Table 2 Summary of barriers to and facilitators reported by therapists at the CSHT session
Domain | Barriers | Facilitators |
|---|---|---|
Therapist | ||
 Attitude | • Not therapists’ responsibility • Information overload • Perception of little added value • Resistance to change | • Change perception • Relevant and applicable information • Fostering positive attitude • Knowledge brokers, managers |
 Competence | • Poor knowledge • Routine practice • Low confidence in own skills | • Education • Reflective practice • Capacity building |
Healthcare system | ||
 Colleagues | • Lack of awareness • Varied practice style | • Opportunities through in-service training • Regular meetings and feedback |
 Outcome Measures | • Poor availability • Difficulty with choice • Feasibility of use | • Increased access • Clear guidelines • Adaptable tools |
 Practice pattern | • Absence of practice policy • Lack of time | • Create policy • Caseload management, delegation to therapy assistant or Kinesiologist |
Patient | ||
 Attitude | • Previous experience • Focus on pain | • Open discussion • Education |
 Clinic-based treatment | • Transportation difficulties • Cost of care • Lateness to appointments | • Management planning, support • Financial support • Rescheduling |
 Home-based exercise | • Too many exercises • Early recovery • Forgetting • Lack of time | • Review exercise protocol • Education on healing • Reminders • Action plan, goal setting |