‘Tell Me About Your Troubles’: Description of Patient-Physiotherapist Interaction During Initial Encounters

Opsommer, Emmanuelle; Schoeb, Veronika

doi:10.1002/pri.1585

Cited by 21 publications

(17 citation statements)

References 49 publications

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“…Accessible, attentive care and the physical and psychosocial environment are important aspects in establishing an empowering atmosphere, which is understood as a recognition of the patient's needs [29,30]. Opsommer and Schoeb [31] stated that the importance of communication arises from assumptions about how information should be transmitted, how questions are designed and how treatment interventions are recommended to patients. Our results also correspond well with the ideas of Opsommer and Schoeb [31], who state that collaboration, participation, negotiation and taking the patient's perspective into account are salient aspects of effective communication.…”

Section: Discussionmentioning

confidence: 99%

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

Cerderbom

Bjerk

Bergland

2020

BMC Health Serv Res

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Background: Falls are a global public health concern. Physiotherapists are a key resource in this context, but there is sparse knowledge about how they perceive their role in the primary care setting. Therefore, the purpose of the present study is to explore physical therapists' (PTs) view of how they experience and perceive their role working with fall prevention in a community care setting. Methods: Semi-structured interviews were conducted with 17 physiotherapists. Data were analysed using a qualitative thematic analysis. Results: The analysis resulted in a core theme and three subthemes. The core theme was 'capability to cope with the tensions between the micro-, meso-and macro-levels in fall, prevention', which indicated the importance of an evolving multifaceted, evidence based and innovative physiotherapy role. A key factor for this role is to take an integrative biopsychosocial approach based on how biological and psychosocial factors are uniquely related in fall prevention. The three themes were as follows: 1) always moving and changing: the competent explorative knowledge-hungry clinician's multifaceted role; 2) multiprofessionalbut in the end alone; 3) reaching outfrom the bottom to the top. Success in the role of physiotherapists in fall prevention depends on the empowering leadership and working culture, as well as on the time and multifaceted professional competence of the clinicians. Conclusion: Our findings indicate that the PTs' role reflects their abilities to change and improve their professional work in accordance with evidence based knowledge. To ensure good quality the PTs focused on the special needs of the patients, evidence-based fall prevention, interdisciplinary team work, good clinical competences, good skills in communication, and interpersonal relations. Attention should be placed on the importance of biopsychosocial perspective framing in the actual clinical and political context. The PTs saw the need for working at the micro-, meso-and macro-levels to succeed in the work of fall prevention.

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Section: Discussionmentioning

confidence: 99%

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

Cerderbom

Bjerk

Bergland

2020

BMC Health Serv Res

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“…Documented communication features of a patient-centred approach such as open questions, minimal interruptions, and shared decision making (Bensing, 2000), were not overtly incorporated into observed physiotherapy treatment encounters. Other scholars of physiotherapy communication have also reached similar conclusions about the predominance of communication that represents biomedical and practitioner-centred approaches (Cruz et al, 2012;Josephson, Woodward-Kron, Delany, & Hiller, 2015;Opsommer & Schoeb, 2014).…”

Section: Does Communication In Physiotherapy Practice Align With the mentioning

confidence: 65%

“…For example, research from Denmark and the United Kingdom demonstrated that decisions within treatment sessions are made by physiotherapists with minimal patient involvement (Dierckx, Deveugele, Roosen, & Devisch, 2013;Jones et al, 2014). Other communication research has shown that physiotherapists drive goal-setting processes ; talk twice as much as patients ; use closed questions (Cruz, Moore, & Cross, 2012;Opsommer & Schoeb, 2014); focus predominantly on pain and understanding the clinical condition (Cruz et al, 2012;Opsommer & Schoeb, 2014); and limit incorporation of the patient perspective (Josephson & Bülow, 2014;Opsommer & Schoeb, 2014).…”

Section: (Study 2 Treatment Encounter 17)mentioning

confidence: 99%

Manipulating practices: A critical physiotherapy reader

Gibson¹,

Nicholls²,

Groven³

et al. 2018

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“…Some consultations start with open-ended questions (e.g. "Tell me") [29,52] but opening and follow-up questions are frequently closed-ended and category-constrained (e.g. "So when did you fi:rst have these attacks") [28,29,43,52].…”

Section: Information Gatheringmentioning

confidence: 99%

“…"Tell me") [29,52] but opening and follow-up questions are frequently closed-ended and category-constrained (e.g. "So when did you fi:rst have these attacks") [28,29,43,52]. By doing this, healthcare providers control what information is relevant for them [29,30] and when patients' answers suffice, e.g.…”

Section: Information Gatheringmentioning

confidence: 99%

Linguistic and interactional aspects that characterize consultations about medically unexplained symptoms: A systematic review

Stortenbeker

Stommel

Dulmen

et al. 2019

Journal of Psychosomatic Research

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Objective: The apparent absence of any specific underlying diseases challenges patient-provider communication about medically unexplained symptoms (MUS). Previous research focused on general communication patterns in these interactions; however, an overview of more detailed interactional and linguistic aspects is lacking. This review aims to gain a detailed understanding of communicative challenges in MUS consultations by synthesizing evidence from conversation and discourse analytic research. Methods: A systematic review of publications using eight databases (PubMed, Embase, CINAHL, PsychINFO, Web of Science, MLA International Bibliography, LLBA and Communication Abstracts). Search terms included 'MUS', 'linguistics' and 'communication'. Additional studies were identified by contacting experts and searching bibliographies. We included linguistic and/or interactional analyses of natural patient-provider interactions about MUS. Two authors independently extracted the data, and quality appraisal was based on internal and external validity. Results: We identified 18 publications that met the inclusion criteria. The linguistic and interactional features of MUS consultations pertained to three dimensions: 1) symptom recognition, 2) double trouble potential (i.e. patients and providers may have differing views on symptoms and differing knowledge domains), and 3) negotiation and persuasion (in terms of acceptable explanations and subsequent psychological treatment). We describe the recurrent linguistic and interactional features of these interactions. Conclusions: Despite the presence of a double trouble potential in MUS consultations, validation of symptoms and subtle persuasive conduct may facilitate agreement on illness models and subsequent (psychological) treatment.

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‘Tell Me About Your Troubles’: Description of Patient-Physiotherapist Interaction During Initial Encounters

Cited by 21 publications

References 49 publications

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

The tensions between micro-, meso- and macro-levels: physiotherapists’ views of their role towards fall prevention in the community – a qualitative study

Manipulating practices: A critical physiotherapy reader

Linguistic and interactional aspects that characterize consultations about medically unexplained symptoms: A systematic review

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