A1 Journal article (refereed)
Patients’ conceptions of undergoing physiotherapy for persistent low back pain delivered in Finnish primary healthcare by physiotherapists who had participated in brief training in cognitive functional therapy (2022)
Holopainen, R., Vuoskoski, P., Piirainen, A., Karppinen, J., & O’Sullivan, P. (2022). Patients’ conceptions of undergoing physiotherapy for persistent low back pain delivered in Finnish primary healthcare by physiotherapists who had participated in brief training in cognitive functional therapy. Disability and Rehabilitation, 44(14), 3388-3399. https://doi.org/10.1080/09638288.2020.1861116
JYU authors or editors
Publication details
All authors or editors: Holopainen, Riikka; Vuoskoski, Pirjo; Piirainen, Arja; Karppinen, Jaro; O’Sullivan, Peter
Journal or series: Disability and Rehabilitation
ISSN: 0963-8288
eISSN: 1464-5165
Publication year: 2022
Publication date: 22/12/2020
Volume: 44
Issue number: 14
Pages range: 3388-3399
Publisher: Taylor & Francis
Publication country: United Kingdom
Publication language: English
DOI: https://doi.org/10.1080/09638288.2020.1861116
Publication open access: Not open
Publication channel open access:
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/83970
Abstract
To explore the conceptions of patients with persistent low back pain (LBP) of undergoing physiotherapy delivered in Finnish primary healthcare by physiotherapists who had participated in brief training in Cognitive Functional Therapy (CFT).
Methods:
As part of a feasibility implementation study exploring CFT in management of LBP in the Finnish primary healthcare system, we interviewed nine patients from four geographical areas in Finland after receiving care. We used a phenomenographic approach to explore the variation in their conceptions.
Results:
The analysis revealed four descriptive categories: “hung out to dry,” “stuck,” “making sense and taking control,” and “holistic approach to care and living,” that varied based on six themes.
Conclusions:
Although the participants accepted this approach to care well, there was significant variation in patients’ conceptions. Restricted access to care within the healthcare system and a lack of social support led some of them to feel they had been left alone to suffer with their pain. On the other hand, based on the results of this study, positive experiences of physiotherapy and good collaboration with the physiotherapist, wider social support outside of physiotherapy, a better understanding of the multidimensional nature of pain and the acquisition of self-management skills were reported as positive aspects of undergoing physiotherapy that may be related to positive treatment outcomes.
Keywords: spinal diseases; chronic pain; physiotherapy; psychophysical physiotherapy; cognitive behavioural therapy; phenomenography
Free keywords: phenomenography; psychologically informed physiotherapy; cognitive functional therapy; conceptions; low back pain; physiotherapy; primary health care
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
Preliminary JUFO rating: 1
