A conceptual framework for increasing clinical staff member involvement in general practice: a proposed strategy to improve the management of low back pain

Table 1 Activities aimed at improving the treatment of patients with low back pain in general practice

Possible actions and elements for changing general practice behaviour	Capability (physical / psychological)	Opportunity (physical / social)	Motivation (reflective / automatic)
Organisational changes
Knowledge of all components included in the umbrella of interventions	X
Clinic staff delivery of standard information	X
Clinical staff addressing psycho-social barriers for recovery	X
Clinical staff instruction in standard exercise programmes	X
Delegation guidelines	X
General practice support and training
Outreach visit with a reorganizational focus		X	X
Training sessions of clinical staff members delivered in the clinic		X	X
National annual clinical staff educational courses		X	X
Local GP Innovation Leaders		X	X
Cascade the proposed organizational changes in national journals and newsletters aimed at GPs and clinical staff members			X
Hotline service		X
Audits by guideline facilitators		X	X
Specific intervention components
Paper folders and online access to standard information		X
Paper folders and online access to exercise programmes		X
Cultural adaptation of folders and online material		X
Access to screening tools		X
Integration of intervention components within the GP medical record		X
Intervention fidelity feedback to GPs		X	X
Incentives
Greater clinical staff involvement			X
Extended consultation times			X
Greater equity in patient care		X	X
Addressing the frustration caused by missing medical treatment options			X

Legend: An umbrella of intervention components to address GPs capability, opportunity, and motivation to increase the uptake of low back pain guidelines in general practice and to decrease referral of patients with low back pain to specialist spinal service in secondary care

ISSN: 2731-4553