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Orthopaedic Proceedings
Vol. 96-B, Issue SUPP_4 | Pages 22 - 22
1 Feb 2014
Patel S Hee S Yang Y Ngunjiri A Brown S Friede T Griffiths F Lord J Sandhu H Thistlethwaite J Tysall C Woolvine M Underwood M
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Background

The available treatments for NSLBP (Non-Specific Low Back Pain) provide, typically, small to moderate average benefits to patients. The aim of this pilot cluster RCT was to test the hypothesis that the use of a patient decision aid together with an informed shared decision making consultation would produce better outcomes in satisfaction with treatment at four month follow-up.

Methods

We developed a DSP (Decision Support Package). We randomised the physiotherapists and trained those in the intervention arm in informed shared decision making and communication. Participants were recruited from a local physiotherapy department and those allocated to an appointment with an intervention therapist were sent a copy of the DSP in the post. Participants then attended their appointment as usual.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_4 | Pages 5 - 5
1 Jan 2013
Ngunjiri A Underwood M Patel S
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Aims

To develop a decision aid - Decision Support Package (DSP) - that will provide low back pain (LBP) patients, and their treating physiotherapists with information on the treatment options available to the patients

To develop a training package for physiotherapists on how to use the DSP

To encourage and evaluate the informed shared decision making (ISDM) process between patients and physiotherapists during consultation.

Method

We developed a DSP informed by existing research and collaboration with physiotherapists, patients and experts in the field of decision aids and LBP. We did six pieces of exploratory work: literature review; 2009 NICE LBP guidelines review; qualitative screening of transcripts of interviews of LBP patients; focus groups (patients); nominal group (physiotherapists), and Delphi study (experts). We collated these data to develop the DSP. We also developed a training package for physiotherapists.