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Managing time: An interpretative phenomenological analysis of patients' and physiotherapists' perceptions of adherence to therapeutic exercise for low back pain 

Authors: Sarah G. Dean a;  Jonathan A. Smith b;  Sheila Payne c; John Weinman d
Affiliations:   a Rehabilitation Teaching and Research Unit, Department of Medicine, Wellington School of Medicine and Health Sciences, University of Otago, New Zealand
b School of Psychology, University of London, Birkbeck, UK
c Palliative and End-of-Life Care Research Group, University of Sheffield, UK
d Health Psychology Section, Psychology Department (at Guy's), Institute of Psychiatry, Kings College, London, UK
DOI: 10.1080/0963820500030449
Publication Frequency: 18 issues per year
Published in: journal Disability & Rehabilitation, Volume 27, Issue 11 June 2005 , pages 625 - 636
Number of References: 61
Formats available: HTML (English) : PDF (English)
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Abstract

Purpose. Physiotherapy for low back pain (LBP) includes exercise therapy. Unfortunately adherence is problematic. This study explores patients' and physiotherapists' perceptions of exercise adherence.

Method. Nine LBP patients and eight physiotherapists were interviewed. Interpretative Phenomenological Analysis (IPA) was used to explore transcript data.

Results. The main theme 'managing time', reveals how pressure on time reflects society's view of time as a commodity. Theme components include 'the bargaining process': physiotherapists spend time listening, exploring patient beliefs, but modify patients' expectations of quick cures with the need to own their back care. 'Reviewing the future' identifies fears about long-term disability, highlighting the importance of recovery time knowledge.

Conclusions. Interpreting participants' stories illustrates how investing in routine exercise could help re-interpret LBP as part of everyday life.
Keywords: Interpretative phenomenological analysis; low back pain; exercise; adherence
view references (61) : view citations
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