Patient-related barriers and enablers to the implementation of high-value physiotherapy for chronic pain: a systematic review.

Patients with chronic pain experience barriers to HVP, including: their beliefs, the nature of their interaction with their physiotherapist, perceived treatment efficacy, and cost. Enablers include: rapport with their physiotherapist, achievable exercises, and seamless cost-effective care. Technology-based interventions have demonstrated effectiveness at increasing exercise adherence. Our findings suggest that interventions seeking to enhance implementation of HVP need to consider the multifactorial barriers experienced by patients with chronic pain.