Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study

OBJECTIVE: To produce free, expert-informed postoperative information for lumbar discectomy patients, satisfying UK National Health Service Information Standards. DESIGN: A mixed methods approach utilising the Delphi technique and focus groups. SETTING: Five spinal centres across the UK. PARTICIPANT...

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Autores principales: Goodwin, P C, Wright, C C, Allan, C, Crowther, L, Darley, C, Heap, A, Paul, E, White, L, Rushton, A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360785/
https://www.ncbi.nlm.nih.gov/pubmed/25762227
http://dx.doi.org/10.1136/bmjopen-2014-006069
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author Goodwin, P C
Wright, C C
Allan, C
Crowther, L
Darley, C
Heap, A
Paul, E
White, L
Rushton, A
author_facet Goodwin, P C
Wright, C C
Allan, C
Crowther, L
Darley, C
Heap, A
Paul, E
White, L
Rushton, A
author_sort Goodwin, P C
collection PubMed
description OBJECTIVE: To produce free, expert-informed postoperative information for lumbar discectomy patients, satisfying UK National Health Service Information Standards. DESIGN: A mixed methods approach utilising the Delphi technique and focus groups. SETTING: Five spinal centres across the UK. PARTICIPANTS: Panel members included 23 physiotherapists, 11 patients and 17 spinal surgeons. INTERVENTION: Three rounds of questionnaires including open and closed questions and attendance at a clinician/patient focus group. RESULTS: Response rates of 85%, 26% and 35% were achieved for the Delphi rounds. Ten clinicians and six patients participated in the focus groups. Consensus for leaflet sections was achieved in round 1 and content in round 3. The focus groups informed further revisions. CONCLUSIONS: A consensually agreed, Information Standard compliant, patient lumbar discectomy leaflet was produced containing: (1) normal spine anatomy; (2) anatomy disc herniation and surgery; (3) back protection strategies and (4) frequently asked questions. Illustrations of exercises enable tailoring to the individual patient.
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spelling pubmed-43607852015-03-25 Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study Goodwin, P C Wright, C C Allan, C Crowther, L Darley, C Heap, A Paul, E White, L Rushton, A BMJ Open Neurology OBJECTIVE: To produce free, expert-informed postoperative information for lumbar discectomy patients, satisfying UK National Health Service Information Standards. DESIGN: A mixed methods approach utilising the Delphi technique and focus groups. SETTING: Five spinal centres across the UK. PARTICIPANTS: Panel members included 23 physiotherapists, 11 patients and 17 spinal surgeons. INTERVENTION: Three rounds of questionnaires including open and closed questions and attendance at a clinician/patient focus group. RESULTS: Response rates of 85%, 26% and 35% were achieved for the Delphi rounds. Ten clinicians and six patients participated in the focus groups. Consensus for leaflet sections was achieved in round 1 and content in round 3. The focus groups informed further revisions. CONCLUSIONS: A consensually agreed, Information Standard compliant, patient lumbar discectomy leaflet was produced containing: (1) normal spine anatomy; (2) anatomy disc herniation and surgery; (3) back protection strategies and (4) frequently asked questions. Illustrations of exercises enable tailoring to the individual patient. BMJ Publishing Group 2015-03-11 /pmc/articles/PMC4360785/ /pubmed/25762227 http://dx.doi.org/10.1136/bmjopen-2014-006069 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Neurology
Goodwin, P C
Wright, C C
Allan, C
Crowther, L
Darley, C
Heap, A
Paul, E
White, L
Rushton, A
Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study
title Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study
title_full Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study
title_fullStr Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study
title_full_unstemmed Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study
title_short Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study
title_sort evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a delphi consensus study
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360785/
https://www.ncbi.nlm.nih.gov/pubmed/25762227
http://dx.doi.org/10.1136/bmjopen-2014-006069
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