• Giacomo Zangoni and Oliver P Thomson.
• Research Centre, The British School of Osteopathy, 275Borough High Street, London, United Kingdom. Electronic address: g.zangoni@bso.ac.uk.
• Musculoskelet Sci Pract. 2017 Feb 1; 27: 71-77.

ObjectivesPsychosocial factors play an important role in the development and subsequent recovery of individuals suffering from chronic low back pain (CLBP). The study explored physiotherapists' personal beliefs and knowledge about the biopsychosocial model and the different ways they assess and manage psychosocial factors in patients presenting with CLBP.MethodsQualitative research design using semi-structured interviews and a constructivist grounded theory approach to data collection and analysis. A purposive sample of eight physiotherapists practicing in Italy and having experience with patients presenting chronic musculoskeletal problems were recruited from private clinics.ResultsThree main categories were constructed: 1) conceptions of the biopsychosocial model and its role in CLBP; 2) evaluation and management of PS factors; 3) barriers in the assessment and treatment.ConclusionsPhysiotherapists showed a basic knowledge of the biopsychosocial model and partially recognised social, emotional, cognitive and psychological factors in chronic low back pain patients, and their contribution in the individual patient's pain and disability. Physiotherapists highlighted the presence of barriers in the evaluation and treatment of people with CLBP, and some participants displayed a lack of skills to overcome these barriers. Physiotherapists perceived limited education and training to successfully address psychosocial factors in the management of patients with chronic low back pain, indicating the need to incorporate the biopsychosocial model in the daily practice and improve the training and education of the psychosocial assessment and management.Copyright © 2016 Elsevier Ltd. All rights reserved.

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