TY - JOUR
T1 - Is the Biopsychosocial model in musculoskeletal physiotherapy adequate? An Evolutionary Concept Analysis
AU - Daluiso-King, Georgi
AU - Hebron, Clair
PY - 2020/6/16
Y1 - 2020/6/16
N2 - Purpose: It is considered that implementation of the biopsychosocial model (BPSM) within physiotherapy is affected by its lack of conceptual clarity. This concept analysis explores the meaning and offers conceptual transparency to the BPSM and expands upon its current conceptual framework for practice. Method: Literature was selected through a systematic search. The studies were analyzed and the data themed following thematic analysis. Results: From the seventeen articles included, five master themes and four subthemes were constructed. The master themes were: 1) ‘Bio-medical factors’; 2) ‘Psychological factors’; 3) ‘Social factors’; 4) ‘Communication’; and 5) ‘Individualized Care’. The subthemes were: 1) ‘Education’; 2) ‘Cognitive’; 3) ‘Behavioral factors’; 4) ‘Occupational factors’; and 5) ‘Therapeutic Alliance’. Conclusion: A contemporary visual representation of the BPSM is presented which represents a holistic, humanist perspective. ‘Communication’ scaffolds the framework and supports the exploration of the person’s lifeworld through the ‘therapeutic alliance’.
AB - Purpose: It is considered that implementation of the biopsychosocial model (BPSM) within physiotherapy is affected by its lack of conceptual clarity. This concept analysis explores the meaning and offers conceptual transparency to the BPSM and expands upon its current conceptual framework for practice. Method: Literature was selected through a systematic search. The studies were analyzed and the data themed following thematic analysis. Results: From the seventeen articles included, five master themes and four subthemes were constructed. The master themes were: 1) ‘Bio-medical factors’; 2) ‘Psychological factors’; 3) ‘Social factors’; 4) ‘Communication’; and 5) ‘Individualized Care’. The subthemes were: 1) ‘Education’; 2) ‘Cognitive’; 3) ‘Behavioral factors’; 4) ‘Occupational factors’; and 5) ‘Therapeutic Alliance’. Conclusion: A contemporary visual representation of the BPSM is presented which represents a holistic, humanist perspective. ‘Communication’ scaffolds the framework and supports the exploration of the person’s lifeworld through the ‘therapeutic alliance’.
KW - biopsychosocial model
KW - biopsychosocial approach
KW - physiotherapy
KW - conceptual
KW - philosophy
KW - concept analysis
KW - holistic
KW - humanist
KW - Biopsychosocial model
UR - http://www.scopus.com/inward/record.url?scp=85087036031&partnerID=8YFLogxK
U2 - 10.1080/09593985.2020.1765440
DO - 10.1080/09593985.2020.1765440
M3 - Article
SN - 0959-3985
JO - Physiotherapy Theory and Practice
JF - Physiotherapy Theory and Practice
ER -