Article

OBJECTIVE: To explore perceptions of spinal manipulative therapy and exercise
among adults aged 65 years and older with chronic neck pain. DESIGN: Mixed
methods study embedded within a randomized clinical trial. SUBJECTS/PATIENTS:
Interviews were conducted with 222 of 241 randomized clinical trial participants.
They had a mean age of 72.2 years and they had neck pain of moderate severity and
of 6 years mean duration. METHODS: Semi-structured interviews were conducted at
the completion of the 12 week intervention phase, during which participants
received spinal manipulative therapy and exercise interventions. Interviews
explored determinants of satisfaction with care, whether or not therapy was
worthwhile, and what was liked and disliked about treatment. Interviews were
recorded and transcribed; content analysis was used to identify themes within
responses. RESULTS: Participants placed high value on their relationships with
health care team members, supervision, individualized care, and the exercises and
information provided as treatment. Change in symptoms did not figure as
prominently as social and process-related themes. Percpetions of age, activities,
and co-morbities influenced some seniors' expectations of treatment results, and
comorbidities impacted perceptions of their ability to participate in active
care. CONCLUSION: Relationship dynamics should be leveraged in clinical
encounters to enhance patient satisfaction and perceived value of care.

Langue : ANGLAIS