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Title: An exploration into the utilisation of the biopsychosocial model by chiropractors in the eThekwini Municipality
Authors: Williamson, Rosanne Louise 
Keywords: Perceptions, biopsychosocial model;Biopsychosocial model;Chiropractic;Psychosocial factors;Musculoskeletal pain
Issue Date: 29-Sep-2022
Background: The biopsychosocial (BPS) model is one of the many models of
healthcare and its utilisation has been encouraged when treating and managing
musculoskeletal conditions, especially neck and low back pain. Chiropractors are
viewed as primary care providers, focused on the treatment and management of
musculoskeletal conditions, most of which are spine related.
This study aims to explore the utilisation of the biopsychosocial model by chiropractors
in the eThekwini Municipality.
Method: A qualitative, exploratory, descriptive study was conducted, in which twelve
chiropractors within the eThekwini Municipality were interviewed to explore their
understanding, attitudes, utilisation and challenges when utilising the BPS model.
Semi-structured interviews were conducted in English, and later transcribed verbatim.
Transcripts were analysed using Tesch’s method to form codes, themes and subthemes.
Results: Female and male chiropractors were interviewed. They displayed knowledge
of and a positive attitude towards the BPS model and its constituents. The
chiropractors’ felt that chiropractic institutions should implement further practical
training in the model to adequately prepare students for practice as many of the
interviewees felt that addressing psychosocial factors was beyond their scope of
practice and that they did not have the required skills. The most mentioned challenge
was time, and how it resulted in constraints when utilising the model. This impacted
them being able to implement the model effectively. Few used screening tools citing a
lack of training or that they added to the time constraints.
Conclusion: Chiropractors had positive attitudes towards and knew about the BPS
model. They used the model in their practices to varying degrees with time and skills
being the biggest challenges to effective implementation. It is recommended that
chiropractic associations and training institutions provide additional practical training
to teach students and practitioners how to implement the model in a clinical setting.
Dissertation submitted in partial compliance with the requirements for the Master’s
Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2022.
Appears in Collections:Theses and dissertations (Health Sciences)

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