Imperial College London
Portrait Picture

ProfessorAlisonMcGregor

Faculty of Medicine, Department of Surgery & Cancer

Professor of Musculoskeletal Biodynamics
 
 
 
//

Contact

 

+44 (0)20 7594 2972a.mcgregor

 
 
//

Location

 

Room 202ASir Michael Uren HubWhite City Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Cowell:2019:10.1080/09593985.2019.1641864,
author = {Cowell, I and McGregor, A and O'Sullivan, P and O'Sullivan, K and Poyton, R and Murtagh, GM},
doi = {10.1080/09593985.2019.1641864},
journal = {Physiotherapy Theory and Practice},
pages = {693--709},
title = {How do physiotherapists solicit and explore patients' concerns in back pain consultations: a conversation analytic approach},
url = {http://dx.doi.org/10.1080/09593985.2019.1641864},
volume = {37},
year = {2019}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background:  Guidelines  advocate  that  non-specific  chronic  low  back  pain  (NSCLBP)  be considered  within  a  multi-dimensional  bio-psychosocial  (BPS)  framework.  This  BPS  approach advocates  incorporating  the  patient’s  perspective  as  part  of  the  treatment  process.  ‘Agenda setting’   has   been   introduced   as   the   key   to   understanding   patients’   concerns   in   medical encounters; however, this has received little attention in physiotherapy. This study explored how physiotherapists solicit and respond to the agenda of concerns that patients’ with NSCLBP bring to   initial   encounters. Method:   The   research   setting   was   primary   care. Twenty   initial physiotherapy  consultations  were  video-recorded,  transcribed  and  analysed  using  conversation analysis,  a  qualitative  observational  method.  Both  verbal  and  non-verbal  features  of  the interaction were considered. Results:  This data highlights a spectrum of communication styles ranging from more physiotherapist-focused, where the physiotherapists did not attend to patients’ concerns,  to  a  more  patient-focused  style,  which  provided  greater  opportunities  for  patients  to voice  their  concerns.   On  occasions patients  were  willing  to  pursue  their  own  agenda  when  their  concern  was initially overlooked. Conclusion: This    study    provides    empirical    evidence    on    communication    patterns    in physiotherapy practice. A more collaborative style of communication with a shared  conversational  agenda  provided  patients  with  the  conversational  space  to  describe  their concerns more fully.
AU  - Cowell,I
AU  - McGregor,A
AU  - O'Sullivan,P
AU  - O'Sullivan,K
AU  - Poyton,R
AU  - Murtagh,GM
DO  - 10.1080/09593985.2019.1641864
EP  - 709
PY  - 2019///
SN  - 1532-5040
SP  - 693
TI  - How do physiotherapists solicit and explore patients' concerns in back pain consultations: a conversation analytic approach
T2  - Physiotherapy Theory and Practice
UR  - http://dx.doi.org/10.1080/09593985.2019.1641864
UR  - https://www.tandfonline.com/doi/full/10.1080/09593985.2019.1641864
UR  - http://hdl.handle.net/10044/1/70053
VL  - 37
ER  -
Download