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- Title
What Messages Do Patients Remember? Relationships Among Patients' Perceptions of Physical Therapists' Messages, Patient Characteristics, Satisfaction, and Outcome.
- Authors
Overmeer, Thomas; Boersma, Katja
- Abstract
Background. Based on a behavioral medicine perspective, modern recommendations for physical therapists treating patients with spinal pain include performing a trustworthy physical examination, conveying the message that back pain is benign, and stressing that activity is a key to recovery. However, little evidence is available on how patients perceive these biopsycho-social messages and how patients' perceptions of these messages relate to their recovery. Objectives. The aim of this study was to explore the relationships between perceptions of treatment delivery that are related to an evidence-based approach and psychological factors, treatment outcome, and treatment satisfaction. Design. A cohort study with 3 measurement points was conducted. Methods. Data on 281 participants were collected. Results. High catastrophizing and lower mood in the participants were correlated to "not perceiving the biopsychosocial message" measured at 6 weeks after treatment start. Participants who did not perceive the biopsychosocial message were at higher risk for disability and had lower treatment satisfaction 6 months after treatment start even when controlling for pretreatment pain intensity. "Not perceiving the biopsychosocial message" was not a mediator for treatment outcome and treatment satisfaction. Physical therapists' treatment orientations or attitudes were not related to the perception of the message by the patients. Limitations. There was no measure of actual practice behavior. Conclusions. Maladaptive cognitions and negative emotions appear to affect the way information provided during treatment is perceived by patients. The way information is perceived by patients influences treatment outcome and treatment satisfaction. Physical therapists are advised to check that patients with higher levels of catastrophizing and lower mood are correctly perceiving and interpreting a biopsychosocial message.
- Subjects
SWEDEN; ATTITUDE testing; BACKACHE; COMMUNICATION; CONFIDENCE intervals; STATISTICAL correlation; EMOTIONS; HEALTH attitudes; LIFE skills; LONGITUDINAL method; MEMORY; PATIENT satisfaction; PATIENT psychology; SENSORY perception; PHYSICAL therapists; PROBABILITY theory; QUESTIONNAIRES; REGRESSION analysis; RESEARCH funding; SCALE analysis (Psychology); MULTIPLE regression analysis; SECONDARY analysis; PAIN measurement; TREATMENT effectiveness; DATA analysis software; PHYSICAL therapists' attitudes; DESCRIPTIVE statistics
- Publication
Physical Therapy, 2016, Vol 96, Issue 3, p275
- ISSN
0031-9023
- Publication type
Article
- DOI
10.2522/ptj.20140557