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How do physiotherapists include patients' perspectives into their decision making - cross-sectional study using the

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Summary
This summary is machine-generated.

Physiotherapists demonstrate moderate patient-centered communication, which is linked to shared decision-making (SDM) in shoulder problems. Improving communication can enhance SDM and patient involvement in treatment choices.

Keywords:
Evidence-based medicinePatient-centered communicationPhysiotherapyShared decision making

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Area of Science:

  • Physiotherapy
  • Communication in Healthcare
  • Shared Decision-Making

Background:

  • Patient-centered communication and evidence-based practice are foundational to shared decision-making (SDM).
  • The application of patient-centered communication in physiotherapy has not been extensively studied from an observational standpoint.
  • Understanding this communication is crucial for optimizing patient care and treatment adherence.

Purpose of the Study:

  • To assess the extent of patient-centered communication used by physiotherapists during initial consultations for shoulder problems.
  • To investigate the relationship between the level of patient-centered communication and the degree of shared decision-making (SDM) achieved.

Main Methods:

  • A secondary analysis of 100 audio-recorded initial physiotherapy consultations for shoulder problems.
  • Utilized the Four Habit Coding Scheme (4HCS) to quantify patient-centered communication levels (0-100).
  • Examined the correlation between 4HCS scores and shared decision-making (SDM) levels using statistical analysis.

Main Results:

  • The average 4HCS score was 45, indicating moderate patient-centered communication among physiotherapists.
  • A significant positive correlation (0.610) was found between patient-centered communication (4HCS) and shared decision-making (SDM).
  • Most consultations exhibited low levels of both patient-centered communication and SDM.

Conclusions:

  • There is a notable opportunity to enhance patient-centered communication within physiotherapy practice.
  • While patient-centered communication is more prevalent than SDM, it doesn't automatically ensure SDM.
  • Higher levels of SDM are associated with greater patient-centered communication, highlighting its importance in clinical practice.