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
| Â | Personal determinants | |||
Performance objective | Health literacy | Self-awareness | Self-efficacy | Personal preference |
Formulate alternative adaptive illness perceptions about CLBP | Increase knowledge about CLBP and its causes | Awareness 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 ones | Ability to choose adaptive illness perceptions that will reduce maladaptive coping strategies (drug dependence and cure seeking) |
| Â | External/environmental determinants | |||
| Â | Health professional skills | Health 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 | ||