Implementation of the Dutch low back pain guideline for general practitioners: a cluster randomized controlled trial.

Study Design: Cluster randomized controlled trial for a multifaceted implementation strategy.

Objectives: To assess the effectiveness of tailored interventions (multifaceted implementation strategy) to implement the Dutch low back pain guideline for general practitioners with regard to adherence to guideline recommendations.

Summary Of Background Data: Guidelines for the management of low back pain in primary care have been developed in various countries, but little is known about the optimal implementation strategy.

Development of an implementation strategy for physiotherapy guidelines on low back pain.

In the Netherlands, clinical practice physiotherapy guidelines are mainly implemented by using passive implementation strategies. It is well known that these strategies are not effective in establishing changes in behaviour of health care professionals. Therefore, a new implementation strategy was developed for the physiotherapy guidelines on low back pain.