Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/9503
Title: The design and development of a decision support package for low back pain
Authors: Patel, S
Ngunjiri, A
Sandhu, H
Griffiths, F
Thistlethwaite, J
Brown, S
Friede, T
Lord, J
Tysall, C
Woolvine, M
Underwood, M
Keywords: Low back pain (LBP);Physiotherapy;Physiotherapy consultation
Issue Date: 2014
Publisher: Arthritis Care & Research
Citation: Arthritis Care and Research, 66 (6): 2013
Abstract: Objective: To develop a decision support package for people with low back pain (LBP) referred for physiotherapy. Methods: A programme of exploratory work including, literature reviews, a Delphi study, a nominal group with physiotherapists, focus groups with patients' and secondary analysis of existing interview data. Results: We developed an information booklet describing the evidence-based treatment modalities available in a physiotherapy department. This includes data on likely benefits and risks and how the intervention is delivered. The booklet specifically addresses questions identified as important in our exploratory work. Space is provided for patients to note down the pros and cons of each treatment and what matters to them when choosing treatments. The patient is subsequently directed to a section that explores any gaps in knowledge, values, support and choice before finally clarifying if a treatment decision is possible. At this stage they are encouraged to note down any questions or concerns they have to be discussed at the first physiotherapy consultation. This overall package includes patient material in the form of a booklet, posted prior to their consultation, plus the enhanced consultation with the specially trained physiotherapist. Patients then receive their chosen treatment. In addition we developed a training package for physiotherapists that explains the content of the booklet and supports them in using informed shared decision making in their consultation. Conclusion: This package has the potential to improve effectiveness of treatments and patient satisfaction for LBP by facilitating patient choice and thus matching patients more effectively to different treatments. © 2013 American College of Rheumatology.
Description: Arthritis Care & Research is published by Wiley Periodicals, Inc. on behalf of the American College of Rheumatology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
URI: http://onlinelibrary.wiley.com/doi/10.1002/acr.22252/abstract;jsessionid=FA001B8F85C883D9FAA8F28AE4154C20.f01t04
http://bura.brunel.ac.uk/handle/2438/9503
DOI: http://dx.doi.org/10.1002/acr.22252
ISSN: 2151-4658
Appears in Collections:Health Economics Research Group (HERG)

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