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Screening and Referral Practices for Anxiety and Depression Among Patients With Chronic Neck, Shoulder and Low Back Pain Within Physiotherapy Practices

Screening and Referral Practices for Anxiety and Depression Among Patients With Chronic Neck, Shoulder and Low Back Pain Within Private Physiotherapy Practices: a Qualitative Study.

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07177547
Enrollment
18
Registered
2025-09-17
Start date
2025-05-05
Completion date
2025-09-30
Last updated
2025-09-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anxiety, Chronic Musculoskeletal Pain, Depression

Keywords

Physiotherapy, Chronic musculoskeletal pain, Anxiety, Depression, Screening, Referral, Qualitative study

Brief summary

The goal of this cross-sectional, qualitative study is to investigate whether physiotherapists screen for symptoms of anxiety and depression in patients with chronic musculoskeletal pain and to explore the facilitators and barriers related to these practices. The main questions aim to answer are: * What are the current practices of physiotherapists in private practice for screening anxiety and depression among patients with chronic musculoskeletal pain? * What are the facilitators and barriers influencing physiotherapists' screening and referral practices for mental health care? Participants will: * Take part in a semi-structured interview (online or in person). * Be asked about their experiences, attitudes, and practices related to recognizing, screening, managing, and referring patients with anxiety and depression. * Participants will share perspectives on barriers and facilitators to integrating mental health screening into physiotherapy.

Interventions

OTHERMental health screening and referral practices in physiotherapy

Semi-structured interviews were conducted with 18 physiotherapists working in private settings to explore recognition, screening, and referral practices for anxiety and depression in patients with chronic musculoskeletal pain.

Sponsors

Ana Catarina Navarro Ramalho
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

\- Physiotherapists treating patients with chronic musculoskeletal conditions. Purposive sampling was used to obtain: * Varied clinical experience: Less than 5 years of practice and more than 5 years of practice. * Varied exposure to mental health training: With and without specialized training in mental health.

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Physiotherapists' perspectives on screening and referral practices for anxiety and depression symptoms in patients with chronic musculoskeletal pain.From study start until completion of interviews and data analysis (approximately 6 months)Themes identified through qualitative framework analysis of semi-structured interviews with 18 physiotherapists. The analysis focuses on recognition, screening, management, and referral practices for anxiety and depression in patients with chronic musculoskeletal pain, including barriers, facilitators, and professional experiences.

Countries

Belgium

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026