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Physiotherapists' views on their role in self-management approaches: A qualitative systematic review.

Killingback, C., Thompson, M., Chipperfield, S., Clark, C. J. and Williams, J. M., 2022. Physiotherapists' views on their role in self-management approaches: A qualitative systematic review. Physiotherapy Theory and Practice, 38 (12), 2134-2148.

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Killingback et al 2021 accepted manuscript.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial.


DOI: 10.1080/09593985.2021.1911011


Background: Self-management has been an increasingly important aspect of helping people manage their long-term conditions. The aim of this qualitative review was to synthesize the views of physiotherapists concerning their delivery of a self-management approach.Method: A systematic search was conducted on six electronic bibliographic databases to identify relevant primary studies. Studies were assessed for quality and data extracted. Qualitative data were analyzed using thematic synthesis. A total of 1189 studies were identified and screened. Eleven studies met the inclusion criteria.Results: Findings suggest that for self-management approaches to work, physio-therapists believe that patients need to actively participate. Boundaries on who is the expert were blurred at times with some physiotherapists struggling to relinquish control. High-quality patient-therapist relationships are required to build trust in order to support patients in the self-management of their long-term conditions. It is also important to consider the competing paradigms in which a service is delivered as this may facilitate or hinder self-management. Seeing patients as people is integral to supporting self-management approaches.Conclusion: Physiotherapists are well placed to support self-management but there is still a need for a cultural and paradigmatic shift in the physiotherapy profession and in some environments, this shift as yet is to be realized.

Item Type:Article
Uncontrolled Keywords:Physiotherapists ; qualitative synthesis ; self-management
Group:Faculty of Health & Social Sciences
ID Code:35402
Deposited By: Symplectic RT2
Deposited On:19 Apr 2021 09:19
Last Modified:25 Jan 2023 11:51


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