers investigated training in CFT for persistent LBP via reflexive thematic analysis. Results: Physiotherapists reported undergoing a complex behavior change process during training. Four themes emerged: 1) Pre-training factors; 2) Behavior change process; 3) Physiotherapy culture and context; and 4) Confident competence and beyond. Key components included graduated practice exposure linked to experiential learning with feedback and clear competency guidelines. Pre-training and contextual factors were facilitators or barriers depending on the individual. Physiotherapists supported ongoing learning, even after competency was achieved. Conclusions: This study provides insight into the processes of change during progress toward competency in CFT. It highlights facilitators and barriers to competency including physiotherapy culture and the clinical environment. The study also describes important educational components, including experiential learning and clinical integration, which may be used to inform future post-graduate training. |
| first_indexed | 2025-11-14T11:39:15Z |
| format | Journal Article |
| id | curtin-20.500.11937-93043 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:39:15Z |
| publishDate | 2022 |
| publisher | TAYLOR & FRANCIS INC |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-930432023-11-28T02:54:42Z Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain Simpson, Phoebe Holopainen, R. Schütze, R. O’Sullivan, P. Smith, Anne Kent, Peter Science & Technology Life Sciences & Biomedicine Rehabilitation Biopsychosocial physiotherapist training competency qualitative PHYSICAL-THERAPISTS PSYCHOSOCIAL FACTORS CLINICAL GUIDELINES PHYSIOTHERAPISTS BELIEFS MANAGEMENT ATTITUDES PERCEPTIONS STRATEGIES KNOWLEDGE Biopsychosocial competency physiotherapist qualitative training Background: Physiotherapists trained to deliver biopsychosocial interventions for complex musculoskeletal pain problems often report difficulties in confidence and competency at the end of training. Cognitive Functional Therapy (CFT) is an individualized biopsychosocial intervention and understanding the facilitators and barriers to training in CFT will help inform future training programs. This study aimed to explore physiotherapists’ and trainers’ perceptions of the process of developing competency in CFT. Methods: A cross-sectional qualitative design using interviews of 18 physiotherapists and two trainers investigated training in CFT for persistent LBP via reflexive thematic analysis. Results: Physiotherapists reported undergoing a complex behavior change process during training. Four themes emerged: 1) Pre-training factors; 2) Behavior change process; 3) Physiotherapy culture and context; and 4) Confident competence and beyond. Key components included graduated practice exposure linked to experiential learning with feedback and clear competency guidelines. Pre-training and contextual factors were facilitators or barriers depending on the individual. Physiotherapists supported ongoing learning, even after competency was achieved. Conclusions: This study provides insight into the processes of change during progress toward competency in CFT. It highlights facilitators and barriers to competency including physiotherapy culture and the clinical environment. The study also describes important educational components, including experiential learning and clinical integration, which may be used to inform future post-graduate training. 2022 Journal Article http://hdl.handle.net/20.500.11937/93043 10.1080/09593985.2022.2151333 English TAYLOR & FRANCIS INC fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Rehabilitation Biopsychosocial physiotherapist training competency qualitative PHYSICAL-THERAPISTS PSYCHOSOCIAL FACTORS CLINICAL GUIDELINES PHYSIOTHERAPISTS BELIEFS MANAGEMENT ATTITUDES PERCEPTIONS STRATEGIES KNOWLEDGE Biopsychosocial competency physiotherapist qualitative training Simpson, Phoebe Holopainen, R. Schütze, R. O’Sullivan, P. Smith, Anne Kent, Peter Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain |
| title | Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain |
| title_full | Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain |
| title_fullStr | Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain |
| title_full_unstemmed | Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain |
| title_short | Becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain |
| title_sort | becoming confidently competent: a qualitative investigation of training in cognitive functional therapy for persistent low back pain |
| topic | Science & Technology Life Sciences & Biomedicine Rehabilitation Biopsychosocial physiotherapist training competency qualitative PHYSICAL-THERAPISTS PSYCHOSOCIAL FACTORS CLINICAL GUIDELINES PHYSIOTHERAPISTS BELIEFS MANAGEMENT ATTITUDES PERCEPTIONS STRATEGIES KNOWLEDGE Biopsychosocial competency physiotherapist qualitative training |
| url | http://hdl.handle.net/20.500.11937/93043 |