Goal setting practice in chronic low back pain. What is current practice and is it affected by beliefs and attitudes?
| Autor: | Lorraine Smith, James H. McAuley, Markus Hübscher, Stephen Goodall, Tania Gardner, Kathryn M. Refshauge |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice Adolescent Attitude of Health Personnel Physical Therapy Sports Therapy and Rehabilitation Patient Care Planning 03 medical and health sciences Young Adult 0302 clinical medicine Effective treatment Medicine Humans 030212 general & internal medicine Goal setting Physical Therapy Modalities Aged Pain Measurement Motivation business.industry Rehabilitation Middle Aged humanities Chronic low back pain Physical Therapists Self Care Cross-Sectional Studies Treatment Outcome Current practice Physical therapy Female Chronic Pain Patient Participation business human activities Delivery of Health Care Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Physiotherapy theory and practice. 34(10) |
| ISSN: | 1532-5040 |
| Popis: | © 2018, © 2018 Taylor & Francis. Introduction: Goal setting, led by the patient, is promising as an effective treatment for the management of chronic low back pain (CLBP); however, little is known about current practice. The aims of the study were to explore (1) current goal setting practice in CLBP among physiotherapists; (2) perceived barriers to goal setting in CLBP; and (3) relationship between clinician’s attitudes and beliefs and goal setting practice. Method: A cross-sectional observational survey. Results: The majority of respondents used goal setting with the main aim of facilitating self-management. The greatest number of goals were set with 50% therapist/50% patient involvement. The most common perceived barriers to goal setting related to time constraints and lack of skill and confidence. A higher biomedical score for treatment orientation of the therapist was associated with a lower patient involvement score. Conclusion: Goal setting is common practice for CLBP and is perceived as a high priority. It is more often a collaboration between therapist and patient rather than patient-led with treatment orientation of the physiotherapist a predictor of patient involvement. Education of healthcare professionals needs to include better understanding of chronic pain to orient them away from a biomedical treatment approach, as well as to enhance skills in facilitating patient involvement in goal setting. |
| Databáze: | OpenAIRE |
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