Patients' expectations of physiotherapists before and after an intensive chronic low back pain rehabilitation programme: a qualitative study based on semi-structured interviews and observations.
Détails
Télécharger: Patients expectations of physiotherapists befo.pdf (1284.64 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_5B57C62BB58B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Patients' expectations of physiotherapists before and after an intensive chronic low back pain rehabilitation programme: a qualitative study based on semi-structured interviews and observations.
Périodique
Disability and rehabilitation
ISSN
1464-5165 (Electronic)
ISSN-L
0963-8288
Statut éditorial
Publié
Date de publication
05/2024
Peer-reviewed
Oui
Volume
46
Numéro
9
Pages
1776-1786
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
To investigate the expectations regarding physiotherapists of patients attending an interdisciplinary CLBP rehabilitation programme and the response to these expectations.
A thematic analysis was conducted, based on interviews of working-age patients with CLBP and without significant comorbidities.
Twenty patients participated (9 male, 11 female, aged 21-58 years; symptoms duration 4.3 ± 3.0 years; pain VAS 53 ± 21 mm). Patients expected to learn pain and activity management. Expected outcomes were a reduction of pain, increased well-being and a return to normality. A collaborative approach involving therapeutic and relational adaptation was expected. Despite divergences concerning emotional aspects, patients expected a large range of applied psychosocial skills.The programme met the expectations of most patients, especially when its goals matched those reported by the individuals. For most participants, the pain relief was below expectations. Active therapies were valued. After the programme, patients felt more ready to take responsibility for their back.
The expectation of developing self-management skills was prevalent. Expected treatments were mostly compatible with recommendations. Expectations to resume activities and decrease pain were in line with the rehabilitation goals, although the expected reduction in pain was overestimated. Relational expectations converged towards patient-centred care.
A thematic analysis was conducted, based on interviews of working-age patients with CLBP and without significant comorbidities.
Twenty patients participated (9 male, 11 female, aged 21-58 years; symptoms duration 4.3 ± 3.0 years; pain VAS 53 ± 21 mm). Patients expected to learn pain and activity management. Expected outcomes were a reduction of pain, increased well-being and a return to normality. A collaborative approach involving therapeutic and relational adaptation was expected. Despite divergences concerning emotional aspects, patients expected a large range of applied psychosocial skills.The programme met the expectations of most patients, especially when its goals matched those reported by the individuals. For most participants, the pain relief was below expectations. Active therapies were valued. After the programme, patients felt more ready to take responsibility for their back.
The expectation of developing self-management skills was prevalent. Expected treatments were mostly compatible with recommendations. Expectations to resume activities and decrease pain were in line with the rehabilitation goals, although the expected reduction in pain was overestimated. Relational expectations converged towards patient-centred care.
Mots-clé
Humans, Female, Male, Middle Aged, Adult, Qualitative Research, Physical Therapists/psychology, Low Back Pain/rehabilitation, Low Back Pain/psychology, Interviews as Topic, Chronic Pain/rehabilitation, Chronic Pain/psychology, Physical Therapy Modalities, Young Adult, Pain Measurement, Patient Satisfaction, Expectation, chronic pain, low back pain, patient perspective, physiotherapy, qualitative research, rehabilitation
Pubmed
Web of science
Open Access
Oui
Création de la notice
08/05/2023 10:09
Dernière modification de la notice
04/05/2024 6:06