TY  - JOUR
A1  - Karstens, Sven
A1  - Lang, Sarah
A1  - Saunders, Benjamin
T1  - Patients’ views on the implementation potential of a stratified treatment approach for low back pain in Germany: A qualitative study
T2  - Health Services Insight
N2  - Stratified care for low back pain (LBP) has been shown to be clinically- and cost-effective in the UK, but its transferability to the German healthcare system is unknown. This study explores LBP patients’ perspectives regarding future implementation of stratified care, through in-depth interviews (n = 12). The STarT-Back-Tool was completed by participants prior to interviews. Interview data were analysed using Grounded Theory. The overarching theme identified from the data was ‘treatment-success’, with subthemes of ‘assessment and treatment planning’, ‘acceptance of the questionnaire’ and ‘contextual factors’. Patients identified the underlying cause of pain as being of great importance (whereas STarT-Back allocates treatment based on prognosis). The integration of the STarT-Back-Tool in consultations was considered helpful as long as it does not disrupt the therapeutic relationship, and was acceptable if tool results are handled confidentially. Results indicate that for patients to find STarT-Back acceptable, the shift from a focus on identifying a cause of pain and subsequent diagnosis, to prediction-orientated treatment planning, must be made clear. Patient ‘buy in’ is important for successful uptake of clinical interventions, and findings can help to inform future strategies for implementing STarT-Back in the Germany, as well as having potential implications for transferability to other similar healthcare systems.
KW  - Rückenschmerz
KW  - Therapie
KW  - targeted treatment
KW  - stratified care
KW  - patients' perceptions
KW  - low back pain
Y1  - 2020
UR  - https://hst.opus.hbz-nrw.de/frontdoor/index/index/docId/99
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:tr5-995
VL  - 13
SP  - 1
EP  - 8
PB  - SAGE Publications
ER  -