Chronic Low Back Pain Patients' Perceptions on Self-Management, Self-Management Support, and Functional Ability

Abstract

Chronic low back pain is the most commonly reported chronic pain condition, with an exceedingly high prevalence. The economic burden to society is remarkable with ensuing functional disablement. Although self-management (SM) and self-management support (SMS) are now being recommended to address chronic low back pain, there is a paucity of research on SM, SMS, and functional ability in this patient population. The purpose of this study was to describe the perceptions of chronic low back pain patients on their self-management (SM), self-management support (SMS), and functional ability. This qualitative manuscript is part of the data derived from a larger study using a non-experimental, cross-sectional, descriptive design. Open-ended questions on SM, SMS, and functional ability resulted in an abundant amount of substantive information. Participant responses provided significant themes. Taking medications and maintaining physical activity were dominant SM activities. Major participant-perceived SMS activities were prescribing medications, providing other treatments, and giving encouragement. Participants' concerns regarding their functional ability centered on anxiety and fear. This study can facilitate improved understanding on the SM, SMS, and functional ability of patients with chronic low back pain. There is an increased need for education and support of patients' mental state to facilitate SM. It is equally important for health care professionals to be proficient in providing SMS. These findings provide essential foundation toward evaluating the impact of SM and SMS on functional ability and other chronic low back pain outcomes.