Abstract
Background and Purpose: There is evidence that biospychosocial information imparted to patients can be effective in reducing pain, increasing function, shifting unhelpful beliefs, and reducing healthcare utilization. The effectiveness of this information is enhanced if it is addresses the individuals concerns. Qualitative studies have identified common patient concerns, but these studies have typically been small sample sizes. The purpose of this study is to identify FAQ’s of patients presenting to secondary care in the UK, and to explore differences with regard to diagnostic category, disability, employment status and level of distress.
Methods: In excess of 500 consecutive new patients presenting to secondary care, for a specialist opinion were invited to write up to 3 questions which they would like answered in their consultation that day. In addition patients completed the battery of questionnaires normally used in these clinics (VAS (pain), ODI HAD, employment status). Post consultation each patient was assigned to a diagnostic category including non-specific LBP.
Themes from the questions were identified and discussed by two of the authors (blind to each other) using the first 50 questionnaires. The most frequently asked questions were then identified for the whole group and for subgroups determined by diagnosis, disability, employment status and distress and age.
Results: Although the most FAQ’s have been identified, there were differences between subgroups and the range of questions was large. The key themes and relationships identified will be presented.
Conclusion: Although addressing FAQ’s in patient information is to be encouraged. The findings of this study emphasize the importance of exploring and addressing individual patient concerns.
Correspondence should be addressed to: Mr John O’ Dowd, SBPR, c/o BOA, The Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE.
