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Table 2 Characteristics of included studies

From: Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain – a mixed methods systematic review

Study (Country)

Methods/Study type

Study Settings

Participants

Outcome measure/method of analysis

Main findings

Bar-Zaccay & Bailey (2018) [14]

(UK)

Cross-sectional Survey

Online questionnaire (National level)

UK osteopaths

N = 107

M = 51

F = 56

PABS-PT (BM and BPS scores)

Descriptive and inferential statistics

UK osteopaths hold strong BM beliefs about pain, however, with an acceptance of the BPS approach

Macdonald et al., (2018) [15]

(UK)

Cross-sectional Survey

Online questionnaire (National level)

UK osteopaths

N = 216

M = 118

F = 98

PABS-PT

HC-PAIRS

Descriptive statistics

Osteopaths have skills to engage with psychosocial factors of the patients’ pain experience. However, training is required to increase their expertise in knowledge of chronic pain and its management.

Abrosimoff & Rajendran (2020) [31](UK)

Semi-structured interviews (individual)

Osteopathic educational institution

UK osteopaths

N = 8

M = 4

F = 4

Constructivist grounded theory

Osteopaths viewed BPS model as essential in navigating a person’s experience of pain, however, the integration of the BPS model into clinical practice is fraught with obstacles.

Formica et al., (2018) [17]

(Italy)

In-depth semi-structured interviews (individual)

Controlled interview setting

Italian osteopaths

N = 11

M = 9

F = 2

Grounded theory

Italian osteopaths displayed a greater orientation towards the biomedical dimension of chronic pain

Delion & Draper-Rodi (2018) [32]

(UK)

Semi-structured interviews (individual)

Teaching centre (university)

UK Final year osteopathic students

N = 6

M = 3

F = 2

Constructivist grounded theory

Osteopathic students assessed for PS factors throughout the case history and tend to rely on instincts. However, barriers exist for managing PS factors when treating patients with NSLBP.

Draper-Rodi (2016) [33]

(UK)

Mixed methods Study

Online e-learning program

Educational institution

Quantitative strand

N = 45

Qualitative strand

N = 9

PABS

ABS-mp

Thematic analysis

A 6-week e-learning programme was feasible. The BPS approach was not structural enough.

  1. ABS-mp Attitudes to Back Pain Scale for musculoskeletal practitioners, BM Biomedical, BPS Bio-Psycho-Social, F Female, HC-PAIRS Health Care Providers’ Pain and Impairment Relationship Scale, M Male, N Number of participants, NSLBP Non-Specific Low Back Pain, PABS – PT Pain Attitudes and Beliefs Scale for Physiotherapists, PS Psychosocial, UK United Kingdom