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Table 2 Description of included studies

From: Physician-reported barriers to using evidence-based recommendations for low back pain in clinical practice: a systematic review and synthesis of qualitative studies using the Theoretical Domains Framework

Study, year
Country 		GP (n) Study aim Data source Recommendations discussed in thematic analysis Method rigour
Assessment & diagnosis (9) Treatment
referral (n = 8) 		Medication (n = 2) Activity advice (n = 7) Imaging (n = 11)
Bishop 2015 [32]
UK 		16 To clarify the decision-making processes re: particular treatments to LBP patients Interview ✓ ✓     Moderate
Breen 2007 [33]
UK 		21 To examine GP attitudes to managing acute LBP as a biopsychosocial problem Focus group (n = 3) ✓ ✓   ✓ ✓ Moderate
Chenot 2008 [34]
GER 		72 To explore the acceptance of GL content and perceived barriers to implementation Focus group   ✓   ✓ ✓ Low
Corbett 2009 [35] UK 10 To explore the attitudes and self-reported behaviour of GPs in relation LBP GL Interview ✓    ✓ ✓ Good
Crawford 2007 [36]
NZ 		11 To understand GPs experience in identifying and managing Yellow Flags Interview ✓      Moderate
Dahan 2007 [37]
IS 		38 To identify barriers and facilitators that GPs experience when using LBP GL Focus group (n = 4) ✓     ✓ Moderate
Darlow 2014 [38]
NZ 		11 To explore GPs’ underlying beliefs about LBP and how these beliefs influence their management Interview ✓    ✓   Good
Espeland 2003 [39]
NO 		13 To understand GPs barriers to using GL and what they think affects their ordering x-rays Focus group (n = 3)      ✓ Good
French 2012 [40]
AU 		42 To identify the barriers and enablers to restricting use of x-rays and providing advice on remaining active Focus group ✓    ✓ ✓ Good
Fullen 2008 [41]
IRE 		7 To understand factors that impact on GPs management of chronic LBP Interview   ✓   ✓ ✓ Good
Green 2015 [42]
CA 		10 To understand the factors that influence ordering MRI for without “red flags.” Interview   ✓    ✓ Moderate
Poitras 2012 [43]
CA 		8 To evaluate barriers for using GL for preventing LBP disability Interview ✓ ✓ ✓   ✓ Good
Schers 2001 [44]
NL 		31 To explore factors that determine nonadherence to the LBP GL Interview ✓ ✓ ✓ ✓ ✓ Moderate
Shye 1998 [45]
USA 		28 To understand nonadherence to imaging GL for LBP Focus group (n = 4)   ✓    ✓ Moderate
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Implementation Science

ISSN: 1748-5908