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Background: Cognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, both in response to pain and during daily activities. This nested qualitative study explored patient and physiotherapist perspectives and experiences of CMT.Methods: Five physiotherapists were trained to follow a well-defined protocol and then delivered CMT to at least two patients with knee osteoarthritis. Each patient received seven individual clinical sessions and was provided with access to online learning materials incorporating animated videos. Semi-structured interviews took place after delivery/completion of the intervention and data were analysed at the patient and physiotherapist level.Results: Five physiotherapists and five patients were interviewed. All described a process of changing beliefs throughout their engagement with CMT. A framework with three phases was developed to organise the data according to how osteoarthritis was conceptualised and how this changed throughout their interactions with CMT. Firstly, was an identification of pain beliefs to be challenged and recognition of how current beliefs can misalign with daily experiences. Secondly was a process of challenging and changing beliefs, validated through new experiences. Finally, there was an embedding of changed beliefs into self-management to continue with activities. Conclusion:This study identified a range of psychological changes which occur during exposure to CMT. These changes enabled patients to reconceptualise their condition, develop a new understanding of their body, understand psychological processes, and make sense of their knee pain.

This study investigates whether integrative and collaborative practices of the construction industry can be exclusively attributed to integrated project-delivery methods or whether traditional project-delivery methods also foster integration within project-based design teams. Project managers assessed team collaboration and the integration of teams into 46 construction industry projects in The Netherlands. Explanatory factor analysis (EFA) was used to identify the components that explained collaboration and integration within project design teams. Using analysis of variance of factor scores, the main finding of the study was that, in the construction industry, collaboration is an independent component in integrative and collaborative practices that can be reliably assessed in research. Furthermore, this study provides evidence suggesting that both traditional and integrated project-delivery methods might lead to collaboration over time. The third finding is that different project-delivery methods were not significantly different in terms of the dimensions of integration and collaboration, except in the component of inclusive decision making within the building team and for strategic partnering. The findings suggest that relying on the type of project-delivery method is not sufficient for managers communicating about the level of supply chain integration and collaboration.

Building Information Modelling (BIM) technology and the concept of supply chain management (SCM) could be a potentially compatible and mutually interdependent practice. The existing research on BIM focuses on improving project-based and intra-organisational goals, ignoring the impact of BIM on existing structured long-term Supply Chain (SC) partnerships. The purpose of this study is to explore the interdependences of BIM and cross-project long-term inter-organisational teams. Five projects in the Netherlands, with BIM and SCM implementation, were analysed empirically using case study methods, including interviews, documents analysis and live observations. The BIM-enabled SC partnerships adopted various SCM practices and displayed distinct BIM collaboration patterns. This exploration revealed three main patterns of BIM-based collaboration, that is, ad-hoc, linear and distributed, in the SC partnerships. The three patterns included various quasi-contractual, physical and digital means for BIM collaboration. The study suggests implications about BIM researchers and practitioners for not only implementing BIM, but also further integrating the construction SC.ARTICLE HISTORY

The vast amount of previous research on project management competence does not provide a basis for educational needs. Analyzing previous research poses two challenges: the lack of a uniform list of competences, necessitating a taxonomy, and the use of importance as a criterion, favoring general important competences. Criticality is introduced as the competence a project manager adds to the team. Validation research using criticality and the taxonomy among experienced Dutch project managers is more comprehensive and provides a lesser focus on general important competences than previous research. Criticality focuses more on the essence of the profession.