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Barriers to identifying mood disorders in clients by New Zealand osteopaths: Findings of a thematic analysis

Journal: International Journal of Osteopathic Medicine Date: 2018/06, 28Pages: 4-11. doi: Subito , type of study: mixed methods study

Full text    (https://www.journalofosteopathicmedicine.com/article/S1746-0689(17)30067-6/fulltext)

Keywords:

mood disorders [3]
osteopaths [138]
New Zealand [22]
mixed method study [52]

Abstract:

Background: A majority of patients with uncomplicated mood disorders are managed in the primary care setting. The link between psychological issues and musculoskeletal pain has been well established. Therefore, osteopaths are potentially well placed to in early identification and management of mood disorders. Hence, understanding barriers to identification of mood disorders by osteopaths may be important to improve clinical outcomes, yet little is known about this phenomenon. Objective: The purpose of this study was to explore the major barriers experienced by a sample of New Zealand osteopaths in managing patients with mood disorders. Methods: This study was a descriptive explorative survey, using mixed methodology study design. This paper reports the qualitative findings. Participants: Using convenience sampling, a total of 216 New Zealand registered osteopaths whose email addresses was publicly available were invited to complete the online survey. Data analysis: Thematic analysis was the method of choice to analyse the qualitative data. Findings: Thematic analysis revealed three primary categories namely boundaries of practice, client barriers and competency requirements. Six themes related to the three primary categories were also identified that acted as barriers in managing clients with mood disorders by osteopaths in New Zealand. Conclusion: Our study found that the three primary categories not only were interrelated but also drove each other. Respondents’ professional identity combined with their therapeutic approach and lack of education created important barriers in identifying and managing clients with mood disorders. Future studies involving interviews are required to further articulate and clarify our study findings.


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