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Table 11 Panel’s self-reported use, perceived clinical validity and effects of the treatment environment (Round 1; n = 39)

From: Musculoskeletal practitioners’ perceptions of contextual factors that may influence chronic low back pain outcomes: a modified Delphi study

Rank

Sub-set

Statement

Self-reported use (%)

Valid (%)

Enhance Treatment (%)

Treatment environment/setting (k = 9 statements)

1

Interior design/layout

Ensuring treatment facilities have privacy provisions (e.g., private changing area and treatment room, curtains/blinds on windows)

92.3 (n = 36)

82.1 (n = 32)

61.5 (n = 24)

2*

Interior design/layout

Considering seating provisions in treatment office (e.g., relative position to desk, additional chairs for carer)

87.2 (n = 34)

79.5 (n = 31)

59.0 (n = 23)

3.5

Setting’s décor

Waiting areas and treatment facilities are uncluttered and tidy

84.6 (n = 33)

71.8 (n = 28)

59.0 (n = 23)

3.5*

Setting’s décor

Decorating the waiting area with cheerful ornamentation (e.g., healthy indoor plants, leisure reading materials, comfortable cushions)

84.6 (n = 33)

71.8 (n = 28)

59.0 (n = 23)

5

Interior design/layout

Ensuring facilities have ample natural light or windows, and are suitably heated/ventilated (i.e., comfortable temperature)

79.5 (n = 31)

79.5 (n = 31)

69.2 (n = 27)

6

Setting’s décor

Providing visual indicators or cues to signify it is a medical setting (e.g., model of spine, patient information brochures, medicalised décor)

71.8 (n = 28)

64.1 (n = 25)

53.8 (n = 21)

7*

Interior design/layout

Considering seating provisions in the waiting areas (e.g., quantity, varying chair sizes, general arrangement)

64.1 (n = 25)

74.4 (n = 29)

59.0 (n = 23)

8*

Setting’s décor

Using nature artworks that include green vegetation, flowers, or water may help to reduce anxiety

48.7 (n = 19)

59.0 (n = 23)

59.0 (n = 23)

9*

Setting’s décor

Combining positive distractors such as soft or soothing music, nice aromas, hot or cold beverages

46.2 (n = 18)

56.4 (n = 22)

59.0 (n = 23)

  1. If two or more statements had equal percentages of self-reported use, then fractional ranks were computed by averaging the ordinal ranks to reflect ties. For example, rank 3.5 indicates joint “third/fourth” (i.e., (3 + 4)/2 = 3.5)
  2. *This statement was revised between the two Delphi rounds