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Table 2 Results from Round 1 and Round 2 Delphi processes

From: Developing tailored intervention strategies for implementation of stratified care to low back pain with physiotherapists in Nigeria: a Delphi study

Statements: To implement Stratified Care,

Rounds

aC1

b C2

cStability (Wilcoxon)

dAgreement (%)

Median

IQR

 

1. Start with senior PTs and let them supervise their junior colleagues

Round 1

88

4

1

 

2. Hold quality improvement meetings to review successes and adherence

Round 1

96

5

1

 

3. Educate the patients while treating them to save time

Round 1

94

5

1

 

4. Schedule assessment and treatment on two separate days

Round 1

76

4

1

 

5. Translate the SBT into Nigerian pidgin.e

Round 1

72

4

2

0.767

Round 2

71

4

2

6. Government should set up an affordable health insurance system

Round 1

90

5

1

 

7. Increase salary increments for PTs who train and practice PIP

Round 1

84

4

1

 

8. Seek co-operation of the hospital administration

Round 1

79

4

1

 

9. Implementation efforts should begin with government hospitals. e

Round 1

61

4

2

0.109

Round 2

63.7

4

2

10. Patients should visit clinics with time and training on PIP

Round 1

87

4

1

 

11. Include training on PIP for undergraduate PTs

Round 1

96

5

1

 

12. Train PTs on pain-relieving medications

Round 1

77

4

1

 

13. Adopt standardised LBP treatment guideline in Nigeria

Round 1

93

5

1

 

14. Group monitoring of colleagues is needed

Round 1

82

4

1

 

15. TBS should share knowledge and ideas with PTs. e

Round 1

35

3

3

0.676

Round 2

35.4

2

3

16. Training workshops on PIP for licenced physiotherapists

Round 1

94

5

1

 

17. PT speciality groups should take the responsibility of advocacy

Round 1

85

4

1

 

18. Inform other health professionals about SC

Round 1

91

5

1

 

19. Modify patients’ expectations by educating them on expected outcomes

Round 1

96

5

1

 

20. Use public media sources to dispel false information on LBP

Round 1

93

5

1

 

21. Encourage patients to learn about their own condition

Round 1

91

5

1

 

22. Monitor patients’ self-care routine

Round 1

91

5

1

 

23. PTs self-examination to remove wrong LBP beliefs and attitudes

Round 1

90

5

1

 

24. Use research results to convince PTs colleagues on SC

Round 1

93

5

1

 

25. Allocate sufficient time for PT-patient communication

Round 1

95

5

1

 

26. Patients should get a second opinion on the clinician’s advice. e

Round 1

73

4

2

0.239

Round 2

63

4

2

27. Print STarT-Back Questionnaires for routine use in waiting rooms

Round 1

92

5

1

 

28. Physiotherapy consultations should be carried out online. e

Round 1

70

4

2

0.406

Round 2

65.3

4

2

29. Provide an electronic version of the STB and fill online

Round 1

89

4

1

 

30. Patients should fill the SBT at home

Round 1

80

4

1

 
  1. Legend: TBS: Traditional bone setters, PIP Psychologically Informed Physiotherapy, LBP Low back Pain, SC Stratified care, SBT STarT-Back Tool, PT Physiotherapist
  2. a C1 (Consensus criteria 1): ≥ 75% agreement
  3. b C2 (Consensus criteria 2): Median ≥ 4 and Inter-Quartile-Range (IQR) ≤ 1
  4. c Stability criteria: Wilcoxon matched-pairs signed-rank test was calculated for statements which did not reach consensus in the first round
  5. d Agreement: Selection of response options 4—agree or 5—strongly agree
  6. e Statements not reaching consensus in Round 1, progressed to Round 2 and tested for stability
  7. *Significance level is set at p ≤ 0.05