Journal of Occupational and Environmental Medicine · 2005 · 40 citations · 32 references
Social SciencesRehabilitation MedicineHealth CommunicationPain ManagementPhysical TherapyCommunication With Healthcare ProvidersLow Back Pain RehabilitationPatient-provider CommunicationPatient-provider RelationshipsHealthcare Provider CommunicationHealthcare Provider CounselingMultiple RegressionPatient Satisfaction AnalysisProspective Cohort DataProvider Communication SkillsSatisfactionTreatment Satisfaction
OBJECTIVE: We sought to assess the relationship between perceptions of provider communication and treatment satisfaction for acute, work-related low-back pain (LBP). METHODS: In a prospective cohort study, 544 working adults (67% men) with acute LBP provided 1- and 3-month assessments of pain, function, and work status. RESULTS: In a multiple regression analysis, positive provider communication (took problem seriously, explained condition clearly, tried to understand my job, advised to prevent re-injury) explained more variation in patient satisfaction at 1 month than was explained by clinical improvements in pain and function. At 3 months, clinical improvement variables surpassed provider communication as predictors of patient satisfaction. CONCLUSIONS: Patients with work-related LBP place a high value on provider counseling and education, especially during the acute stage (<1 month) of treatment.
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A Study of the Natural History of Back Pain
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