Background: Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP).
Objectives: To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (HEA).
Design: Qualitative study in a controlled clinical trial.
Method: Semi-structured interviews conducted after 12 weeks of treatment asked participants about
satisfaction with care and whether treatment was worthwhile. An interdisciplinary research team
conducted content analysis using qualitative data analysis software to identify and summarize themes.
Results: Of 192 trial participants, 174 (91%) completed interviews (66% female, age 57.0 ± 11.5 years).
Participants identified interactions with providers and staff, perceived treatment effects, and information
as key contributors to both their satisfaction and the worthwhile nature of treatment. HEA was liked for
its convenience and ability to foster an exercise habit. SMT was liked for specific aspects of the modality
(e.g. manipulation, stretching) and provider competency. Most participants reported no dislikes for SMT
or HEA, but some noted the dose/time commitment for SMT and discipline of HEA as least liked aspects
of the interventions.
Conclusions: The quality of patient-provider interactions, perceived treatment effects, and information
sharing influenced BRLP patients' satisfaction with care. Qualitative research describing patients' preferences can facilitate translation of study findings into practice and allow clinicians to tailor treatments
to facilitate compliance and satisfaction with care.
As a cancer survivor and educator, Dr. Barthels was motivated to create the "The Humans Behind Diseases" platform that can be used to provide learning opportunities for students to develop clinical empathy skills.
The authors developed a module called "Three Diets" to introduce students to the complex and extensive processes of human metabolism and its regulation in small chunks.
The presentation included examples of questions and answers that assist medical students in brief summaries and board-style questions and provided examples.
Change happens in all library settings. Do you have the skills to manage change successfully? Learn the essential elements of creating a change management plan that can apply to any change, big or small. Thoughtful and proactive planning for change leads to success.
Collection Development Policies are essential documents in all libraries. The COVID-19 pandemic significantly changed library user behavior and, subsequently, collection decisions. All library staff can play a role in ensuring these policies are effective and support the library’s mission. Learn why and how to develop and influence your library’s CDP in the modern era.
Settlements from lawsuits against some of the largest companies at the center of the opioid crisis will generate over $50 billion over the next 18 years. Recently published recommendations from RAND advocate using funds to increase public awareness and patient access to nonpharmacological therapies, including chiropractic care. Attendees will explore a range of opportunities to leverage settlement funding to support non-opioid pain management in their communities, and position chiropractic as an upstream prevention strategy in the ongoing opioid epidemic.
Settlements from lawsuits against some of the largest companies at the center of the opioid
crisis will generate over $50 billion over the next 18 years. Recently published
recommendations from RAND advocate using funds to increase public awareness and
patient access to nonpharmacological therapies, including chiropractic care. Attendees will
explore a range of opportunities to leverage settlement funding to support non-opioid pain
management in their communities, and position chiropractic as an upstream prevention
strategy in the ongoing opioid epidemic.