- Psychologically informed practice (PIP) by physiotherapists is recommended in the management of persistent pain.
BACKGROUND & OBJECTIVE
Physiotherapists working with people experiencing persistent pain may provide a bridge between traditional biomedical and psychosocial models of care if they are able to perform psychologically informed practice (PIP). Persistent pain devours massive healthcare resources, hence a major aim in therapy is the promotion of self-management. Current guidelines recommend PIP alongside classic physiotherapy to aid self-management. Other models of behavior change exist, however the majority of work on competencies has been in CBT (Cognitive & Behavioural Therapy) (1,2,3). This study sought to identify what four experienced physiotherapists, with a predominant focus on CBT, actually do in practice that qualifies as PIP.
Physiotherapists should focus on engaging and supporting the patient to self-manage.
Four London NHS physiotherapists with experience managing persistent pain patients were recruited. They all had at least 5 years of experience, including training in CBT and other PIP modalities. They all ran group exercise sessions over several weeks including gym