Abstract
Focus group methodology was used to explore the experiences, beliefs and treatment expectations of chronic low back pain (LBP) patients in order to identify what components of treatment they considered to be of most value: specific emphasis was placed on the importance of advice and exercise to these patients.
Methods: Using a purposive sampling procedure, three focus groups were convened. All participants (n=18) were currently experiencing chronic LBP (> 3months), with no red flags, and had received advice and exercise as part of treatment. Each group was facilitated by an independent moderator, and guided by a series of pre-determined questions, although participants were encouraged to freely air their personal opinions. Discussions were tape-recorded and transcribed, with the written consent of all participants. Transcribed data were categorised into a series of ‘nodes’ from which a series of common themes emerged.
Results: A variety of occupations and age groups were represented; one group consisted solely of females, and the other two were of mixed gender. The appropriateness of treatment was largely weighted upon the provision of a precise diagnosis. Participants acknowledged the value of advice and exercise provided by practitioners, however their lack of compliance with such programmes was a key factor limiting their long-term self-management of symptoms.
Conclusions: Clinical practice must incorporate strategies to improve compliance with advice and exercise. Individually tailored treatment programmes with follow-up support and direction, along with a better understanding of the physical and emotional impact of chronic LBP by practitioners, is recommended by patients.
Correspondence should be addressed to Ms Alison McGregor, c/o BOA, SBPR at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE.
