Goal setting practice in chronic low back pain. What is current practice and is it affected by beliefs and attitudes?
Physiother Theory Pract
; 34(10): 795-805, 2018 Oct.
Article
em En
| MEDLINE
| ID: mdl-29345522
ABSTRACT
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Planejamento de Assistência ao Paciente
/
Atitude do Pessoal de Saúde
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Conhecimentos, Atitudes e Prática em Saúde
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Modalidades de Fisioterapia
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Dor Lombar
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Atenção à Saúde
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Dor Crônica
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Fisioterapeutas
Tipo de estudo:
Diagnostic_studies
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Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
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Patient_preference
Limite:
Adolescent
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Adult
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Aged
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Physiother Theory Pract
Ano de publicação:
2018
Tipo de documento:
Article