Are the treatment expectations of 'significant others' psychosocial obstacles to work participation for those with persistent low back pain?

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

BACKGROUND: Treatment expectations form a fundamental component of the self-regulatory model of health behavior, which defines such cognitions as illness perceptions. Unrealistic and/or unhelpful treatment expectations have been linked to detrimental clinical and work outcomes in those with persistent low back pain. However, research of this nature has rarely focused on the influence of 'significant others' (spouse/partner/close family member). OBJECTIVE: To provide an in-depth examination of the treatment expectations of the 'significant others' of individuals who have become unable to work due to persistent low back pain, highlighting how significant others may influence recovery and work participation outcomes for such individuals. PARTICIPANTS: A convenience sample (n=18) of work disability benefit claimants and their significant others were recruited from two settings in the North of England. METHOD: A qualitative research design was employed, and semi-structured interviews based on the chronic pain version of the Illness Perceptions Questionnaire-Revised were conducted with claimants and their significant others. Interview data were analysed using template analysis. RESULTS: It was found that significant others expected a substantial reduction or complete removal of pain in order for treatment to be considered successful. The pursuit of diagnostic tests was important in validating such expectations, and there was continued scepticism of treatments already undertaken or offered as an alternative. Like the individuals affected, significant others believed that a correct diagnosis had not yet been received, which led to a continued delay in return to work. CONCLUSIONS: This study demonstrates that significant others have similar unrealistic and/or unhelpful treatment expectations to those widely reported by individuals with persistent low back pain, and could further reinforce such illness perceptions and serve as wider psychosocial obstacles to recovery and continued work participation.

Original languageEnglish
Pages (from-to)391-398
Number of pages8
JournalWork
Volume48
Issue number3
DOIs
Publication statusPublished - 2014

Fingerprint

Low Back Pain
Therapeutics
Interviews
Return to Work
Qualitative Research
Health Behavior
Spouses
Routine Diagnostic Tests
Chronic Pain
England
Cognition
Research Design
Pain
Research

Cite this

@article{6298e2a111334b2d99bf90731da5322c,
title = "Are the treatment expectations of 'significant others' psychosocial obstacles to work participation for those with persistent low back pain?",
abstract = "BACKGROUND: Treatment expectations form a fundamental component of the self-regulatory model of health behavior, which defines such cognitions as illness perceptions. Unrealistic and/or unhelpful treatment expectations have been linked to detrimental clinical and work outcomes in those with persistent low back pain. However, research of this nature has rarely focused on the influence of 'significant others' (spouse/partner/close family member). OBJECTIVE: To provide an in-depth examination of the treatment expectations of the 'significant others' of individuals who have become unable to work due to persistent low back pain, highlighting how significant others may influence recovery and work participation outcomes for such individuals. PARTICIPANTS: A convenience sample (n=18) of work disability benefit claimants and their significant others were recruited from two settings in the North of England. METHOD: A qualitative research design was employed, and semi-structured interviews based on the chronic pain version of the Illness Perceptions Questionnaire-Revised were conducted with claimants and their significant others. Interview data were analysed using template analysis. RESULTS: It was found that significant others expected a substantial reduction or complete removal of pain in order for treatment to be considered successful. The pursuit of diagnostic tests was important in validating such expectations, and there was continued scepticism of treatments already undertaken or offered as an alternative. Like the individuals affected, significant others believed that a correct diagnosis had not yet been received, which led to a continued delay in return to work. CONCLUSIONS: This study demonstrates that significant others have similar unrealistic and/or unhelpful treatment expectations to those widely reported by individuals with persistent low back pain, and could further reinforce such illness perceptions and serve as wider psychosocial obstacles to recovery and continued work participation.",
keywords = "Back pain, illness perceptions, significant others, work disability",
author = "Serena McCluskey and Joanna Brooks and Nigel King and Kim Burton",
year = "2014",
doi = "10.3233/WOR-131789",
language = "English",
volume = "48",
pages = "391--398",
journal = "Work",
issn = "1051-9815",
publisher = "IOS Press",
number = "3",

}

TY - JOUR

T1 - Are the treatment expectations of 'significant others' psychosocial obstacles to work participation for those with persistent low back pain?

AU - McCluskey, Serena

AU - Brooks, Joanna

AU - King, Nigel

AU - Burton, Kim

PY - 2014

Y1 - 2014

N2 - BACKGROUND: Treatment expectations form a fundamental component of the self-regulatory model of health behavior, which defines such cognitions as illness perceptions. Unrealistic and/or unhelpful treatment expectations have been linked to detrimental clinical and work outcomes in those with persistent low back pain. However, research of this nature has rarely focused on the influence of 'significant others' (spouse/partner/close family member). OBJECTIVE: To provide an in-depth examination of the treatment expectations of the 'significant others' of individuals who have become unable to work due to persistent low back pain, highlighting how significant others may influence recovery and work participation outcomes for such individuals. PARTICIPANTS: A convenience sample (n=18) of work disability benefit claimants and their significant others were recruited from two settings in the North of England. METHOD: A qualitative research design was employed, and semi-structured interviews based on the chronic pain version of the Illness Perceptions Questionnaire-Revised were conducted with claimants and their significant others. Interview data were analysed using template analysis. RESULTS: It was found that significant others expected a substantial reduction or complete removal of pain in order for treatment to be considered successful. The pursuit of diagnostic tests was important in validating such expectations, and there was continued scepticism of treatments already undertaken or offered as an alternative. Like the individuals affected, significant others believed that a correct diagnosis had not yet been received, which led to a continued delay in return to work. CONCLUSIONS: This study demonstrates that significant others have similar unrealistic and/or unhelpful treatment expectations to those widely reported by individuals with persistent low back pain, and could further reinforce such illness perceptions and serve as wider psychosocial obstacles to recovery and continued work participation.

AB - BACKGROUND: Treatment expectations form a fundamental component of the self-regulatory model of health behavior, which defines such cognitions as illness perceptions. Unrealistic and/or unhelpful treatment expectations have been linked to detrimental clinical and work outcomes in those with persistent low back pain. However, research of this nature has rarely focused on the influence of 'significant others' (spouse/partner/close family member). OBJECTIVE: To provide an in-depth examination of the treatment expectations of the 'significant others' of individuals who have become unable to work due to persistent low back pain, highlighting how significant others may influence recovery and work participation outcomes for such individuals. PARTICIPANTS: A convenience sample (n=18) of work disability benefit claimants and their significant others were recruited from two settings in the North of England. METHOD: A qualitative research design was employed, and semi-structured interviews based on the chronic pain version of the Illness Perceptions Questionnaire-Revised were conducted with claimants and their significant others. Interview data were analysed using template analysis. RESULTS: It was found that significant others expected a substantial reduction or complete removal of pain in order for treatment to be considered successful. The pursuit of diagnostic tests was important in validating such expectations, and there was continued scepticism of treatments already undertaken or offered as an alternative. Like the individuals affected, significant others believed that a correct diagnosis had not yet been received, which led to a continued delay in return to work. CONCLUSIONS: This study demonstrates that significant others have similar unrealistic and/or unhelpful treatment expectations to those widely reported by individuals with persistent low back pain, and could further reinforce such illness perceptions and serve as wider psychosocial obstacles to recovery and continued work participation.

KW - Back pain

KW - illness perceptions

KW - significant others

KW - work disability

UR - http://www.scopus.com/inward/record.url?scp=84922220535&partnerID=8YFLogxK

U2 - 10.3233/WOR-131789

DO - 10.3233/WOR-131789

M3 - Article

VL - 48

SP - 391

EP - 398

JO - Work

JF - Work

SN - 1051-9815

IS - 3

ER -