New Zealand osteopaths’ use of patient-reported outcome measures with patients who have chronic low back pain: A cross-sectional survey
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Other Title
Authors
Vallyon, Evania Natalie-Anne
Author ORCID Profiles (clickable)
Degree
Master of Osteopathy
Grantor
Unitec, Te Pūkenga – New Zealand Institute of Skills and Technology
Date
2023
Supervisors
Aminian, Saeideh
Heath, Samantha
Heath, Samantha
Type
Masters Thesis
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
New Zealand
chronic low back pain
osteopaths and patients
Patient Reported Outcome Measures (PROMs)
osteopathic medicine
patients
chronic low back pain
osteopaths and patients
Patient Reported Outcome Measures (PROMs)
osteopathic medicine
patients
ANZSRC Field of Research Code (2020)
Citation
Vallyon, E. N.-A. (2023). New Zealand osteopaths’ use of patient-reported outcome measures with patients who have chronic low back pain: A cross-sectional survey (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec, Te Pūkenga – New Zealand Institute of Skills and Technology https://hdl.handle.net/10652/6068
Abstract
PREFACE
Patient-Reported Outcome Measures (PROMs) are instruments that capture patients’ perspectives of their own health status without interpretation by anyone else [1]. As part of rising advocacy for their use in clinical practice, PROMs are said to be particularly promising for the management of long-term conditions like chronic low back pain (LBP). A proposed reason for this is that the feedback of individual PROMs data may enhance communication and empower patients for patient-centred care.
Although extensive research exists on healthcare practitioners’ use of PROMs in clinical practice, little is known about New Zealand osteopaths’ use of the measures either in general or for specific conditions such as chronic LBP. This thesis addresses this gap by describing New Zealand osteopaths’ use of PROMs with patients who have chronic LBP. In addition, by exploring potential barriers and facilitators to osteopaths’ use of PROMs, the thesis investigates factors that may influence future implementation. Its emphasis on perceived advantages also raises the need for an exploration of how and why osteopaths think that PROMs should be used in their management of chronic LBP.
This thesis is comprised of four sections. The FIRST SECTION, the literature review, serves to describe how and why PROMs may be used in clinical practice and by extension osteopathic practice. Consideration is given to the potential significance of PROMs for osteopaths’ work with patients who have chronic LBP. With this understanding of PROMs and their potential for osteopathic practice, the focus then shifts to describing manual therapists’ use of PROMs in clinical practice and for LBP. This behavioural focus sets scene for an elaboration of common barriers and facilitators to therapists’ use of the measures. Emphasis is once again placed on describing and exploring osteopaths’ use of PROMs within the constraints of the available literature.
SECTION TWO provides an overview of the methodological considerations that led to the design of this study. The section begins with a description of the theoretical approaches—the Capability Opportunity Motivation–Behaviour system and the Theoretical Domains Framework—that informed the study’s investigation of barriers and facilitators. Both approaches are examined for their utility and issues of ‘mis-match’ are discussed. Following this, the section expands on why a cross-sectional survey-based design was identified as most appropriate for the aims of this study. Considerations regarding sampling, questionnaire creation, and modes of survey distribution are all discussed. The issue of declining response rates is also met with a review of mitigating strategies.
SECTION THREE presents the research in a manuscript format in accordance with the International Journal of Osteopathic Medicine’s ‘Author Information Pack’ (Appendix A). The manuscript consists of the abstract, introduction, methods, findings, and discussion. All appended resources are provided in a FOURTH SECTION at the end of the thesis. These resources include but are not limited to the ethics approval letter, ‘Participant Information Sheet’, and survey questionnaire.
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