The Engagement of Healthcare Providers in Implementing the SelfBACK Randomised Controlled Trial - A Mixed-methods Process Evaluation

Overview

Journal Digit Health

Date 2025 Jan 23

PMID 39845520

Authors

Mette Jensen Stochkendahl

Barbara I Nicholl

Karen Wood

Frances S Mair

Paul Jarle Mork

Karen Sogaard

Charlotte Dn Rasmussen

Affiliations

Soon will be listed here.

Abstract

Background: People with low back pain (LBP) are often recommended to self-manage their condition, but it can be challenging without support. Digital health interventions (DHIs) have shown promise in supporting self-management of LBP, but little is known about healthcare providers' (HCPs) engagement in implementing these.

Aims: We aimed to examine HCPs' engagement in patient recruitment for the selfBACK app clinical trial and explore their perceptions of the app.

Methods: In a mixed-methods design, we conducted a process evaluation alongside the selfBACK trial, triangulating quantitative data from trial recruitment logs and a vignette-based survey, and qualitative data from trial procedure documents, interviews with HCPs, and survey free-text responses. From 2019 to 2020, we recruited 57 HCPs from Norway and 39 health clinics in Denmark and collected quantitative and qualitative data in parallel. Results were integrated using displays.

Results: Overall, 825 patients were recruited by the HCPs. The vignette-based survey showed high agreement among HCPs (n = 62) with the self-management plans generated by the app (84.1-88.9%) but also highlighted concerns about tailoring and content. Interviews with HCPs (n = 19) revealed challenges with recruitment due to busy schedules, competing tasks, and varying levels of interest and engagement in the study.

Conclusions: The study identified factors that impact HCPs' engagement in recruiting patients for the selfBACK trial and highlighted overall positive views of the selfBACK app, although some concerns about the content and tailoring of the app were raised. Understanding HCP motivations and workload is crucial for the successful implementation of DHIs in clinical practice.

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