Scholars@Duke
Lindsay Ballengee

Lindsay Ballengee

Research Scholar
Population Health Sciences
lindsay.ballengee@duke.edu
2200 West Main Street-Erwin SQ, Box 3907, Durham, NC 27710

Selected Publications

Implementation Context of Outpatient Physical Therapy Clinics Preparing to Launch a New Evidence-Based Clinical Program for Knee Osteoarthritis: Findings From a National Multisite Implementation Trial.

Journal Article Arch Phys Med Rehabil · October 12, 2025 OBJECTIVE: We evaluated implementation context to identify barriers and facilitators to delivering a new evidence-based clinical program, Group physical therapy (Group PT) for knee osteoarthritis, overall, and by rurality and facility complexity. DESIGN: B ... Full text Link to item Cite

Implementation of Group Physical Therapy for Knee Osteoarthritis: A Cluster Randomized Clinical Trial.

Journal Article JAMA Netw Open · October 1, 2025 IMPORTANCE: Group-based physical therapy (PT) for knee osteoarthritis is an effective, efficient strategy for delivering care, but little is known about optimal strategies for implementing new clinical programs like group PT. OBJECTIVE: To compare 2 implem ... Full text Link to item Cite

Psychological and behavioural interventions delivered by non-psychologists.

Journal Article Current opinion in psychology · June 2025 Psychologically Informed Practice (PiP) is best understood as enhanced physiotherapy in which identification and management of psychological factors is central to reactivation. The PiP approach has been investigated in trials of stratified care linking psy ... Full text Cite

Intervention delivery complexity and adaptations for implementation of non-pharmacologic pain interventions.

Journal Article Contemp Clin Trials Commun · April 2025 BACKGROUND: Delivering evidence-based interventions remains challenging, particularly for complex conditions like chronic musculoskeletal pain. Non-pharmacologic treatments are recommended for many pain conditions, but implementing these can be difficult d ... Full text Link to item Cite

Utility of Patient Reported Outcome Measurement Information System measures in predicting shoulder arthroplasty in patients with shoulder osteoarthritis.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The decision to treat shoulder osteoarthritis (OA) definitively with shoulder arthroplasty (SA) is multifactorial, considering objective findings, subjective information, and patient goals. The first goal of this study was to determine if Patie ... Full text Link to item Cite

Group physical therapy for knee osteoarthritis: protocol for a hybrid type III effectiveness-implementation trial.

Journal Article Implement Sci Commun · October 12, 2023 BACKGROUND: Knee osteoarthritis (OA) is a leading cause of chronic pain and disability and one of the most common conditions treated in outpatient physical therapy (PT). Because of the high and growing prevalence of knee OA, there is a need for efficient a ... Full text Open Access Link to item Cite

Partner engagement for planning and development of non-pharmacological care pathways in the AIM-Back trial.

Journal Article Clin Trials · October 2023 BACKGROUND/AIMS: Embedded pragmatic clinical trials are increasingly recommended for non-pharmacological pain care research due to their focus on examining intervention effectiveness within real-world settings. Engagement with patients, health care provide ... Full text Open Access Link to item Cite

The Psychologically Informed Practice Consultation Roadmap: A Clinical Implementation Strategy.

Journal Article Phys Ther · July 1, 2023 Psychologically informed practice (PiP) includes a special focus on psychosocial obstacles to recovery, but research trials have revealed significant difficulties in implementing PiP outside of research environments. Qualitative studies have identified pro ... Full text Link to item Cite

Psychologically Informed Practice: The Importance of Communication in Clinical Implementation.

Journal Article Phys Ther · July 1, 2023 There has been increasing interest in the secondary prevention of chronic pain and pain-associated disability over the past 3 decades. In 2011, psychologically informed practice (PiP) was suggested as a framework for managing persistent and recurrent pain, ... Full text Link to item Cite

Barriers and facilitators to the implementation and adoption of improvement coaching: A qualitative evidence synthesis.

Journal Article J Clin Nurs · January 2023 BACKGROUND: Healthcare organisations and teams perform improvement activities to facilitate high-quality healthcare. The use of an improvement coach who provides support and guidance to the healthcare team may facilitate improvement activities; however, no ... Full text Link to item Cite

Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization.

Journal Article Global advances in integrative medicine and health · January 2023 BackgroundWhile there is recognition by the greater medical community and physical therapists to address the biopsychosocial needs of people with chronic, persistent pain, there are challenges in implementation and delivery including wide variabil ... Full text Cite

Effectiveness of Quality Improvement Coaching on Process Outcomes in Health Care Settings: A Systematic Review.

Journal Article J Gen Intern Med · March 2022 BACKGROUND: A culture of improvement is an important feature of high-quality health care systems. However, health care teams often need support to translate quality improvement (QI) activities into practice. One method of support is consultation from a QI ... Full text Link to item Cite

EFFECTIVENESS OF QUALITY IMPROVEMENT COACHING: A SYSTEMATIC REVIEW

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2021 Cite

Implementation of Psychologically Informed Physical Therapy for Low Back Pain: Where Do We Stand, Where Do We Go?

Journal Article J Pain Res · 2021 Low back pain continues to be a leading cause of disability and cost throughout the world. Evidence-based guidelines recommend use of non-pharmacological interventions to address decreases in physical function due to low back pain. Psychologically informed ... Full text Link to item Cite

Improving Veteran Access to Integrated Management of Back Pain (AIM-Back): Protocol for an Embedded Pragmatic Cluster-Randomized Trial.

Journal Article Pain Med · December 12, 2020 BACKGROUND: Coordinated efforts between the National Institutes of Health, the Department of Defense, and the Department of Veterans Affairs have built the capacity for large-scale clinical research investigating the effectiveness of nonpharmacologic pain ... Full text Open Access Link to item Cite

Introduction of a psychologically informed educational intervention for pre-licensure physical therapists in a classroom setting.

Journal Article BMC Med Educ · October 23, 2020 BACKGROUND: There is an increasing need for physical therapists to address psychosocial aspects of musculoskeletal pain. Psychologically informed practice is one way to deliver this type of care through the integration of biopsychosocial interventions into ... Full text Open Access Link to item Cite

Transformational Coaching: Effect on Process of Care Outcomes and Determinants of Uptake

Report · 2020 High-quality health care is a priority for patients and clinicians alike. Quality improvement (QI) is a framework that guides health system actions to improve the delivery of high-quality health care. Quality improvement activities seek to promote high-qua ... Link to item Cite

Treatment monitoring as a component of psychologically informed physical therapy: A case series of patients at high risk for persistent low back pain related disability.

Journal Article Musculoskelet Sci Pract · June 2019 BACKGROUND: Psychologically Informed Physical Therapy (PIPT) aims to identify individuals at high risk for transitioning to chronicity and merge impairment-focused physical therapy with cognitive behavioral therapy principles. Treatment monitoring is an im ... Full text Link to item Cite