Do the commonly used standard questionnaires measure what is of concern to patients with low back pain?

Almeida, Verena Calmon; Júnior, Walderi Monteiro da Silva; Camargo, Olaf Kraus de; Filho, Valter Joviniano de Santana; Oliveira, Géssica Uruga; Santana, Mylena Salgueiro; Neto, Jader Pereira de Farias

doi:10.1177/0269215520941042

Cited by 11 publications

(6 citation statements)

References 34 publications

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“…Focus group interviews are systematic discussions between individuals experiencing a specific phenomenon to gather insights into their experiences and perspectives concerning the issue of interest [ 42 ]. Focus group interviews are frequently used to explore patients’ and health professionals’ perspectives in rehabilitation research [ 34 , 43 ]. Focus group interviews are led by a moderator who asks questions related to the specific focus.…”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, it might be important to relate patients and health professionals’ preferences and perspectives to structural and organizational conditions of therapy [ 33 , 34 ]. In clinical practice a consideration of convenient therapy periods in the scheduling and timing of therapy sessions could contribute to more suitable and effective music therapy, occupational therapy, speech therapy or physiotherapy [ 23 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

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Patients’ and professionals’ perspectives on the consideration of patients’ convenient therapy periods as part of personalised rehabilitation: a focus group study with patients and therapists from inpatient neurological rehabilitation

Dür

Wenzel

Simon

et al. 2022

BMC Health Serv Res

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Background Research on the optimal period for administering health services, especially rehabilitation interventions, is scarce. The aims of this study were to explore the construct of patients’ convenient therapy periods and to identify indicators based on the perspectives of patients and different health professionals from inpatient neurological rehabilitation clinics. Methods This study was part of a larger project on patients’ convenient therapy periods following a mixed methods approach. In the current study a grounded theory approach was employed based on the use of focus group interviews. Focus group interviews were conducted in three different inpatient neurological rehabilitation clinics. Patients and therapists from inpatient neurological rehabilitation clinics who were able to speak and to participate in conversations were included. Results A total of 41 persons, including 23 patients and 18 therapists, such as music and occupational therapists, participated in a total of six focus group interviews. The analysis of the focus group interviews resulted in the identification of a total of 1261 codes, which could be summarised in fifteen categories. However, these categories could be divided into five indicators and ten impact factors of convenient therapy periods. Identified indicators were verbal and non-verbal communication, mental functions, physiological needs, recreational needs, and therapy initiation. Conclusions The results provide initial evidence that convenient therapy periods are clinically relevant for patients and therapists. Different states of patients’ ability to effectively participate in a rehabilitation intervention exist. A systematic consideration of patients’ convenient therapy periods could contribute to a personalised and more efficient delivery of intervention in neurological rehabilitation. To our knowledge, this study is one of the first attempts to research convenient therapy periods.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patients’ and professionals’ perspectives on the consideration of patients’ convenient therapy periods as part of personalised rehabilitation: a focus group study with patients and therapists from inpatient neurological rehabilitation

Dür

Wenzel

Simon

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…7,20,39 Emotional or cognitive aspects of recovery may also be relevant, eg, pain acceptance and reduced fear of dependency on others. 6 Patients with LBP have also emphasised the importance of being able to engage in meaningful daily activities, work, and social roles. 20 This study focused on people with recurrent LBP or low to moderate intensity pain with regular flare-ups.…”

Section: Introductionmentioning

confidence: 99%

Unique considerations for exercise programs to prevent future low back pain: the patient perspective

Ayre

Jenkins

McCaffery

et al. 2021

Pain

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“…These methods include clinician-reported outcome (ClinRO) ( 17 ) consisting of taking a comprehensive case history and a thorough physical examination and may include the use of PRO data ( 6 ). However, commonly used LBP-specific PRO instruments do not cover all domains of the biopsychosocial model ( 18 , 19 ) like they do not consider factors that are important to patients with LBP ( 20 ). As a result, they may not fully capture the experience of individuals with LBP ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

“…As a result, they may not fully capture the experience of individuals with LBP ( 21 ). Therefore, developing and using new LBP-specific PRO instruments that are grounded in the biopsychosocial ICF model have been recommended ( 18 , 20 , 22 ). Despite the known advances of using PRO data directly during the consultation to support management of the individual patient, health professionals' use is generally very low ( 23 , 24 ), and thus also in patients with LBP ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

ICF-Based Assessment of Functioning in Daily Clinical Practice. A Promising Direction Toward Patient-Centred Care in Patients With Low Back Pain

Ibsen

Maribo

Nielsen

et al. 2021

Front. Rehabilit. Sci.

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Background: Patient-centred care has received increased attention in recent years. Patient-Reported Outcomes (PROs) and shared decision-making are key components of Patient-Centred care. Low back pain (LBP) is a complex symptom affected by multiple, interacting factors. Therefore, evidence strongly recommend a biopsychosocial and patient-centred approach in the assessment and management. The International Classification of Functioning, Disability and Health (ICF) provide a biopsychosocial model for describing functioning and disability. ICF is widely acknowledged, but implementation into clinical practice is lacking. To support the use of a biopsychosocial and patient-centred approach in daily clinical practice among patients with LBP we developed a practice-friendly tool based on ICF; the LBP assessment tool.Objective: To compare an ICF-based assessment facilitated by the LBP assessment tool with standard care in terms of the use of PROs and shared decision-making in order to promote patient-centred care in patients with LBP.Methods: A non-randomized controlled design was used. Eligible patients were allocated to one of two groups: the ICF group, assessed with the LBP assessment tool or the control group, assessed with a conventional LBP assessment. Primary outcome includes use of PROs. Secondary outcomes include use of a graphical overview displaying the patient profile and shared decision-making. A patient evaluation questionnaire was used to collect data.Results: Seven hundred ten patients were assessed for eligibility of whom 531 were allocated to the ICF group (n = 299) or the control group (n = 232). A significantly higher use of PRO data (p < 0.00) and the patient profile (p < 0.00) was reported in favor of the ICF group. Patients in the ICF group also experienced being more involved in decision-making (p = 0.01).Conclusions: This study showed that a functioning assessment, by means of the LBP assessment tool, increased use of PROs and shared decision-making when compared to a conventional LBP assessment. Additionally, this study demonstrated that routine use of ICF-based PRO data and shared decision-making promoted patient-centred care in patients with LBP. The LBP assessment tool may be a strong candidate for a user-friendly ICF-based tool with the potential to support health professionals in a shift toward a biopsychosocial and patient-centred approach to patients with LBP.

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Do the commonly used standard questionnaires measure what is of concern to patients with low back pain?

Cited by 11 publications

References 34 publications

Patients’ and professionals’ perspectives on the consideration of patients’ convenient therapy periods as part of personalised rehabilitation: a focus group study with patients and therapists from inpatient neurological rehabilitation

Patients’ and professionals’ perspectives on the consideration of patients’ convenient therapy periods as part of personalised rehabilitation: a focus group study with patients and therapists from inpatient neurological rehabilitation

Unique considerations for exercise programs to prevent future low back pain: the patient perspective

ICF-Based Assessment of Functioning in Daily Clinical Practice. A Promising Direction Toward Patient-Centred Care in Patients With Low Back Pain

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