OBJECTIVE: To determine whether patterns of patient-provider communication might vary depending on psychosocial risk factors for back disability. METHODS: Working adults (N = 97; 64% men; median age = 38 years) with work-related low back pain completed a risk factor questionnaire and then agreed to have provider visits audiotaped. Verbal exchanges were divided into utterances and coded for content, then compared among low-, medium-, and high-risk patients. RESULTS: Among high-risk patients only, providers asked more biomedical questions, patients provided more biomedical information, and providers used more language to engage patients and facilitate communication. There were no group differences in psychosocial exchanges. CONCLUSIONS: Clinicians may recognize the need for more detailed assessment of patients with multiple psychosocial factors, but increases in communication are focused on medical explanations and therapeutic regimen, not on lifestyle and psychosocial factors.
OBJECTIVE: To determine whether patterns of patient-provider communication might vary depending on psychosocial risk factors for back disability. METHODS: Working adults (N = 97; 64% men; median age = 38 years) with work-related low back pain completed a risk factor questionnaire and then agreed to have provider visits audiotaped. Verbal exchanges were divided into utterances and coded for content, then compared among low-, medium-, and high-risk patients. RESULTS: Among high-risk patients only, providers asked more biomedical questions, patients provided more biomedical information, and providers used more language to engage patients and facilitate communication. There were no group differences in psychosocial exchanges. CONCLUSIONS: Clinicians may recognize the need for more detailed assessment of patients with multiple psychosocial factors, but increases in communication are focused on medical explanations and therapeutic regimen, not on lifestyle and psychosocial factors.
Authors: William S Shaw; Edward H Chin; Candace C Nelson; Silje Endresen Reme; Mary J Woiszwillo; Santosh K Verma Journal: J Occup Rehabil Date: 2013-03
Authors: Christine Cedraschi; Margareta Nordin; Scott Haldeman; Kristi Randhawa; Deborah Kopansky-Giles; Claire D Johnson; Roger Chou; Eric L Hurwitz; Pierre Côté Journal: Eur Spine J Date: 2018-01-27 Impact factor: 3.134
Authors: Katherine Bradbury; Miznah Al-Abbadey; Dawn Carnes; Borislav D Dimitrov; Susan Eardley; Carol Fawkes; Jo Foster; Maddy Greville-Harris; J Matthew Harvey; Janine Leach; George Lewith; Hugh MacPherson; Lisa Roberts; Laura Parry; Lucy Yardley; Felicity L Bishop Journal: BMJ Open Date: 2016-05-27 Impact factor: 2.692