Physiotherapists' approaches to patients' concerns in back pain consultations following a psychologically informed training program
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
Guidelines advocate a combined physical and psychological approach to managing non-specific chronic low back pain (NSCLBP), referred to as psychologically informed practice (PIP). PIP is underpinned by patient-centered principles and skilled communication. Evidence suggests that a physiotherapist-focused style of communication prevails in physiotherapy. There is a recognized need for observational research to identify specific communication practices in physiotherapy interactions. This observational study explored the interactional negotiation of agenda setting following a PIP training intervention, by identifying and describing how physiotherapists solicit and respond to the agenda of concerns that patients with NSCLBP bring to primary care initial encounters. The research setting was primary care. Nineteen initial physiotherapy consultations were video-recorded, transcribed, and analyzed using conversation analysis, a qualitative observational method. These data revealed a patient-focused style of communication where trained physiotherapists demonstrated a collaborative and responsive style of verbal and nonverbal communication to solicit, explore, and validate patients’ concerns.
Date Issued
2021-10-07
Date Acceptance
2021-10-01
Citation
Qualitative Health Research, 2021, 13 (13), pp.1-16
ISSN
1049-7323
Publisher
SAGE Publications
Start Page
1
End Page
16
Journal / Book Title
Qualitative Health Research
Volume
13
Issue
13
Copyright Statement
© The Author(s) 2021. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000706120400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Social Sciences
Life Sciences & Biomedicine
Technology
Public, Environmental & Occupational Health
Information Science & Library Science
Social Sciences, Interdisciplinary
Social Sciences, Biomedical
Social Sciences - Other Topics
Biomedical Social Sciences
psychologically informed practice
communication
physiotherapy
training
qualitative
conversation analysis
United Kingdom
CENTERED COMMUNICATION
CONVERSATION ANALYSIS
THERAPEUTIC ALLIANCE
ILLNESS PERCEPTIONS
PRIMARY-CARE
MANAGEMENT
QUESTIONS
HISTORY
TALK
RISK
Publication Status
Published
Article Number
ARTN 10497323211037651
Date Publish Online
2021-10-07