New Zealand osteopaths’ use of patient-reported outcome measures with patients who have chronic low back pain: A cross-sectional survey

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2024-02-16 DOI:10.1016/j.ijosm.2024.100719
Evania Vallyon , Saeideh Aminian , Samantha Heath
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Abstract

Background and Objectives

Patient-Reported Outcome Measures (PROMs) are instruments that capture patients' perspectives of their own health status and quality of life. As part of rising advocacy for their use in clinical practice, PROMs are said to hold promise for the management of long-term conditions. This study aimed to describe and explore New Zealand osteopaths’ use of PROMs for patients with chronic low back pain.

Methods

An online survey was adapted to investigate New Zealand osteopaths’ use of PROMs with patients who have chronic LBP. Topics included frequency of use, purposes for use, and determinants to use. Respondents were recruited via anonymous and non-randomised sampling across multiple platforms. Frequencies, means, and standard deviations were calculated for all numerical data. Content analysis was used to analyse textual data on determinants to use.

Results

In total, 79 osteopaths were included in data analysis. These respondents most often used PROMs to monitor patients’ pain intensity (80%) and sometimes also functional disability (27%). Although the respondents had some regard for their capability to use PROMs, they also claimed to be constrained by limited time and social or professional norms. Respondents were more attentive to the consequences of PROMs for patients than for other stakeholders.

Conclusions

Although New Zealand osteopaths may use PROMs to monitor the burden of chronic LBP, they probably do not use PROMs for the multidimensional assessment of pain or psychosocial factors. New Zealand osteopaths may be most receptive to adopting PROMs if they are presented with relevant interventions and evidence of their benefits for patients.

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新西兰骨科医生对慢性腰背痛患者使用患者报告结果测量法的情况:横断面调查
患者报告结果指标(PROMs)是一种记录患者对自身健康状况和生活质量看法的工具。据说,PROMs有望用于长期疾病的管理,这也是在临床实践中推广使用PROMs的原因之一。本研究旨在描述和探讨新西兰骨科医生对慢性腰背痛患者使用 PROMs 的情况。本研究对在线调查进行了调整,以调查新西兰骨科医生对慢性腰背痛患者使用PROMs的情况。调查主题包括使用频率、使用目的以及使用的决定因素。受访者通过匿名和非随机抽样的方式在多个平台上招募。所有数字数据均计算了频率、平均值和标准差。内容分析法用于分析使用决定因素的文本数据。共有 79 名骨科医生参与了数据分析。这些受访者最常使用 PROMs 监测患者的疼痛强度(80%),有时也会使用 PROMs 监测功能障碍(27%)。尽管受访者对自己使用 PROMs 的能力有一定的认识,但他们也声称受到时间有限、社会或职业规范的限制。与其他利益相关者相比,受访者更关注 PROMs 对患者造成的后果。尽管新西兰骨科医生可能会使用PROMs来监测慢性腰背痛的负担,但他们可能不会使用PROMs来对疼痛或心理社会因素进行多维评估。如果能向新西兰骨科医生提供相关的干预措施和对患者有益的证据,他们可能最容易接受采用PROMs。
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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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