The next #physiotalk will be on Monday 15th February at 8pm GMT with the topic of psychologically informed practice – specifically of course looking at the context within physiotherapy practice. However, as usual all are welcome to participate in a physiotalk tweetchat – whether your background is as a physiotherapist or not!
So what is psychologically informed practice (PIP)?
It can be a key approach in pain management, and in the context of musculoskeletal pain Keefe et al say that ‘PIP requires a broader focus than traditional biomechanical and pathology-based approaches that have been traditionally used to manage musculoskeletal pain. A major focus of PIP is addressing the behavioural aspects of pain by identifying individual expectations, beliefs, and feelings as prognostic factors for clinical and occupational outcomes indicating progression to chronicity‘.
A recent paper in Physiotherapy by Denneny et al examined PIP in a chronic pain setting and say that ‘PIP is often taken to involve cognitive-behavioural techniques (CBT), which may encompass mindfulness and/or acceptance-based interventions, stress management, relaxation training, hypnosis, coping skills training, problem solving, systematic desensitisation, and motivational interviewing, in combination with physiotherapy and delivered by a physiotherapist‘
PIP is also a key component recognised within the NICE guidelines for Low Back pain:
1.2.13 Consider psychological therapies using a cognitive behavioural approach for managing low back pain with or without sciatica but only as part of a treatment package including exercise, with or without manual therapy (spinal manipulation, mobilisation or soft tissue techniques such as massage).
However looking at a broader context, psychologically informed practice can be embedded within many other aspects of healthcare, whether still considering clinically facing issues, or indeed in our interactions with other staff in the ways we embed psychological aspects to leadership, management and the culture of our working environments.
In Mondays #Physiotalk tweetchat we are going to consider different aspects of PIP and how physiotherapists embed this into their practice.
What do you understand by psychologically informed practice?
Should you ever still use a purely biomedical approach in your practice?
What training have you had to ensure you can deliver PIP effectively?
What are the benefits of integrating PIP into your practice?
What are the barriers to enabling a PIP approach in your practice?
Missed the chat? You can catch up here with the transcript