Clinical encounters may not be responding to patients' search for meaning and control over non-specific chronic low back pain – an interpretative phenomenological analysis.
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| Title: | Clinical encounters may not be responding to patients' search for meaning and control over non-specific chronic low back pain – an interpretative phenomenological analysis. |
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| Authors: | Caeiro, Carmen, Moore, Ann, Price, Lee |
| Source: | Disability & Rehabilitation. Nov2022, Vol. 44 Issue 22, p6593-6607. 15p. |
| Subjects: | Lumbar pain, Pilot projects, Chronic diseases, Research methodology, Interviewing, Patients' attitudes, Phenomenology, Sound recordings, Judgment sampling, Thematic analysis |
| Geographic Terms: | Portugal |
| Abstract: | Considering the need to study the experiences of individuals with musculoskeletal problems in contexts that have not yet been investigated as well as the relevance of fostering a research agenda towards person-centred care, this study aimed to explore the experiences of non-specific chronic low back pain from the perspective of Portuguese individuals living with it. An interpretative phenomenological analysis was employed to explore the experiences of eight participants, who were recruited purposefully from two primary care centres and one clinic. Semi-structured one-to-one interviews were carried out, audio-recorded and transcribed verbatim. Three themes were generated as interrelated parts of an extended account that explored the participants' meaning making of their experience: "Non-specific chronic low back pain as a disruptive experience"; "Searching for the meaning of non-specific chronic low back pain"; and, "Clinical encounters that perpetuate the lack of understanding about non-specific chronic low back pain." This study offers insight into the Portuguese individuals' experiences of non-specific chronic low back pain. Particularly, it suggests that clinical encounters may not be aligned with patients' needs and expectations. These findings may help clinicians in transferring this knowledge to therapeutic approaches to individuals with similar experiences/contexts. Patients with NSCLBP need to understand their pain and to retain a sense of control over their lives. Encounters with health professionals may perpetuate the lack of understanding about pain and strategies to control it, as patients consider themselves unable to have an active role in the decision-making and are disempowered to deal with their pain. Health professionals should involve patients and promote the co-construction of an explanation that integrates both health professionals' knowledge and patients' narratives. There is a need to align both the patients' and health professionals' perspectives regarding health care in order to implement patient-centred and individually tailored treatment. [ABSTRACT FROM AUTHOR] |
| Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 160164529 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Clinical encounters may not be responding to patients' search for meaning and control over non-specific chronic low back pain – an interpretative phenomenological analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Caeiro%2C+Carmen%22">Caeiro, Carmen</searchLink><br /><searchLink fieldCode="AR" term="%22Moore%2C+Ann%22">Moore, Ann</searchLink><br /><searchLink fieldCode="AR" term="%22Price%2C+Lee%22">Price, Lee</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Nov2022, Vol. 44 Issue 22, p6593-6607. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+diseases%22">Chronic diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Phenomenology%22">Phenomenology</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Portugal%22">Portugal</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Considering the need to study the experiences of individuals with musculoskeletal problems in contexts that have not yet been investigated as well as the relevance of fostering a research agenda towards person-centred care, this study aimed to explore the experiences of non-specific chronic low back pain from the perspective of Portuguese individuals living with it. An interpretative phenomenological analysis was employed to explore the experiences of eight participants, who were recruited purposefully from two primary care centres and one clinic. Semi-structured one-to-one interviews were carried out, audio-recorded and transcribed verbatim. Three themes were generated as interrelated parts of an extended account that explored the participants' meaning making of their experience: "Non-specific chronic low back pain as a disruptive experience"; "Searching for the meaning of non-specific chronic low back pain"; and, "Clinical encounters that perpetuate the lack of understanding about non-specific chronic low back pain." This study offers insight into the Portuguese individuals' experiences of non-specific chronic low back pain. Particularly, it suggests that clinical encounters may not be aligned with patients' needs and expectations. These findings may help clinicians in transferring this knowledge to therapeutic approaches to individuals with similar experiences/contexts. Patients with NSCLBP need to understand their pain and to retain a sense of control over their lives. Encounters with health professionals may perpetuate the lack of understanding about pain and strategies to control it, as patients consider themselves unable to have an active role in the decision-making and are disempowered to deal with their pain. Health professionals should involve patients and promote the co-construction of an explanation that integrates both health professionals' knowledge and patients' narratives. There is a need to align both the patients' and health professionals' perspectives regarding health care in order to implement patient-centred and individually tailored treatment. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09638288.2021.1966679 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 6593 Subjects: – SubjectFull: Lumbar pain Type: general – SubjectFull: Pilot projects Type: general – SubjectFull: Chronic diseases Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Patients' attitudes Type: general – SubjectFull: Phenomenology Type: general – SubjectFull: Sound recordings Type: general – SubjectFull: Judgment sampling Type: general – SubjectFull: Thematic analysis Type: general – SubjectFull: Portugal Type: general Titles: – TitleFull: Clinical encounters may not be responding to patients' search for meaning and control over non-specific chronic low back pain – an interpretative phenomenological analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Caeiro, Carmen – PersonEntity: Name: NameFull: Moore, Ann – PersonEntity: Name: NameFull: Price, Lee IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 09638288 Numbering: – Type: volume Value: 44 – Type: issue Value: 22 Titles: – TitleFull: Disability & Rehabilitation Type: main |
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