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Requirements for implementing online information material for patients with low back pain in general practice: an interview study.
Scand J Prim Health Care. 2019 Mar; 37(1):60-68.SJ

Abstract

OBJECTIVE

To identify general practitioners' (GPs) barriers and facilitators regarding the use of health information technology (HIT) in the treatment of patients with low back pain (LBP).

DESIGN

A qualitative study employing a participatory design approach, with an inductive analytical thematic approach utilising semi-structured interviews. Empirical data was analysed using the qualitative data analysis software (QDAS) Nvivo.

SETTING

General practices in Denmark.

SUBJECTS

Eight interviews were conducted with an average duration of 60 min. The interviewees were GPs from different geographical settings and different organisational structures, varying in age and professional interests.

MAIN OUTCOME MEASURES

Barriers and facilitators for future use of the HIT application for patients with LBP.

RESULTS

Through the inclusion of healthcare professionals in the design process, this study found that in order for GPs to recommend a HIT application it is essential to target the application towards their patients. Furthermore, GPs required that the HIT application should support patient self-management. Additionally, the content of the HIT application should support the initiated treatment and it should be easy for GPs to recommend the HIT application. Finally, healthcare professionals need to be involved in the design process.

CONCLUSION

When designing health IT applications for patients with LBP in general practice it is important to include both patients and GPs in the design process. GPs would be more willing to recommend a HIT application that: applies content in line with frequently used recommendations; targets patients; supports patients' self-management; and supports the patients' needs. KEY POINTS Online information is currently applied in general practice to some patients with low back pain Online information cannot replace the GP, but can rather be a bonding tool between the patient and the GP It is important to address both GP and patient barriers to applying new technology and to consider the literacy level Participatory methods could play a central role in the future development of online information material.

Authors+Show Affiliations

a Department of Development and Planning , Aalborg University , Aalborg , Denmark.a Department of Development and Planning , Aalborg University , Aalborg , Denmark.a Department of Development and Planning , Aalborg University , Aalborg , Denmark.a Department of Development and Planning , Aalborg University , Aalborg , Denmark.b Center for General Pracitce at Aalborg University , Aalborg , Denmark.b Center for General Pracitce at Aalborg University , Aalborg , Denmark.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30700191

Citation

Hjelmager, Ditte Meulengracht, et al. "Requirements for Implementing Online Information Material for Patients With Low Back Pain in General Practice: an Interview Study." Scandinavian Journal of Primary Health Care, vol. 37, no. 1, 2019, pp. 60-68.
Hjelmager DM, Vinther LD, Poulsen SH, et al. Requirements for implementing online information material for patients with low back pain in general practice: an interview study. Scand J Prim Health Care. 2019;37(1):60-68.
Hjelmager, D. M., Vinther, L. D., Poulsen, S. H., Petersen, L. S., Jensen, M. B., & Riis, A. (2019). Requirements for implementing online information material for patients with low back pain in general practice: an interview study. Scandinavian Journal of Primary Health Care, 37(1), 60-68. https://doi.org/10.1080/02813432.2019.1569413
Hjelmager DM, et al. Requirements for Implementing Online Information Material for Patients With Low Back Pain in General Practice: an Interview Study. Scand J Prim Health Care. 2019;37(1):60-68. PubMed PMID: 30700191.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Requirements for implementing online information material for patients with low back pain in general practice: an interview study. AU - Hjelmager,Ditte Meulengracht, AU - Vinther,Line Dausel, AU - Poulsen,Søren Herold, AU - Petersen,Lone Stub, AU - Jensen,Martin Bach, AU - Riis,Allan, Y1 - 2019/01/31/ PY - 2019/2/1/pubmed PY - 2019/5/29/medline PY - 2019/2/1/entrez KW - General practice KW - low back pain KW - medical informatics KW - patient education as topic KW - self-management KW - software design SP - 60 EP - 68 JF - Scandinavian journal of primary health care JO - Scand J Prim Health Care VL - 37 IS - 1 N2 - OBJECTIVE: To identify general practitioners' (GPs) barriers and facilitators regarding the use of health information technology (HIT) in the treatment of patients with low back pain (LBP). DESIGN: A qualitative study employing a participatory design approach, with an inductive analytical thematic approach utilising semi-structured interviews. Empirical data was analysed using the qualitative data analysis software (QDAS) Nvivo. SETTING: General practices in Denmark. SUBJECTS: Eight interviews were conducted with an average duration of 60 min. The interviewees were GPs from different geographical settings and different organisational structures, varying in age and professional interests. MAIN OUTCOME MEASURES: Barriers and facilitators for future use of the HIT application for patients with LBP. RESULTS: Through the inclusion of healthcare professionals in the design process, this study found that in order for GPs to recommend a HIT application it is essential to target the application towards their patients. Furthermore, GPs required that the HIT application should support patient self-management. Additionally, the content of the HIT application should support the initiated treatment and it should be easy for GPs to recommend the HIT application. Finally, healthcare professionals need to be involved in the design process. CONCLUSION: When designing health IT applications for patients with LBP in general practice it is important to include both patients and GPs in the design process. GPs would be more willing to recommend a HIT application that: applies content in line with frequently used recommendations; targets patients; supports patients' self-management; and supports the patients' needs. KEY POINTS Online information is currently applied in general practice to some patients with low back pain Online information cannot replace the GP, but can rather be a bonding tool between the patient and the GP It is important to address both GP and patient barriers to applying new technology and to consider the literacy level Participatory methods could play a central role in the future development of online information material. SN - 1502-7724 UR - https://www.unboundmedicine.com/medline/citation/30700191/Requirements_for_implementing_online_information_material_for_patients_with_low_back_pain_in_general_practice:_an_interview_study_ L2 - http://www.tandfonline.com/doi/full/10.1080/02813432.2019.1569413 DB - PRIME DP - Unbound Medicine ER -