Facilitators and Barriers to Physiotherapists Training in and Delivering Cognitive Functional Therapy

Abstract

This thesis investigates the training, competency, and delivery of biopsychosocial interventions for chronic musculoskeletal pain by physiotherapists, focusing on cognitive functional therapy (CFT). Through four studies, it explores training processes, physiotherapists' experiences delivering CFT, and the barriers and facilitators within clinical practice and healthcare systems. Findings highlight the importance of structured training, ongoing professional development, and addressing systemic barriers to enhance physiotherapist competency and the effectiveness of biopsychosocial care. The thesis contributes insights into delivering biopsychosocial interventions and improving outcomes for people with chronic musculoskeletal pain.