Prospective study of patients making primary care visits for back pain.
To examine the content of primary care visits for back pain in patients with little interference of pain with activities at the visit and 1 month later ; high interference of pain with activities at the visit but not 1 month later ; and high interference of pain with activities, both at the visit and 1 month later.
Advice about resumption of activities may be therapeutic for patients with back pain, but little is known about the extent to which primary care providers assess and respond to limitation of activities in patients.
Audiotapes of primary care visits for back pain were coded for content.
Patients indicated their goals for the visit and completed measures of pain and the pain's interference with activities, just before the visit and 1 month later.
In most visits, providers did not assess functional limitations related to pain and did not discuss how to resume normal activities, although this was a highly rated goal for most patients.
Providers did not appear to assess or respond to patients differently according to how much pain interfered with their activities.
However, in patients with high interference of pain with activities. there was more discussion of limitation of activities and how to return to usual activities among those who improved than there was among those who did not improve during the next month. (...)
Mots-clés Pascal : Rachialgie, Soin santé primaire, Relation, Activité professionnelle, Evolution, Incidence, Facteur risque, Epidémiologie, Homme, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Médecine travail
Mots-clés Pascal anglais : Rachialgia, Primary health care, Relation, Professional activity, Evolution, Incidence, Risk factor, Epidemiology, Human, Pain, Diseases of the osteoarticular system, Spine disease, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0162996
Code Inist : 002B15F. Création : 21/07/1998.