Coping responses and self management strategies for individuals with chronic low back pain following physiotherapy discharge in Kuwait: a mixed method study

Mandani, Mohammad 2024. Coping responses and self management strategies for individuals with chronic low back pain following physiotherapy discharge in Kuwait: a mixed method study. PhD Thesis, CARDIFF UNIVERSITY. Item availability restricted.

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Abstract

Abstract Background: Patients' engagement with self-management strategies (SMS) is crucial in managing chronic low back pain (CLBP) and relies on appropriate information from treating physiotherapists. However, patients have differing coping response strategies (CS) which may be influenced by culture and impact SMS success. Aims: To explore patients` CS and their perceptions of SMS in the specific cultural context of Kuwait, and to explore physiotherapists’ perceptions of patients` CS and SMS post-physiotherapy discharge. Method: A study in Kuwait employed a partially mixed sequential dominant status design, using Patient Reported Outcome Measures (PROMS) and semi-structured interviews with CLBP patients. A quantitative phase categorised 10 patients into those who adopted mainly active (PAS) or passive CS (PPS) pre-physiotherapy. Repeated PROMS and interviews post-physiotherapy determined CLBP patients` perceptions of CS and SMS. Interviews gathered Physiotherapists` perceptions on patients` CS and SMS. Quantitative findings: The PAS group reported high self-efficacy, less medication use, normal anxiety, and depression levels, and used more active CS pre- and post-physiotherapy. Praying and hoping was a common spiritual CS among all patients who lead their life as part of the Islamic culture. Qualitative findings: CLBP patients' themes indicated that the PAS group adopted more active CS compared to the PPS group. Most patients in both groups reported lacking full details about home treatment exercises (HTE). Physiotherapists` themes indicated that they were confident using their expertise to screen CS and tailored exercises differently for PAS and PPS patients. Conclusion: There appear to be different CS in CLBP patients who were classified into PAS and PPS and may require different SMS. Adherence to a HTE is linked to those exhibiting active CS and being less reliant on medication. The knowledge and influence of culture can give an insight into developing targeted CS in some patients. ii The classification approach used needs further consideration as its validity and reliability is not established

Item Type:	Thesis (PhD)
Date Type:	Completion
Status:	Unpublished
Schools:	Healthcare Sciences
Date of First Compliant Deposit:	30 July 2024
Last Modified:	30 Jul 2024 11:15
URI:	https://orca.cardiff.ac.uk/id/eprint/170993

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