Abstract：
UNASSIGNED: Implementation of evidence-based practice (EBP) for chronic low back pain (CLBP) is poor. This study aimed to investigate the factors that influence exercise-based clinicians\' implementation of EBP for people with CLBP.
UNASSIGNED: Semi-structured interviews were conducted with 40 clinicians (20 physiotherapists and 20 accredited exercise physiologists). Interviews explored clinicians\' definition of EBP, understanding of EBP in CLBP management, barriers and enablers to EBP, and the impact of these factors on EBP implementation. Interviews were analysed using reflexive thematic analysis.
UNASSIGNED: A complex interplay among clinician factors, systemic factors, and patient interactions was identified. Clinicians encountered challenges stemming from their misconceptions about EBP, which influenced their perspective(s) on its implementation. Clinicians expressed the challenges of implementing EBP when navigating patient expectations and beliefs, experiencing external pressures from funders and business models, and the subsequent impacts on their well-being. Continuing professional development, support from community, and workplaces that prioritised EBP enhanced clinicians\' ability to make decisions that accommodate for the complexities of CLBP and better align with EBP.
UNASSIGNED: A variety of factors impact exercise-based clinicians\' implementation of EBP. The interaction between these factors greatly influences clinicians\' ability to engage in and implement EBP in clinical practice.
The interplay among clinician, patient, and health system/structural level factors affects exercise-based clinicians’ implementation of evidence-based practice for chronic low back pain.Clinicians are well positioned to identify issues in clinical practice and initiate appropriate changes that could improve evidence-based practice.Clinicians could provide feedback on continuing professional development to ensure it is accessible and applicable to clinical practice.Clinicians could encourage workplaces to prioritise time and/or funding for sufficient engagement in evidence-based practice.
UNASSIGNED: Semi-structured interviews were conducted with 40 clinicians (20 physiotherapists and 20 accredited exercise physiologists). Interviews explored clinicians\' definition of EBP, understanding of EBP in CLBP management, barriers and enablers to EBP, and the impact of these factors on EBP implementation. Interviews were analysed using reflexive thematic analysis.
UNASSIGNED: A complex interplay among clinician factors, systemic factors, and patient interactions was identified. Clinicians encountered challenges stemming from their misconceptions about EBP, which influenced their perspective(s) on its implementation. Clinicians expressed the challenges of implementing EBP when navigating patient expectations and beliefs, experiencing external pressures from funders and business models, and the subsequent impacts on their well-being. Continuing professional development, support from community, and workplaces that prioritised EBP enhanced clinicians\' ability to make decisions that accommodate for the complexities of CLBP and better align with EBP.
UNASSIGNED: A variety of factors impact exercise-based clinicians\' implementation of EBP. The interaction between these factors greatly influences clinicians\' ability to engage in and implement EBP in clinical practice.
The interplay among clinician, patient, and health system/structural level factors affects exercise-based clinicians’ implementation of evidence-based practice for chronic low back pain.Clinicians are well positioned to identify issues in clinical practice and initiate appropriate changes that could improve evidence-based practice.Clinicians could provide feedback on continuing professional development to ensure it is accessible and applicable to clinical practice.Clinicians could encourage workplaces to prioritise time and/or funding for sufficient engagement in evidence-based practice.
摘要：
■慢性下腰痛（CLBP）的循证实践（EBP）实施效果不佳。本研究旨在探讨影响运动临床医生对CLBP患者实施EBP的因素。
■对40名临床医生（20名物理治疗师和20名认可的运动生理学家）进行了半结构化访谈。访谈探讨了临床医生对EBP的定义，了解CLBP管理中的EBP，EBP的障碍和推动者，以及这些因素对EBP实施的影响。访谈采用反身性专题分析法进行分析。
■临床医生因素之间复杂的相互作用，系统性因素，并确定了患者的相互作用。临床医生遇到了来自他们对EBP的误解的挑战，这影响了他们对其实施的看法。临床医生表达了在导航患者期望和信念时实施EBP的挑战，经历来自资助者和商业模式的外部压力，以及随后对他们福祉的影响。持续的专业发展，社区的支持,优先考虑EBP的工作场所增强了临床医生做出适应CLBP复杂性并更好地与EBP保持一致的决策的能力。
■多种因素影响基于运动的临床医生实施EBP。这些因素之间的相互作用极大地影响了临床医生在临床实践中参与和实施EBP的能力。
临床医生之间的相互作用，病人,和卫生系统/结构水平因素会影响基于运动的临床医生对慢性下腰痛的循证实践的实施。临床医生可以很好地识别临床实践中的问题，并发起适当的更改，以改善循证实践。临床医生可以提供有关持续专业发展的反馈，以确保其可访问并适用于临床实践。临床医生可以鼓励工作场所优先考虑时间和/或资金，以充分参与循证实践。
■对40名临床医生（20名物理治疗师和20名认可的运动生理学家）进行了半结构化访谈。访谈探讨了临床医生对EBP的定义，了解CLBP管理中的EBP，EBP的障碍和推动者，以及这些因素对EBP实施的影响。访谈采用反身性专题分析法进行分析。
■临床医生因素之间复杂的相互作用，系统性因素，并确定了患者的相互作用。临床医生遇到了来自他们对EBP的误解的挑战，这影响了他们对其实施的看法。临床医生表达了在导航患者期望和信念时实施EBP的挑战，经历来自资助者和商业模式的外部压力，以及随后对他们福祉的影响。持续的专业发展，社区的支持,优先考虑EBP的工作场所增强了临床医生做出适应CLBP复杂性并更好地与EBP保持一致的决策的能力。
■多种因素影响基于运动的临床医生实施EBP。这些因素之间的相互作用极大地影响了临床医生在临床实践中参与和实施EBP的能力。
临床医生之间的相互作用，病人,和卫生系统/结构水平因素会影响基于运动的临床医生对慢性下腰痛的循证实践的实施。临床医生可以很好地识别临床实践中的问题，并发起适当的更改，以改善循证实践。临床医生可以提供有关持续专业发展的反馈，以确保其可访问并适用于临床实践。临床医生可以鼓励工作场所优先考虑时间和/或资金，以充分参与循证实践。
