How do non-specific back pain patients think about their adherence to physiotherapy, and what strategies do physiotherapists use to facilitate adherence? : a focus group interview study

Alt, Andreas; Luomajoki, Hannu; Röse, Katharina; Lüdtke, Kerstin

doi:10.1080/10669817.2023.2258699

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-29007

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	How do non-specific back pain patients think about their adherence to physiotherapy, and what strategies do physiotherapists use to facilitate adherence? : a focus group interview study
Authors:	Alt, Andreas Luomajoki, Hannu Röse, Katharina Lüdtke, Kerstin
et. al:	No
DOI:	10.1080/10669817.2023.2258699 10.21256/zhaw-29007
Published in:	Journal of Manual & Manipulative Therapy
Issue Date:	19-Sep-2023
Publisher / Ed. Institution:	Taylor & Francis
ISSN:	1066-9817 2042-6186
Language:	English
Subjects:	Adherence; Digital intervention software; Non-specific low back pain; Physiotherapy; Qualitative research; Self-management
Subject (DDC):	615.82: Physical therapy 617.5: Orthopaedic surgery
Abstract:	Background: Long-term effectiveness of physiotherapy (PT) for low back pain (LBP) depends on the adherence of patients. Objectives: (1) Identify aspects associated with the adherence of patients with LBP to physiotherapy, and (2) identify factors to facilitate adherence of patients with LBP to PT. Method: Focus group interviews were conducted with 10 patients with LBP (n = 10, 5 women) and 11 physiotherapists (5 women) from Germany and Switzerland, treating patients with LBP. Data analysis was based on structured content analysis. Deductive and inductive categories were identified and coded. Results: Patients with LBP requested more and effective home programs, long-term rehabilitation management, and individualized therapy to achieve a higher level of adherence. Physiotherapists requested more time for patient education. Communication, quality of the therapist-patient relationship, and individualized therapy were identified as essential factors by both representatives. Conclusion: Patients and physiotherapists identified aspects contributing to adherence. These may guide the development of multidimensional measurement tools for adherence. In addition, this information can be used to develop PT approaches to facilitate the level of adherence.
URI:	https://digitalcollection.zhaw.ch/handle/11475/29007
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Restricted until:	2024-09-19
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Alt, A., Luomajoki, H., Röse, K., & Lüdtke, K. (2023). How do non-specific back pain patients think about their adherence to physiotherapy, and what strategies do physiotherapists use to facilitate adherence? : a focus group interview study. Journal of Manual & Manipulative Therapy. https://doi.org/10.1080/10669817.2023.2258699

Alt, A. et al. (2023) ‘How do non-specific back pain patients think about their adherence to physiotherapy, and what strategies do physiotherapists use to facilitate adherence? : a focus group interview study’, Journal of Manual & Manipulative Therapy [Preprint]. Available at: https://doi.org/10.1080/10669817.2023.2258699.

A. Alt, H. Luomajoki, K. Röse, and K. Lüdtke, “How do non-specific back pain patients think about their adherence to physiotherapy, and what strategies do physiotherapists use to facilitate adherence? : a focus group interview study,” Journal of Manual & Manipulative Therapy, Sep. 2023, doi: 10.1080/10669817.2023.2258699.

ALT, Andreas, Hannu LUOMAJOKI, Katharina RÖSE und Kerstin LÜDTKE, 2023. How do non-specific back pain patients think about their adherence to physiotherapy, and what strategies do physiotherapists use to facilitate adherence? : a focus group interview study. Journal of Manual & Manipulative Therapy. 19 September 2023. DOI 10.1080/10669817.2023.2258699

Alt, Andreas, Hannu Luomajoki, Katharina Röse, and Kerstin Lüdtke. 2023. “How Do Non-Specific Back Pain Patients Think About Their Adherence to Physiotherapy, and What Strategies Do Physiotherapists Use to Facilitate Adherence? : A Focus Group Interview Study.” Journal of Manual & Manipulative Therapy, September. https://doi.org/10.1080/10669817.2023.2258699.

Alt, Andreas, et al. “How Do Non-Specific Back Pain Patients Think About Their Adherence to Physiotherapy, and What Strategies Do Physiotherapists Use to Facilitate Adherence? : A Focus Group Interview Study.” Journal of Manual & Manipulative Therapy, Sept. 2023, https://doi.org/10.1080/10669817.2023.2258699.