Patients' perspectives on self‐management following a back rehabilitation programme

Morris, Alison Louise

doi:10.1002/msc.68

Cited by 17 publications

(19 citation statements)

References 34 publications

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“…Some people had pursued their own exercise programs or developed relationships with trainers, often by "trial and error," because they felt that physiotherapy and rehabilitation classes did not push them hard enough. [65][66][67][68]71,72,[75][76][77] David (FG3): "the best thing that I can do is just walkyeven if it's sore, I still think I'm better to keep walking." 71(p1906) "I've been doing the Pilates and the walking has vastly improved my condition.…”

Section: Theme 1: Perceptions and Classification Of Exercisementioning

confidence: 98%

“…Figure 1 shows a flowchart of progress into the review with a total of 15 included papers (12 studies). [64][65][66][67][68][69][70][71][72][73][74][75][76][77][78] Method Quality…”

Section: Review Identification and Selectionmentioning

confidence: 99%

“…The method quality was assessed, using the Critical Appraisal Skills Programme tool, by 2 independent researchers, and consensus was reached regarding a rating of low, medium, and high for each included paper ( 8 were of medium quality, [65][66][67]69,70,72,77,78 and 1 was of low quality. 68 Interobserver agreement of quality assessment was determined by calculating percentage agreement and a k-coefficient.…”

Section: Review Identification and Selectionmentioning

confidence: 99%

See 2 more Smart Citations

What Are Patient Beliefs and Perceptions About Exercise for Nonspecific Chronic Low Back Pain?

Slade

Patel

Underwood

et al. 2014

The Clinical Journal of Pain

128

113

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Section: Theme 1: Perceptions and Classification Of Exercisementioning

confidence: 98%

“…Figure 1 shows a flowchart of progress into the review with a total of 15 included papers (12 studies). [64][65][66][67][68][69][70][71][72][73][74][75][76][77][78] Method Quality…”

Section: Review Identification and Selectionmentioning

confidence: 99%

Section: Review Identification and Selectionmentioning

confidence: 99%

See 1 more Smart Citation

What Are Patient Beliefs and Perceptions About Exercise for Nonspecific Chronic Low Back Pain?

Slade

Patel

Underwood

et al. 2014

The Clinical Journal of Pain

128

113

View full text Add to dashboard Cite

show abstract

“…A similar finding surfaced with the CLBP patients in the current study. This result may have been obtained because patients' perspectives and goals shifted from expecting a cure to a more realistic acceptance of their condition as chronic (Liddle et al 2007;Morris 2004;Kawi 2014). Such cognitive changes may help patients adopt the selfmanagement approaches provided to them by their healthcare professional.…”

Section: Factors That May Help or Prevent Adopting Self-managementmentioning

confidence: 99%

“…The advantage of selecting a framework analysis is that it improves the rigour of data management (Tobin and Begley 2004), since it has a clear and rational order that is easy to follow and apply. The current research investigates particular phenomena (patients' and physiotherapists' perceptions of self-management for LBP) that have been described theoretically and discussed in the previous literature in developed countries (Morris 2004;Crowe et al 2010). Moreover, a practical reason for using framework analysis was the lack of awareness of qualitative research including healthcare professionals in the KSA.…”

Section: The Qualitative Sectionmentioning

confidence: 99%

Exploring self-management of chronic low back pain in Saudi Arabia

Mohammed¹

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Aim: The main purpose of this research project is to explore both patients' and physiotherapists' perceptions and understanding of self-management for chronic low back pain (CLBP) in the Kingdom of Saudi Arabia (KSA) and moreover, to explore current physiotherapy practice for managing CLBP in KSA. Methods:This research project used a mixed methods approach with sequential designs. The first section contains a quantitative study and the second section includes two qualitative studies. The quantitative section allowed exploration of current physiotherapy practices for CLBP management using a large population. The qualitative section has provided a more in-depth understanding of both patients' and physiotherapists' perceptions in regards to self-management and physiotherapy management for CLBP.Results: In the current study, physiotherapists acknowledged the importance of exercise and advice. Moreover, these represented the most common treatment methods used in daily practice. However, patients' preferences for passive approaches, such as rest, massage and modalities were frequently reported. This shows conflict between physiotherapists and patients with CLBP in terms of the preferred approach for managing the disorder.Physiotherapists' extensive use of modalities where evidence of effectiveness was lacking or insufficient was a common practice for physiotherapy management in patients with CLBP in the current research project. Moreover, physiotherapists and patients showed limited understanding of self-management as a concept. Conclusion:Promoting self-management in daily physiotherapy practice appears to be a complex issue. It involves various factors, such as promoting an evidencebased practice culture among physiotherapists; a patient-centred approach; access to guidelines and evidence; and organisational support through developing policy, local guidelines and CPD training. This research presents a platform of recommendations for future researchers, professionals, educators and policymakers to enhance the quality of care for patients with CLBP in the KSA in general and may increase the adoption of self-management.iii DECLARATION

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Patients' attitudes and beliefs about back pain and its management after physiotherapy for low back pain

May

2007

Physiotherapy Res Intl

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In this group of participants with a history of back pain and physiotherapy treatment a common finding was a degree of acceptance of the back pain problem and the belief that patient involvement in management was essential. These findings would suggest that many patients with back pain may respond positively to the message of self-management. However, acceptance of this message was not automatic, but generally occurred gradually in line with patients' experience of back pain and treatment.

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Patients' perspectives on self‐management following a back rehabilitation programme

Cited by 17 publications

References 34 publications

What Are Patient Beliefs and Perceptions About Exercise for Nonspecific Chronic Low Back Pain?

What Are Patient Beliefs and Perceptions About Exercise for Nonspecific Chronic Low Back Pain?

Exploring self-management of chronic low back pain in Saudi Arabia

Patients' attitudes and beliefs about back pain and its management after physiotherapy for low back pain

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