Do patients' preferences and expectations match clinical guidelines? A survey of individuals seeking private primary care for a musculoskeletal disorder.

Autor: Dubé MO; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada; La Trobe Sport and Exercise Medicine Research Center, La Trobe University, Melbourne, Victoria, Australia., Langevin P; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada; Clinique Cortex and Physio Interactive, Quebec City, Quebec, Canada., Massé-Alarie H; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada., Esculier JF; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; The Running Clinic, Lac Beauport, Quebec, Canada; MoveMed Physiotherapy, Kelowna, British Columbia, Canada., Lachance A; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada., Roy JS; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada. Electronic address: jean-sebastien.roy@fmed.ulaval.ca.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2024 Nov; Vol. 74, pp. 103195. Date of Electronic Publication: 2024 Sep 26.
DOI: 10.1016/j.msksp.2024.103195
Abstrakt: Background: Physiotherapists often inconsistently adhere to clinical practice guidelines (CPGs) when managing musculoskeletal disorders (MSKDs), potentially due to discrepancies between patient-valued interventions and guideline recommendations. Since patients' expectations are important predictors of outcome, this disparity between CPGs recommendations and patient preferences could be problematic for the effective care of MSKDs.
Objectives: To assess patients' expectations and preferences for the interventions used in their MSKD management and to establish correspondence rates between patients' preferences and recommendations from CPGs.
Design: Survey.
Method: This cross-sectional descriptive study included a survey on sociodemographics, preferences, and expectations towards interventions for their MSKD, acceptable cost of care, number of treatment sessions required, and their involvement in their MSKD management.
Results: One hundred and fifty participants (94 women and 56 men; mean age: 51 ± 17) responded to the survey. Eighty percent of respondents expected their involvement in their MSKD management to be equal to or superior than that of the physiotherapist. Sixty-nine percent of respondents expected to receive exercises, and 67% expected to receive education. Based on preference ratings, 95% of respondents chose recommended interventions, 57% chose interventions with uncertain levels of recommendation, and 48% chose interventions not recommended by CPGs.
Conclusion: Less than 70% of participants expected to receive education and exercises, the two most frequently recommended interventions by CPGs. On the other hand, the majority of respondents indicated that their involvement should be equal to or superior than that of the physiotherapist. This aligns with CPGs, which advocate for active and self-management strategies.
Competing Interests: Dclaration of compenting interest The authors declare that they have no conflict of interest.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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