Skip to main content

Table 1 Matrix of change for programme objective 1 - Reduce the impact of illness perceptions, fear avoidance beliefs, catastrophising, anxiety and depression by targeting maladaptive illness perceptions about CLBP

From: Evidence, theory and context: using intervention mapping in the development of a community-based self-management program for chronic low back pain in a rural African primary care setting - the good back program

 Personal determinants
Performance objectiveHealth literacySelf-awarenessSelf-efficacyPersonal preference
Formulate alternative adaptive illness perceptions about CLBPIncrease knowledge about CLBP and its causesAwareness of existing maladaptive illness perceptions that result in maladaptive coping strategies (drug dependence and cure seeking)Ability to challenge maladaptive illness perceptions and adopt adaptive onesAbility to choose adaptive illness perceptions that will reduce maladaptive coping strategies (drug dependence and cure seeking)
 External/environmental determinants
 Health professional skillsHealth facility structure
 Health professional has the skills to facilitate participants’ formulation of alternative adaptive illness perceptions about CLBP by taking them through the required steps: provide information, create awareness of maladaptive illness perceptions and support the challenge of these perceptions. This means providing alternative explanations where appropriate which may include challenging pessimistic illness cognitions, and using problem-focussed coping behaviours to manage stressors and improve any distress.Health facility is accessible and adequate to support free discussion by participants and health professional