Table 1 Barriers and activities to minimize the barriers impact in the implementation of NSEIT
Barriers | To overcome barriers | Benefits |
|---|---|---|
Physiotherapists in primary care have limited time for education and learning new methods | Before implementation starts, inform manager and acquire permission to implement NSEIT | Fewer individual visits to physiotherapists will save time |
Physiotherapists need time to practice the new exercises and to master NSEIT | Inform physiotherapists and manager that some extra time is needed at the beginning | Will save time due to fewer individual visits |
Patients or physiotherapists have problems with the Internet-based program (NSEIT) | The web-based platform INERA is supported by the Regions in Sweden. The physiotherapist can call for support | Fast support will facilitate the use of NSEIT |
Physiotherapists forget to use NSEIT if there are long intervals between patients | Repetition of the neck-specific program after one and 3 months in group A (experimental group). | Will remind the physiotherapist to use NSEIT |
Physiotherapists forget how to use neck exercises and/or NSEIT | Repetition of the neck-specific program after one and 3 months in group A (experimental group). | Repetition of instruction on how the exercise will be performed. |
Physiotherapists have questions about the exercises and/or NSEIT | Support from the facilitators by chat and on-line meetings in group A (experimental group). | Enhanced confidence in using the method |