Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study.
BMJ Open
; 5(3): e006069, 2015 Mar 11.
Article
in En
| MEDLINE
| ID: mdl-25762227
ABSTRACT
OBJECTIVE:
To produce free, expert-informed postoperative information for lumbar discectomy patients, satisfying UK National Health Service Information Standards.DESIGN:
A mixed methods approach utilising the Delphi technique and focus groups.SETTING:
Five spinal centres across the UK.PARTICIPANTS:
Panel members included 23 physiotherapists, 11 patients and 17 spinal surgeons. INTERVENTION Three rounds of questionnaires including open and closed questions and attendance at a clinician/patient focus group.RESULTS:
Response rates of 85%, 26% and 35% were achieved for the Delphi rounds. Ten clinicians and six patients participated in the focus groups. Consensus for leaflet sections was achieved in round 1 and content in round 3. The focus groups informed further revisions.CONCLUSIONS:
A consensually agreed, Information Standard compliant, patient lumbar discectomy leaflet was produced containing (1) normal spine anatomy; (2) anatomy disc herniation and surgery; (3) back protection strategies and (4) frequently asked questions. Illustrations of exercises enable tailoring to the individual patient.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Education as Topic
/
Low Back Pain
/
Diskectomy
/
Consensus
/
Exercise Therapy
/
Intervertebral Disc Displacement
/
Lumbar Vertebrae
Type of study:
Guideline
/
Qualitative_research
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
BMJ Open
Year:
2015
Document type:
Article
Affiliation country: