STarT Back Screening Tool
STarTBack64 is an example of SCAs that aims to match conservative care with patient clinical presentation. STarTBack was originally designed to help determine the risk of delayed recovery (persistent disability) for non-specific LBP patients in the primary care setting and to select appropriate relevant treatment options64. Specifically, the 9-item questionnaire aims to subgroup patients with non-specific LBP based on the presence of modifiable physical and/or psychological prognostic variables64. These items address questions about: radiating leg pain, shoulder/neck pain, walking, dressing, fear, worry, catastrophizing, …show more content…
To overcome these barriers and improve clinicians adherence to CPGs, various types of knowledge translation (KT) interventions have been proposed to enhance the uptake and implementation of CPGs into practice70. KT entails closing the gap between what we know and what is routinely done in practice71. It is about making knowledge users aware of the best available evidence and facilitating its use to improve clinical practice and patient health outcomes. To reduce the knowledge-to-practice gap, it is generally recommended that a series of steps be undertaken to inform the design and evaluation of KT interventions. To date, however, few robust implementation studies have been conducted in rehabilitation science72-74. Investigators with advance KT training and clinical expertise are needed in this field of research. Exploring the reasons (i.e., barriers and facilitators to professional behaviour change) for departure from optimal care is an important first step to inform the design of the tailored interventions and increases the chances of successful implementation of CPGs75-77. The closure of the knowledge-to-practice gap can be achieved through developing and implementing KT interventions74.
Conceptual