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Titre : | Self-management behaviour after a physiotherapist guided blended self-management intervention in patients with chronic low back pain: A qualitative study (2022) |
Auteurs : | J.P.J. Achten ; S. Mooren-van der Meer ; M.F. Pisters ; C. Veenhof ; T. Koppenaal ; C.J.J. Kloek |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 62, December 2022) |
Article en page(s) : | 102675 |
Note générale : | https://doi.org/10.1016/j.msksp.2022.102675 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Autosoins ; Douleur chronique ; Lombalgie ; Techniques de physiothérapie ; Télémédecine |
Résumé : | Background Self-management support is considered an important component in the physiotherapeutic treatment of people with chronic low back pain. The stratified blended physiotherapy intervention e-Exercise Low Back Pain is an example of a self-management intervention. More insight may contribute to improving blended interventions to stimulate self-management after treatment and thus hopefully prevent chronicity and/or relapses in patients with chronic low back pain. Objectives The aim of this study was to gain an in-depth understanding of the self-management behaviour after a physiotherapist guided blended self-management intervention in people with chronic low back pain. Design A qualitative study with semi-structured interviews nested within a randomized controlled trial on the (cost-)effectiveness of e-Exercise Low Back Pain was conducted. Method Thematic analysis was used to analyse the transcriptions. A hybrid process of both deductive and inductive approaches was used. Results After 12 interviews, data saturation was reached. Analysis of the data yielded six themes related to self-management behaviour: illness beliefs, coping, cognitions, social support and resource utilization, physiotherapeutic involvement and motivation. Conclusions In our study the majority of the participants seemed to show adequate self-management behaviour when experiencing low back pain. Most participants first try to gain control over their low back pain themselves when experiencing a relapse before contacting the physiotherapist. Participants struggle in continuing health behaviour in pain free periods between relapses of low back pain. Physiotherapists are recommended to encourage long-term behaviour change. Additionally, better facilitation by the physiotherapist or additional functionalities in the app to stimulate social support might have a useful contribution. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781222001758 |