Patient acceptance of care of a novel care pathway for those at risk of poor outcomes from musculoskeletal pain: A mixed methods study.

Autor: Beales D; Curtin EnAble Institute and Curtin School of Allied Health, Curtin University, GPO Box U1987, Perth, Western Australia, Australia, 6845. Electronic address: https://twitter.com/DBealesPhysio., Boyle E; Curtin EnAble Institute and Curtin School of Allied Health, Curtin University, GPO Box U1987, Perth, Western Australia, Australia, 6845. Electronic address: eileen.boyle@curtin.edu.au., Fary R; Curtin EnAble Institute and Curtin School of Allied Health, Curtin University, GPO Box U1987, Perth, Western Australia, Australia, 6845. Electronic address: R.Fary@curtin.edu.au., Mikhailov A; Curtin EnAble Institute and Curtin School of Allied Health, Curtin University, GPO Box U1987, Perth, Western Australia, Australia, 6845. Electronic address: anton.mikhailov@curtin.edu.au., Saunders B; School of Medicine, Keele University, Keele, Staffordshire, ST5 5BG, United Kingdom. Electronic address: b.saunders@keele.ac.uk., Coates S; Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Western Ave, Sydney, New South Wales, 2006, Australia; School of Allied Health, Australian Catholic University, 33 Berry Street, North Sydney, New South Wales, 2060, Australia. Electronic address: sonia.coates@sydney.edu.au., Evans K; Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Western Ave, Sydney, New South Wales, 2006, Australia; Healthia Limited, Brisbane, Queensland, 4006, Australia. Electronic address: kerrie.evans@sydney.edu.au., Simic M; Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Western Ave, Sydney, New South Wales, 2006, Australia. Electronic address: milena.simic@sydney.edu.au., Sterling M; RECOVER Injury Research Centre, NHMR CRE: Better Health Outcomes for Compensable Injuries University of Queensland, Level 7 STARS Building, Herston Road, Herston, 4006, Australia. Electronic address: m.sterling@uq.edu.au., Bennell K; Centre for Health, Exercise & Sports Medicine, The University of Melbourne, Alan Gilbert Building, 161 Barry Street, Carlton, Victoria, 3053, Australia. Electronic address: k.bennell@unimelb.edu.au., Rebbeck T; Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Western Ave, Sydney, New South Wales, 2006, Australia. Electronic address: trudy.rebbeck@sydney.edu.au.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2024 Nov; Vol. 74, pp. 103178. Date of Electronic Publication: 2024 Sep 12.
DOI: 10.1016/j.msksp.2024.103178
Abstrakt: Objective: Investigate people's acceptance of specialist musculoskeletal care within a new care pathway for common musculoskeletal conditions (low back pain, neck pain/whiplash, knee osteoarthritis).
Design: Convergent parallel mixed methods design referencing the Theoretical Framework of Acceptability. The study included a subset of participants (n = 29) at-risk of poor outcomes from the intervention arm of the PAthway of CarE for common musculoskeletal conditions (PACE-MSK) trial. In the PACE-MSK arm, participants received specialist physiotherapist care as an adjunct to the care provided by their primary healthcare professional(s). One-to-one semi-structured interviews were conducted around 3-months after commencing in the trial. Quantitative data were collected at baseline and 3-month follow-up (health-related quality of life, pain self-efficacy, global perceived change, satisfaction).
Results: Five themes were identified (Expectations and beliefs shaped patient experience; Clinical expertise and competence influence acceptance; Person-centred care; Mechanisms facilitating beneficial responses to care; Gaps in care pathway implementation). There were positive individual changes in physical quality of life for 17/29 (59%) participants, mental health quality of life for 12/29 (41%), pain self-efficacy for 8/29 (28%) and global perceived change for 19/29 (66%). Management met expectations with the majority reporting high levels of satisfaction. Integrating the qualitative and quantitative data with the Theoretical Framework of Acceptability, there were complementary meta-inferences in the constructs of 'ethicality', 'intervention coherence', 'self-efficacy' and 'affective attitude'. Divergence was identified in 'perceived effectiveness'.
Discussion: In general, there was positive acceptance of the care pathway by participants. Specialist physiotherapists' care was perceived as a positive addition to usual care.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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