"Keep it simple": Perspectives of patients with low back pain on how to qualify a patient-centred consultation using patient-reported outcomes

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  • Charlotte Ibsen
  • Berit Schiøttz-Christensen, Spine Center of Southern Denmark, Lillebælt Hospital, Østre Hougvej 55, 5500 Middelfart., Institute of Regional Health Research, University of Southern Denmark, Denmark
  • Thomas Maribo
  • Claus Vinther Nielsen
  • Mogens Hørder, Institute of Public Health, Unit for Patient Perspective, University of Southern Denmark, Denmark
  • Charlotte Handberg

BACKGROUND: Patient-reported outcomes are expected to play an important role in patient-centred health care. To capture patients' perspectives, patient involvement in the development of patient-reported outcome (PRO) instruments is essential, but often lacking. This qualitative study explored the perspectives of patients with low back pain, to gain an understanding of how to qualify a patient-centred consultation by using PROs. This was done by exploring patients' perspectives regarding the assessment of functioning and disability as part of the development of a new PRO instrument based on the International Classification of Functioning, Disability and Health Core Set.

METHODS: Semi-structured focus group interviews with seven patients with low back pain were conducted. Data were analysed by drawing on the Interpretive Description methodology.

RESULTS: The analysis revealed three core themes: simplicity, individuality and application. Simplicity represented keeping items to a minimum and avoiding overlaps; individuality implied the need for individualized answers; and application signified that PROs should be utilized during the consultation, and that they can provide useful information for clinical decision-making.

CONCLUSIONS: The study provides essential knowledge about elements of importance to patients with low back pain when aiming for a patient-centred consultation using PROs. Furthermore, it underlines the importance of involving patients in PRO development because their perspectives improved the new PRO instrument.

Original languageEnglish
JournalMusculoskeletal Care
Volume17
Issue4
Pages (from-to)313-326
Number of pages14
ISSN1478-2189
DOIs
Publication statusPublished - Dec 2019

Bibliographical note

© 2019 John Wiley & Sons, Ltd.

    Research areas

  • disability and health, International Classification of Functioning, Disability and Health, low back pain, patient involvement, patient-centred consultation, patient-reported outcomes

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