Pp-160 A Tool Personalized For Chronic Patients- A Study To Determine Educative Goals Low Back Pain Qualitative Pilot

Author(s): 
Steiner Anne-Sylvie1, Chambouleyron Monique2, Genevay Stephane3, Wolff Hans1, Cedraschi Christine3
1 Department of Primary Care and Community Health, Geneva University Hospital and University of Geneva, Geneva, Switzerland
2 Service of Therapeutic Education for Chronic Diseases, Geneva University Hospital and University of Geneva, Geneva, Switzerland
3 Division of Rheumatology, Geneva University Hospital and University of Geneva, Geneva, Switzerland
Text: 
Aim: An effective patient education program needs to determine individualized, precise, realistic and measurable goals. There is no standardized tool for such purpose in chronic low back pain patients (CLBP). This project aims to develop a tool helping patients and· therapists to determine educative goals, and to test its effectiveness.
Design and methods: The tool was developed after interviewing the multidisciplinary team about their educative goals. The patient had to choose pictures relevant for himself/herself among a series of 40 photos featuring daily life activities and place them on a 0 to 10 scale according to their perceived level of importance, difficulty, and kinesiophobia. The tool was tested with 14 CLBP. Evaluation comprised the tool's ability to help choosing educative goals, added value of the tool compared to a semi-structured interview, applicability for the therapeutic team within a group program.
Results: All 14 patients identified tasks described by the team as possible goals. For 89% of them, the tool identified more meaningful activities than a semi-structured interview; 82% declared the tool useful to realize their difficulties and resources; 18% referred to it as a help for expressing themselves. However, 67% of the therapists used the determined objectives only occasionally.
Conclusion: The results emphasized the visual tool as a means to help finding common goals in the team and in the patients. It helped determining individualized, realistic and measurable goals and produced a higher number of more specific responses than a semi-structured interview. Further steps will include piloting the effective implementation of the tool.
Literature: 
PP-160
A TOOL PERSONALIZED FOR CHRONIC PATIENTS- A STUDY TO DETERMINE EDUCATIVE GOALS LOW BACK PAIN QUALITATIVE PILOT