BACKGROUND & OBJECTIVE
Traditional musculoskeletal physiotherapy predominantly utilizes a biomedical paradigm in which a power asymmetry between the clinician and person seeking therapy exists. The biopsychosocial paradigm encourages a person-centered approach, the aim being a partnership in which power, responsibility and control over decision-making are equally shared. The objective of this qualitative study was to understand peopleâ€™s ability to express their â€œissues of most importanceâ€ to their clinician during an initial consultation and subsequently the clinicianâ€™s ability to understand and address these issues.
- NHS-based qualitative study
- 15 clinicians were recruited then 15 persons requiring musculoskeletal physiotherapy were allocated to them.
- Pre and post-consultation interviews were performed plus the consultation was recorded. All 3 interactions were transcribed.
- A hermeneutic approach, i.e. manual in-depth interpretation of the texts, by one author experienced in interpretive phenomenology, was employed. In this approach themes arising in the data could be identified.
Most people presented with 2 to 5 topics they wished to discuss. Three themes emerged from the data.