Does the expectation of patients affect the success of their treatment?
What are the expectation of patients?
It sounds obvious but patients expect to be shown respect by their therapist, they expect to feel trust in them, for them to be punctual and compliant and take an active role in rehabilitation.
However, the most important patient expectations were for symptomatic
relief, self-management strategies and "hands on" treatment. In fact the nature of the
treatment provided by physiotherapists was ranked as the most important (Potter et al 2003).
What is the effect of patient expectation on the success of treatment?
Positive expectation = Positive outcome:
Linde et al (2007) found a significant association between
better improvement and higher outcome expectations with placebo treatments.
&
Metcalfe & Moffett (2013) performed a study on 285
patients referred a peripheral
joint problem and they found that higher expectations were
related to greater change in functional disability and health status, and a more
perceived improvement.
Negative expectation = Negative outcome:
Hill et al (2007) found that if expectations were low for neck pain sufferers then the outcomes were also low too.
Are patient expectations generally being met?
Patients are often dissatisfied with treatment for acute or
chronic back pain (Verbeek et al 2004).
Summary:
So it is important! Be respectful, gain their trust, be on time, involve them in the process. On top of this be effective with symptom relief, give them self management and be hands on too!
If you can do this then the patient will have a much chance of getting better!
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