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Advisor(s)
Abstract(s)
Purpose: The primary aim of this study was to explore relevant outcome domains for patients with
chronic low back pain (CLBP) undergoing physiotherapy. A secondary aim was to examine potential discrepancies
between meaningful changes in pain and disability and the global perception of
improvement.
Methods: An explanatory mixed methods design was employed. Twenty-two patients with CLBP completed
self-reported measures before and after a physiotherapy programme. After the intervention, three
focus groups were conducted with patients who perceived an overall improvement. Discussions were
recorded, transcribed and analysed using thematic analysis.
Results: Quantitative analysis showed an inconsistent relationship between changes in pain and disability
measures and global improvements as perceived by patients. Two main themes emerged from the thematic
analysis: “pain relief” (subthemes: reducing pain intensity and other symptoms; reducing medication
intake; improving sleep quality) and “gaining control over the LBP condition” (subthemes: ability to selfmanage;
return to function; and sense of well-being and normality).
Conclusion: Patients with CLBP perceived multiple outcomes from physiotherapy treatment that cover
the domains of global, physical, mental and social health. These study findings suggest that the targets
of measurement for physiotherapy need to be expanded in order to reflect outcome domains valued
by patients.
Description
Keywords
Patient-relevant outcomes Outcomes assessment Chronic low back pain Physiotherapy
Citation
Publisher
Taylor & Francis