Award Date

5-1-2024

Degree Type

Doctoral Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Committee Member

Daniel Young

Second Committee Member

Dustin Clow

Third Committee Member

Merrill Landers

Number of Pages

66

Abstract

Purpose: To determine physical therapists’ barriers to implementation and subsequent maintenance of evidence-based practices (EBPs) for treating neck pain from the American Physical Therapy Association (APTA) neck pain Clinical Practice Guideline (CPG) over the course of six months.

Materials and Methods: Participating physical therapists were trained on the EBPs of treating neck pain through a live 90-minute webinar followed by a hands-on, in-person 90-minute session. Clinics were supplied with all necessary equipment and reference guides. Assessment of participant maintenance to neck pain EBPs included data collection from a baseline Knowledge Check survey prior to educational sessions, an Implementation survey at two months post educational sessions, and a Maintenance survey at six months post educational sessions.

Results: 75% of the participants stated that they maintained the use of the recommended EBP guidelines six months after the educational sessions. When participants were asked how often they used the EBPs taught six months previously, 25% responded with, “about half of the time,” 50% responded with, “most of the time,” and 25% responded with, “always.”

The most commonly reported barriers were a high patient caseload, perception that patient outcomes were not improving, availability of one-on-one time with patients, and too short of patient treatment sessions to be able to implement EBP-related interventions for neck pain effectively. Participants who stated they had a high self- efficacy were more likely to perform mobilizations and use the recommended EBP modalities.

Keywords

Neck pain; Cervical pain; Physical therapy; Physical therapist; Implementation; Evidence-based practice (EBP); Clinical practice guideline (CPG)

Disciplines

Physical Therapy

File Format

pdf

File Size

1500 KB

Degree Grantor

University of Nevada, Las Vegas

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

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