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Orthopedics and Osteoporosis 2018
N o v e m b e r 2 9 - 3 0 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Page 52
Journal of Clinical & Experimental Orthopaedics
ISSN: 2471-8416
E u r o p e a n C o n f e r e n c e o n
Orthopedics and
Osteoporosis
Background:
Low back pain (LBP) is a common and debilitating clinical
problem often seen by physiotherapists. Studies suggest that involving
patients in making decisions about managing their illnesses may help to
improve patients’ adherence and self-management. It is largely unknown
why patients with LBP adopt certain decisional roles when making
treatment choices. Moreover, qualitative studies addressing experiences of
LBP patients’ involvement in decision making and more specifically, those
in Arabian cultures such as Saudi Arabia is severely lacking.
Aim:
To investigate patients’ experiences of physiotherapy for non-specific
LBP, their perceptions of the appropriateness of participation in decision
making and information provision and reasons for these preferences.
Methods:
Seven focus groups of patients with LBP (n=27; 2-6 patients in
each group) were included in this study. This study was conducted in Riyadh,
Saudi Arabia, using a semi-structured interview technique with open-ended
questions.
Analysis:
Framework analysis was used to analyse data derived from the
focus groups.
Results:
Patients considered their needs for clinical information to be more
important than their actual participation in the management process. They
wanted more information that they could use to self-manage their LBP
condition and to avoid further complications. Their perception was that
they lacked the professional knowledge and clinical skills to participate in
decision making, in addition to time constraints during physiotherapy visits
appeared to be patients’ main reasons for a limited desire for participation
in clinical settings.
Conclusion:
Patient self-efficacy was proposed as an essential element
of patients’ involvement in decision making. Patients' views on making
treatment choices may reflect their perceived self-capabilities to take part
in decision making in clinical settings. The findings provide information on
which future studies can be performed to investigate patient perceived self-
capabilities to cope with their LBP condition in relation to their preferences
for participation, treatment outcomes and the long term self-management
of LBP
Patients' views and experiences of their participation in managing
non-specific low back pain
Wafa AlKhatrawi
1
, Iain D Beith
2
and Sheila Kitchen
3
1
Ministry of Health, Saudi Arabia
2
St Georges University of London /Kingston University, UK
3
King's College London, UK
Wafa AlKhatrawi et al., J Clin Exp Orthop 2018, Volume: 4
DOI: 10.4172/2471-8416-C1-006
Biography
Wafa AlKhatrawi has expertise in Physiotherapy for more than 20
years in Saudi Arabia. She was graduated in 1996 as a Certified
Professional Physiotherapist and then completed her Masters’
degree in Pediatric Physiotherapy, in 2004. She received her PhD
from King’s College London, London, United Kingdom (2013) with
an interest in collaborative clinical decision making and patient
centered care.
wafmalik@yahoo.com