Shared decision-making in back pain consultations

An illusion or reality?

L. E. Jones, L. C. Roberts*, P. S. Little, M. A. Mullee, J. A. Cleland, C. Cooper

*Corresponding author for this work

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Purpose: Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain. 

Method: Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians. 

Results: The mean OPTION score was 24.0 % (range 10.4-43.8 %). 

Conclusion: Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decision-making and further work should focus on when and how it can be implemented.

Original languageEnglish
Pages (from-to)13-19
Number of pages7
JournalEuropean Spine Journal
Volume23
Issue numberSuppl 1
Early online date30 Jan 2014
DOIs
Publication statusPublished - Apr 2014

Fingerprint

Back Pain
Decision Making
Referral and Consultation
Physical Therapists
Patient Compliance
Observational Studies
Outpatients
Delivery of Health Care
Health

Keywords

  • Back pain
  • Communication
  • OPTION instrument
  • Patient involvement
  • Patient-centred care
  • Shared decision-making

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Jones, L. E., Roberts, L. C., Little, P. S., Mullee, M. A., Cleland, J. A., & Cooper, C. (2014). Shared decision-making in back pain consultations: An illusion or reality? European Spine Journal, 23(Suppl 1), 13-19. https://doi.org/10.1007/s00586-014-3187-0

Shared decision-making in back pain consultations : An illusion or reality? / Jones, L. E.; Roberts, L. C.; Little, P. S.; Mullee, M. A.; Cleland, J. A.; Cooper, C.

In: European Spine Journal, Vol. 23, No. Suppl 1, 04.2014, p. 13-19.

Research output: Contribution to journalArticle

Jones, LE, Roberts, LC, Little, PS, Mullee, MA, Cleland, JA & Cooper, C 2014, 'Shared decision-making in back pain consultations: An illusion or reality?', European Spine Journal, vol. 23, no. Suppl 1, pp. 13-19. https://doi.org/10.1007/s00586-014-3187-0
Jones, L. E. ; Roberts, L. C. ; Little, P. S. ; Mullee, M. A. ; Cleland, J. A. ; Cooper, C. / Shared decision-making in back pain consultations : An illusion or reality?. In: European Spine Journal. 2014 ; Vol. 23, No. Suppl 1. pp. 13-19.
@article{99ba8b019b2747bb89dc27cbcdfa32ae,
title = "Shared decision-making in back pain consultations: An illusion or reality?",
abstract = "Purpose: Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain. Method: Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians. Results: The mean OPTION score was 24.0 {\%} (range 10.4-43.8 {\%}). Conclusion: Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decision-making and further work should focus on when and how it can be implemented.",
keywords = "Back pain, Communication, OPTION instrument, Patient involvement, Patient-centred care, Shared decision-making",
author = "Jones, {L. E.} and Roberts, {L. C.} and Little, {P. S.} and Mullee, {M. A.} and Cleland, {J. A.} and C. Cooper",
note = "Acknowledgments The authors wish to acknowledge: the patients and staff in the former Southampton City Primary Care Trust. This work was conducted within the Southampton Musculoskeletal Research Unit. Arthritis Research UK for funding the fellowship of the lead researcher (LR).",
year = "2014",
month = "4",
doi = "10.1007/s00586-014-3187-0",
language = "English",
volume = "23",
pages = "13--19",
journal = "European Spine Journal",
issn = "0940-6719",
publisher = "Springer Verlag",
number = "Suppl 1",

}

TY - JOUR

T1 - Shared decision-making in back pain consultations

T2 - An illusion or reality?

AU - Jones, L. E.

AU - Roberts, L. C.

AU - Little, P. S.

AU - Mullee, M. A.

AU - Cleland, J. A.

AU - Cooper, C.

N1 - Acknowledgments The authors wish to acknowledge: the patients and staff in the former Southampton City Primary Care Trust. This work was conducted within the Southampton Musculoskeletal Research Unit. Arthritis Research UK for funding the fellowship of the lead researcher (LR).

PY - 2014/4

Y1 - 2014/4

N2 - Purpose: Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain. Method: Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians. Results: The mean OPTION score was 24.0 % (range 10.4-43.8 %). Conclusion: Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decision-making and further work should focus on when and how it can be implemented.

AB - Purpose: Amid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain. Method: Eighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians. Results: The mean OPTION score was 24.0 % (range 10.4-43.8 %). Conclusion: Shared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decision-making and further work should focus on when and how it can be implemented.

KW - Back pain

KW - Communication

KW - OPTION instrument

KW - Patient involvement

KW - Patient-centred care

KW - Shared decision-making

UR - http://www.scopus.com/inward/record.url?scp=84899433818&partnerID=8YFLogxK

U2 - 10.1007/s00586-014-3187-0

DO - 10.1007/s00586-014-3187-0

M3 - Article

VL - 23

SP - 13

EP - 19

JO - European Spine Journal

JF - European Spine Journal

SN - 0940-6719

IS - Suppl 1

ER -