Skip to main content

Table 9 Panel’s self-reported use, perceived clinical validity, and effects of treatment characteristics (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 characteristics (k = 8 statements)

1

Appointment features

Ensuring the patient is cared for by the same practitioner/therapist (i.e., continuity of care)

89.7 (n = 35)

87.2 (n = 34)

79.5 (n = 31)

2.5

Treatment advice or options

Overtly encouraging patients to engage in therapy/exercise with an optimistic mindset to try establish positive associations with pain relief

84.6 (n = 33)

87.2 (n = 34)

76.9 (n = 30)

2.5

Treatment advice or options

Encouraging patients to find suitable incentives/reinforcement strategies to increase daily activity (e.g., personalised activities, exercise partners)

84.6 (n = 33)

89.7 (n = 35)

69.2 (n = 27)

4*

Treatment advice or options

To show and tell the patient that as a therapy is applied it helps (e.g., ‘I am applying pressure here because it helps…’)

66.7 (n = 26)

61.5 (n = 24)

66.7 (n = 26)

5*

Appointment features

Verbalising future treatment plans by stating the number of appointments and/or follow-ups (e.g., ‘I will treat you every second week for 30 min’)

61.5 (n = 24)

66.7 (n = 26)

64.1 (n = 25)

6

Appointment features

Increasing the frequency and/or duration of appointments (i.e., provide extra time/attention)

59.0 (n = 23)

53.8 (n = 21)

64.1 (n = 25)

7

Alternative feedback

Administering treatments along with visual feedback (e.g., using mirrors during exercises)

41.0 (n = 16)

71.8 (n = 28)

61.5 (n = 24)

8*

Alternative feedback

Enabling patients to engage with other patients undergoing treatment with positive results (e.g., group exercise classes, sharing success stories/testimonials, informally in the waiting area)

30.8 (n = 12)

59.0 (n = 23)

51.3 (n = 20)

  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 2.5 indicates joint “second/third” (i.e., (2 + 3)/2 = 2.5)
  2. *This statement was revised between the two Delphi rounds