‘I just don't have the tools’ - Italian osteopaths' attitudes and beliefs about the management of patients with chronic pain: A qualitative study

Adler, 2009, Engel's biopsychosocial model is still relevant today, J Psychosomatic Res, 67, 607, 10.1016/j.jpsychores.2009.08.008

Aujoulat, 2008, Reconsidering patient empowerment in chronic illness: a critique of models of self efficacy and bodily control, Soc Sci Med, 66, 1228, 10.1016/j.socscimed.2007.11.034

Birks, 2011

Boersma, 2005, Screening to identify patients at risk: profiles of psychosocial risk factors for early intervention, Clin J Pain, 21, 38, 10.1097/00002508-200501000-00005

Brinjikji, 2015, Systematic review of imaging features of spinal degeneration in asymptomatic populations, Am J Neuroradiol, 36, 811, 10.3174/ajnr.A4173

Butler, 2010, The patient encounter: patient centred model, 371

CEN standards, 2015

Chaim, 2008, Sampling knowledge: the hermeneutics of snowball sampling in qualitative research, Int J Soc Res Methodol, 11, 327, 10.1080/13645570701401305

Charmaz, 2014

Clarkson, 2017, ‘Sometimes I don't feel like an osteopath at all’- a qualitative study of final year osteopathy students' professional identities, Int J Osteopath Med, 26, 18, 10.1016/j.ijosm.2017.09.001

Cohen, 2013, Is chronic pain a disease?, Pain Med, 14, 1284, 10.1111/pme.12025

Constantine, 2012, Bringing Masters' level skills to the clinical setting: what is the experience like for graduates of the master of Science in manual therapy programme?, Physiother Theory Pract, 28, 595, 10.3109/09593985.2012.666333

Cruz, 2012, Clinical reasoning and patient centred care in musculoskeletal physiotherapy in Portugal: a qualitative study, Man Ther, 17, 246, 10.1016/j.math.2012.02.007

D'Alessandro, 2016, Sensitization and interoception as key neurological concepts in osteopathy and other manual medicines, Front Neurosci, 10, 100, 10.3389/fnins.2016.00100

Darlow, 2012, The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: a systematic review, Eur J Pain, 16, 3, 10.1016/j.ejpain.2011.06.006

Darlow, 2013, The enduring impact of what clinicians say to people with low back pain, Ann Fam Med, 11, 527, 10.1370/afm.1518

Darlow, 2015, Easy to harm, hard to heal: patient views about the back, Spine, 40, 842, 10.1097/BRS.0000000000000901

Darlow, 2016, Beliefs about back pain: the confluence of client, clinician and community, Int J Osteopath Med, 20, 53, 10.1016/j.ijosm.2016.01.005

Daykin, 2004, Physiotherapists' pain beliefs and their influence on the management of patients with chronic low back pain, Spine, 29, 783, 10.1097/01.BRS.0000115135.19082.97

Di Lernia, 2016, Pain in the body. Altered interoception in chronic conditions: a systematic review, Neurosci Biobehav Rev, 71, 328, 10.1016/j.neubiorev.2016.09.015

Engel, 1977, The need for a new medical problem: a challenge for biomedicine, Science, 196, 129, 10.1126/science.847460

Evans, 2017, The form of causation in health, disease and intervention: biopsychosocial dispositionalism, conserved quantity transfers and dualisti mechanistic chains, Med Health Care Philos, 1

FORE documents, 2007

Foster, 2003, Understanding the process of care for musculoskeletal conditions – why a biomedical approach is inadequate, Rheumatology, 42, 401, 10.1093/rheumatology/kep347

Foster, 2007, Beliefs and preferences: do they help determine the outcome of musculoskeletal problems?, Phys Ther Rev, 12, 199, 10.1179/108331907X222976

Foster, 2011, Barriers and progress in the treatment of low back pain, BMC Med, 10.1186/1741-7015-9-108

Foster, 2011, Embedding psychosocial perspectives within clinical management of LBP: integration of psychosocially informed management principles into physical therapist practice – challenges and opportunities, Phys Ther, 91, 790, 10.2522/ptj.20100326

Fryer, 2017, Integrating osteopathic approaches based on biopsychosocial therapeutic mechanisms. Part 1: the mechanism, Int J Osteopath Med, 23, 30, 10.1016/j.ijosm.2017.05.002

Fryer, 2017, Integrating osteopathic approaches based on biopsychosocial therapeutic mechanisms. Part 2: clinical approach, Int J Osteopath Med, 26, 36, 10.1016/j.ijosm.2017.05.001

Gatchel, 2008, Criticisms of the BPS model in spine care, Spine, 23, 2831, 10.1097/BRS.0b013e31817d24ad

Ghaemi, 2009, The rise and fall of the BPS model, Br J Psychiatry, 195, 3, 10.1192/bjp.bp.109.063859

Harding, 2010, British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative study, BMC Musculoskelet Disord, 10.1186/1471-2474-11-51

Herman, 2005, The need for a transitional model: a challenge for biopsychosocial medicine?, Fam Syst Health, 23, 372, 10.1037/1091-7527.23.4.372

Houghton, 2010, Ethical challenges in qualitative research: examples from practice, Nurse Res, 18, 15, 10.7748/nr2010.10.18.1.15.c8044

Jeffrey, 2012, A qualitative investigation of physical therapists' experiences and feelings of managing patients with NSLBP, Phys Ther, 92, 266, 10.2522/ptj.20100416

Kemper, 2015, Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: cochrane systematic review and meta-analysis, Br Med J, 350

Laisnè, 2012, Biopsychosocial predictors of prognosis in musculoskeletal disorders: a systematic review of the literature, Disabil Rehab, 34, 355, 10.3109/09638288.2011.591889

Lederman, 2011, The fall of the postural-structural-biomechanical model in manual therapies: exemplified by lower back pain, J Bodyw Mov Ther, 15, 131, 10.1016/j.jbmt.2011.01.011

Lederman, 2017, A process approach in osteopathy: beyond the structural model, Int J Osteopath Med, 17, 22, 10.1016/j.ijosm.2016.03.004

Lima, 2014, The phenomenological-existential comprehension of chronic pain: going beyond the standing healthcare models, Philos Ethics Humanit Med, 9, 2, 10.1186/1747-5341-9-2

Linton, 2011, Impact of psychological factors in the experience of pain, Phys Ther, 91, 701, 10.2522/ptj.20100330

Marcum, 2004, Biomechanical and phenomenological models of the body, the meaning of illness and quality of care, Med Health Care Philos, 7, 311, 10.1007/s11019-004-9033-0

Moore, 2012, Patient-centredness, Man Ther, 17, 377, 10.1016/j.math.2012.07.007

Moseley, 2015, Fifteen years of explain pain: the past, present and future, J Pain, 16, 807

National Institute for Health and Clinical Excellence, 2017

Nicholas, 2011, Early identification and management of psychosocial risk factors (yellow flag) in patients with CLBP, Phys Ther, 91, 737, 10.2522/ptj.20100224

Nicholls, 2010, The body and physiotherapy, Physiother Theory Pract, 26, 497, 10.3109/09593981003710316

Nijs, 2013, Thinking beyond muscles and joints: therapists' and patients' attitudes and beliefs regarding chronic musculoskeletal pain are key to applying effective treatment, Man Ther, 18, 96, 10.1016/j.math.2012.11.001

Nijs, 2014, A modern neuroscience approach to chronic spinal pain: combining pain neuroscience education with cognitive- targeted motor control training, Phys Ther, 94, 730, 10.2522/ptj.20130258

O'Sullivan, 2016, Unraveling the complexity of low back pain, J Orthop Sports Phys Ther, 46, 932, 10.2519/jospt.2016.0609

Pelletier, 2015, Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders?, BMC Musculoskelet Disord, 10.1186/s12891-015-0480-y

Penney, 2013, The biopsychosocial model: redefining osteopathic philosophy?, Int J Osteopath Med, 16, 33, 10.1016/j.ijosm.2012.12.002

Petty, 2012, Ready for a paradigm shift? Part 1: Introducing the philosophy of qualitative research, Man Ther, 17, 267, 10.1016/j.math.2012.03.006

Petty, 2012, Ready for a paradigm shift? Part 2: Introducing qualitative research methodologies and methods, Man Ther, 17, 378, 10.1016/j.math.2012.03.004

Pincus, 2002, A systematic review of psychological factors as predictors of chronic/disability in prospective cohorts of LBP, Spine, 27, E109, 10.1097/00007632-200203010-00017

Pincus, 2013, Twenty five years with the biopsychosocial model of LBP-Is it the time to celebrate?, Spine, 38, 2118, 10.1097/BRS.0b013e3182a8c5d6

Pincus, 2016, Cognitive and affective reassurance and patient outcomes in primary care: a systematic review, Pain®, 154, 2407, 10.1016/j.pain.2013.07.019

Rabey, 2017, Reconceptualising manual therapy skills in contemporary practice, Musculoskelet Sci Pract, 29, 28, 10.1016/j.msksp.2017.02.010

Ribera D'Alcalà, 2015, Interoception, body awareness and chronic pain: results from a case control study, Int J Osteopath Med, 18, 22, 10.1016/j.ijosm.2014.08.003

Rushton, 2010, Defining the construct of Master level clinical practice in manipulative physiotherapy, Man Ther, 15, 93, 10.1016/j.math.2009.08.003

Sanders, 2013, Biopsychosocial care and physiotherapy encounter: physiotherapists'accounts of back pain consultations, BMC Musculoskelet Disord, 10.1186/1471-2474-14-65

Simons, 2014, Psychological processing in chronic pain: a neural systems approach, Neurosci Biobehav Rev, 39, 61, 10.1016/j.neubiorev.2013.12.006

Singla, 2015, Physiotherapists' assessment of patients' psychosocial status: are we standing on thin ice? A qualitative descriptive study, Man Ther, 20, 328, 10.1016/j.math.2014.10.004

Synnott, 2015, Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review, J Physiother, 61, 68

Slade, 2011, The dilemma of diagnostic uncertainty when treating people with chronic low back pain: a qualitative study, Clin Rehabil, 26, 558, 10.1177/0269215511420179

Smart, 2007, The clinical reasoning of pain by experienced musculoskeletal physiotherapists, Man Ther, 12, 40, 10.1016/j.math.2006.02.006

Smith, 2013, An evidence-based patient-centered method makes the biopsychosocial model scientific, Patient Educ Couns, 91, 265, 10.1016/j.pec.2012.12.010

Strauss, 2007

Thomson, 2013, Reconsidering the patient-centeredness in osteopathy, Int J Osteopath Med, 16, 25, 10.1016/j.ijosm.2012.03.001

Thomson, 2014, A qualitative grounded theory study of the conceptions of clinical practice in osteopathy – a continuum from technical rationality to professional artistry, Man Ther, 19, 37, 10.1016/j.math.2013.06.005

Thomson, 2014, Grounding osteopathic research – introducing grounded theory, Int J Osteopath Med, 17, 25, 10.1016/j.ijosm.2013.07.010

Thomson, 2017, ‘Talking a different language’: a qualitative study of chronic low back pain patients' interpretation of the language used by student osteopaths, Int J Osteopath Med, 24, 3, 10.1016/j.ijosm.2016.11.002

Tong, 2007, Consolidated criteria for reporting qualitative research (COREQ): a 32 – item checklist for interviews and focus groups, Int J Qual Health Care, 19, 349, 10.1093/intqhc/mzm042

Turner, 2016, Holism in Osteopathy – bridging the gap between concept and practice: a grounded theory study, Int J Osteopath Med, 22, 40, 10.1016/j.ijosm.2016.05.002

Turk, 2002, Psychological factors in chronic pain: evolution and revolution, J Consult Clin Psychol, 70, 678, 10.1037/0022-006X.70.3.678

Tyreman, 2011, Values in complementary and alternative medicine, Med Health Philos, 14, 209, 10.1007/s11019-010-9297-5

Tyreman, 2013, Re-evaluating ‘osteopathic principles’, Int J Osteopath Med, 16, 38, 10.1016/j.ijosm.2012.08.005

Van Dijk-de Vries, 2012, The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders, BMC Fam Pract, 13, 14, 10.1186/1471-2296-13-14

van Griensven, 2016, Patients' experiences of living with persistent back pain, Int J Osteopath Med, 19, 44, 10.1016/j.ijosm.2015.03.003

van Wilgen, 2014, Physical therapists should integrate illness perception in their assessment in patient with chronic musculoskeletal pain: a qualitative analysis, Man Ther, 19, 229, 10.1016/j.math.2013.11.006

Wand, 2011, Cortical changes in chronic low back pain: current state of the art and implications for clinical practice, Man Ther, 16, 15, 10.1016/j.math.2010.06.008

Weise, 2010, Understanding the emerging relationship between complementary medicine and mainstream health care: a review of the literature, Health, 14, 326, 10.1177/1363459309358594

Wilson, 2013, Metaphysics and medical education: taking holism seriously, J Eval Clin Pract, 19, 478, 10.1111/jep.12043

Wilson, 2016, Psychologically informed physiotherapy for chronic pain: patient experiences of treatment and therapeutic process, Physiotherapy

WHO, 2010

Yunus, 2007, Role of central sensitization in symptoms beyond muscle pain, and the evaluation of a patient with widespread pain, Best Pract Res Clin Rheumatol, 21, 81, 10.1016/j.berh.2007.03.006

Zangoni, 2017, “I need to do another course” – Italian physiotherapists' knowledge and beliefs when assessing psychosocial factors in patients presenting with chronic low back pain, Musculoskelet Sci Pract, 27, 71, 10.1016/j.msksp.2016.12.015