"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
Pages (from-to)313-326
Number of pages14
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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