The effects of patient-provider communication on 3-month recovery from acute low back pain
AuthorsShaw, William S.
Pransky, Glenn S.
Roter, Debra L.
Tveito, Torill H.
Larson, Susan M.
UMass Chan AffiliationsDepartment of Family Medicine and Community Health
Health Care Surveys
Health Status Indicators
Low Back Pain
Primary Health Care
Statistics as Topic
Community Health and Preventive Medicine
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AbstractBACKGROUND: patient-provider communication has been indicated as a key factor in early recovery from acute low back pain (LBP), one of the most common maladies seen in primary care; however, associations between communication and LBP outcomes have not been studied prospectively. METHODS: working adults (n = 97; 64% men; median age, 38 years) with acute LBP completed baseline surveys, agreed to audio recording of provider visits, and were followed for 3 months. Using the Roter Interaction Analysis System, 10 composite indices of communication were compared with 1- and 3-month patient outcomes. RESULTS: patients (n = 30) with significant pain and dysfunction persisting at 3 months provided more biomedical information (t, 2.61; P < .05) and engaged in more negative rapport building (t, 2.33; P < .05) but showed no increase in psychosocial/lifestyle communication during the initial visit (P > .05). Providers asked these patients more biomedical questions (r = 0.35 with dysfunction), more psychosocial/lifestyle questions (r = 0.30), made more efforts to engage the patient (t, 4.49; P < .05), and did more positive rapport building (t, 2.13; P < .05). CONCLUSIONS: providers adapt their communication patterns to collect more information and establish greater rapport with high-risk patients, but patients focus more on biomedical than coping concerns. To better elicit psychosocial concerns from patients, providers may need to administer brief self-report measures or adopt more structured interviewing techniques.
SourceJ Am Board Fam Med. 2011 Jan-Feb;24(1):16-25. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/30888
Related ResourcesLink to Article in PubMed