| Chronic low back pain: patients' experiences, opinions and expectations for clinical management. | |
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MedLine Citation:
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PMID: 17852259 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Sarah Dianne Liddle; G David Baxter; Jacqueline H Gracey |
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Publication Detail:
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Type: Journal Article Date: 2007-05-04 |
Journal Detail:
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Title: Disability and rehabilitation Volume: 29 ISSN: 0963-8288 ISO Abbreviation: Disabil Rehabil Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-11-30 Completed Date: 2008-03-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207179 Medline TA: Disabil Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 1899-909 Citation Subset: IM |
Affiliation:
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Health and Rehabilitation Sciences Research Institute, University of Ulster, Northern Ireland, UK. SD.Liddle@ulster.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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