Abstract
OBJECTIVE:: To determine whether patterns of patient-provider communication might vary depending on psychosocial risk factors for back disability. METHODS:: Working adults (N = 97; 64% men; median age = 38 years) with work-related low back pain completed a risk factor questionnaire and then agreed to have provider visits audiotaped. Verbal exchanges were divided into utterances and coded for content, then compared among low-, medium-, and high-risk patients. RESULTS:: Among high-risk patients only, providers asked more biomedical questions, patients provided more biomedical information, and providers used more language to engage patients and facilitate communication. There were no group differences in psychosocial exchanges. CONCLUSIONS:: Clinicians may recognize the need for more detailed assessment of patients with multiple psychosocial factors, but increases in communication are focused on medical explanations and therapeutic regimen, not on lifestyle and psychosocial factors.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1032-1040 |
| Number of pages | 9 |
| Journal | Journal of Occupational and Environmental Medicine |
| Volume | 51 |
| Issue number | 9 |
| DOIs | |
| State | Published - Sep 2009 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Does the presence of psychosocial yellow flags alter patient-provider communication for work-related, acute low back pain? / Shaw, William S.; Pransky, Glenn; Winters, Thomas; Tveito, Torill H.; Larson, Susan M; Roter, Debra.
In: Journal of Occupational and Environmental Medicine, Vol. 51, No. 9, 09.2009, p. 1032-1040.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Does the presence of psychosocial yellow flags alter patient-provider communication for work-related, acute low back pain?
AU - Shaw, William S.
AU - Pransky, Glenn
AU - Winters, Thomas
AU - Tveito, Torill H.
AU - Larson, Susan M
AU - Roter, Debra
PY - 2009/9
Y1 - 2009/9
N2 - OBJECTIVE:: To determine whether patterns of patient-provider communication might vary depending on psychosocial risk factors for back disability. METHODS:: Working adults (N = 97; 64% men; median age = 38 years) with work-related low back pain completed a risk factor questionnaire and then agreed to have provider visits audiotaped. Verbal exchanges were divided into utterances and coded for content, then compared among low-, medium-, and high-risk patients. RESULTS:: Among high-risk patients only, providers asked more biomedical questions, patients provided more biomedical information, and providers used more language to engage patients and facilitate communication. There were no group differences in psychosocial exchanges. CONCLUSIONS:: Clinicians may recognize the need for more detailed assessment of patients with multiple psychosocial factors, but increases in communication are focused on medical explanations and therapeutic regimen, not on lifestyle and psychosocial factors.
AB - OBJECTIVE:: To determine whether patterns of patient-provider communication might vary depending on psychosocial risk factors for back disability. METHODS:: Working adults (N = 97; 64% men; median age = 38 years) with work-related low back pain completed a risk factor questionnaire and then agreed to have provider visits audiotaped. Verbal exchanges were divided into utterances and coded for content, then compared among low-, medium-, and high-risk patients. RESULTS:: Among high-risk patients only, providers asked more biomedical questions, patients provided more biomedical information, and providers used more language to engage patients and facilitate communication. There were no group differences in psychosocial exchanges. CONCLUSIONS:: Clinicians may recognize the need for more detailed assessment of patients with multiple psychosocial factors, but increases in communication are focused on medical explanations and therapeutic regimen, not on lifestyle and psychosocial factors.
UR - http://www.scopus.com/inward/record.url?scp=70349656978&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=70349656978&partnerID=8YFLogxK
U2 - 10.1097/JOM.0b013e3181b2f539
DO - 10.1097/JOM.0b013e3181b2f539
M3 - Article
C2 - 19687758
AN - SCOPUS:70349656978
VL - 51
SP - 1032
EP - 1040
JO - Journal of Occupational and Environmental Medicine
JF - Journal of Occupational and Environmental Medicine
SN - 1076-2752
IS - 9
ER -