Behavioural Change Techniques For Chronic Low Back Pain: A Physiotherapy Practice Study

Abstract

Chronic non-specific low back pain (CNSLBP) is prevalent in the Canadian Forces. Physiotherapists use behavioural change techniques (BCT) to challenge maladaptive cognitions and behaviours in the treatment of CNSLBP. The aim of this study was to determine the range and type of BCT used in the “Back to Fitness” class at CFB Halifax. A nomenclature integrating a psychology BCT checklist and relevant physiotherapy literature was used to create a physiotherapist BCT checklist tool that was piloted in a field study. A wide range (n=24) and type (cognitive, behavioural and motivational) of BCT were identified in three settings (lecture, two exercise sessions). The nomenclature produced in this first examination of BCT in physiotherapy practice, will be useful for future research and training. This project revealed an overlap between psychology and physiotherapy that could lead to improved interprofessional communication and earlier access to behaviour change interventions for patients with CNSLBP.