Document Detail


Chronic low back pain: patients' experiences, opinions and expectations for clinical management.
MedLine Citation:
PMID:  17852259     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To explore the experiences, opinions and treatment expectations of chronic low back pain (LBP) patients in order to identify what components of treatment they consider as being of most value. METHOD: Three stand-alone focus groups were convened. All participants were experiencing chronic non-specific LBP (>3 months). Each group was facilitated by an independent moderator, and guided by a series of pre-determined questions. Participants were encouraged to freely air their personal opinions during the discussion. Transcribed data were organized into a series of 'categories' using the Qualitative Solutions for Researchers Nudist 6 package from which five common themes emerged. RESULTS: Each participant had typically experienced a variety of failed treatment approaches. Whilst the value of advice and exercise was recognized, participants typically questioned the appropriateness of such treatment given the fact that a precise diagnosis was rarely given, and symptoms often recurred. As a result, poor adherence with advice and exercise appeared to be a key factor limiting the potential effectiveness of long-term self-management strategies. CONCLUSIONS: Participants considered appropriate exercise (despite pain) and activity modification as important components for effective long-term self-management of symptoms. To enhance treatment effectiveness, participants welcomed the introduction of individually tailored advice and exercise programmes, with supervision and follow-up support, along with a better understanding of the physical and emotional impact of chronic LBP by practitioners.
Authors:
Sarah Dianne Liddle; G David Baxter; Jacqueline H Gracey
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Publication Detail:
Type:  Journal Article     Date:  2007-05-04
Journal Detail:
Title:  Disability and rehabilitation     Volume:  29     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-30     Completed Date:  2008-03-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1899-909     Citation Subset:  IM    
Affiliation:
Health and Rehabilitation Sciences Research Institute, University of Ulster, Northern Ireland, UK. SD.Liddle@ulster.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Chronic Disease
Exercise
Female
Focus Groups
Health Knowledge, Attitudes, Practice*
Humans
Low Back Pain / psychology,  rehabilitation*
Male
Middle Aged
New Zealand
Patient Satisfaction*
Physician-Patient Relations
Self Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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