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.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_5B57C62BB58B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
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.
Journal
Disability and rehabilitation
Author(s)
Pichonnaz C., Ancey C., Mbarga J., Foley R.A.
ISSN
1464-5165 (Electronic)
ISSN-L
0963-8288
Publication state
Published
Issued date
05/2024
Peer-reviewed
Oui
Volume
46
Number
9
Pages
1776-1786
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
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.
Keywords
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
Yes
Create date
08/05/2023 11:09
Last modification date
03/05/2024 16:23
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