Publication type: Conference other
Type of review: Peer review (publication)
Title: Rehabilitation of low back pain in patients with a Southeast European cultural background : patient's perspectives on rehabilitation using a constructivist approach
Authors: Scheermesser, Mandy
Kool, Jan
Oesch, Peter
Schämann, Astrid
Bachmann, Stefan
Published in: Swiss Medical Weekly
Volume(Issue): 139
Issue: Suppl 169
Issue Date: 2009
Publisher / Ed. Institution: EMH Swiss Medical Publishers
ISSN: 1424-7860
Language: English
Subjects: Cultural factor; Immigration; Low back pain; Rehabiliation
Subject (DDC): 615: Pharmacology and therapeutics
617.5: Orthopaedic surgery
Abstract: Background: Previous studies show that function-centered treatment is more effective than pain-centered treatment in reducing work absenteeism. Results are generally poorer in patients with a Southeast European cultural background. This qualitative research explores possible barriers to return to work that are not identified and addressed adequately. Objective: To explore experiences concerning function-centered rehabilitation in patients from Southeast Europe and to assess health professionals’ views. Methods: Semi-structured interviews were conducted in the patients? native language by a native speaker. Fields of interest covered patients’ expectations of treatment, social and work aspects. Furthermore we assessed the view of health professionals by interviews and focus groups. Results: Patients with a Southeast European cultural background do not consider psychological aspects to contribute to their health problem. Because of their limited knowledge of the German language many patients felt misunderstood by health professionals. Most patients have high treatment expectations and are disappointed that these were not fulfilled. Patients preferred passive treatment and disliked taking responsibility for their own health. Patients experienced a low degree of trans-disciplinary individually adapted treatment. Conclusions: The results suggest, that patients may need more motivational support to participate in active instead of passive treatment, and intensified coordination of trans-disciplinary long-term management involving social workers, employers, medical and psychological care - beyond the currently applied therapy. Supported by a grant from the Swiss National Science Foundation (grant NFP 53 405340-111500)
Fulltext version: Published version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Published as part of the ZHAW project: Kulturelle Faktoren bei der Rehabilitation von Rückenschmerzen
Appears in collections:Publikationen Gesundheit

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