Expectations and experiences of physiotherapeutic practice among patients with shoulder problems

Palenius, Kaj; Nyman, Pia

doi:10.1080/21679169.2017.1363283

Cited by 8 publications

(7 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 41 Overall, 20 studies were included in this review. 18 – 37 Characteristics of the included studies are described in Table 1 . Quality assessment of the included studies, using the Joanna Briggs Institute critical appraisal checklist for qualitative research, is presented in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Support from the clinician 20 , 23 , 26 , 28 , 31 , 34 , 35 and from family members, 23 , 36 and social support 18 , 35 , 36 were mentioned as facilitating participant adherence to self-management strategies. Early support from clinicians was valued and as participants progressed through treatment and their condition improved, this high level of support was reduced, and participants were encouraged to self-manage their shoulder pain.…”

Section: Resultsmentioning

confidence: 99%

“… 23 Many participants expected to receive hands-on treatments, which did not align with a self-management approach and could act as a barrier to engagement. 28 …”

Section: Resultsmentioning

confidence: 99%

“…Two reviewers (AOS and JMcV) independently categorized the findings from the 20 included studies. 18 – 37 These reviewers then met to reach a consensus on the name and content of each category. Two reviewers (JD and CL) who were not involved in the categorization process validated these categories following discussion and refinement.…”

Section: Methodsmentioning

confidence: 99%

“…23 Many participants expected to receive hands-on treatments, which did not align with a self-management approach and could act as a barrier to engagement. 28 Clinicians' perspectives Support for self-management Clinicians identified support for self-management as being important; specifically, categories related to (1) education, (2) patient-centred support, (3) patient empowerment, (4) time, and ( 5) clinician digital literacy (Supplemental Appendix 9).…”

Section: Patient Beliefsmentioning

confidence: 99%

See 4 more Smart Citations

Barriers and facilitators related to self-management of shoulder pain: a systematic review and qualitative synthesis

et al. 2022

View full text Add to dashboard Cite

Objective The objective of this review was to identify barriers and facilitators related to self-management from the perspectives of people with shoulder pain and clinicians involved in their care. Data sources CINAHL, MEDLINE, PsycINFO, SPORTDiscus, Embase, ProQuest Health, Web of Science, and Scopus were searched from inception to March 2022. Review methods A meta-aggregative approach to the synthesis of qualitative evidence was used. Two independent reviewers identified eligible articles, extracted the data, and conducted a critical appraisal. Two reviewers independently identified and developed categories, with validation by two further researchers. Categories were discussed among the wider research team and a comprehensive set of synthesized findings was derived. Results Twenty studies were included. From the perspective of patients, three synthesized findings were identified that influenced self-management: (1) support for self-management, including subthemes related to patient-centred support, knowledge, time, access to equipment, and patient digital literacy; (2) personal factors, including patient beliefs, patient expectations, patient motivation, pain, and therapeutic response; and (3) external factors, including influence of the clinician and therapeutic approach. From the perspective of clinicians, two synthesized findings were identified that influenced self-management: (1) support for self-management, including education, patient-centred support, patient empowerment, time, and clinician digital literacy; and (2) preferred management approach, including clinician beliefs, expectations, motivation, therapeutic approach, and therapeutic response. Conclusion The key barriers and facilitators were patient-centred support, patient beliefs, clinician beliefs, pain, and therapeutic response. Most of the included studies focused on exercise-based rehabilitation, and therefore might not fully represent barriers and facilitators to broader self-management.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“… 23 Many participants expected to receive hands-on treatments, which did not align with a self-management approach and could act as a barrier to engagement. 28 …”

Section: Resultsmentioning

confidence: 99%