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dc.contributor.authorYip, Aen_US
dc.contributor.authorSchoeb, Ven_US
dc.identifier.citationPhysiotherapy theory and practice, 2018, DOI:
dc.description.abstractBackground and purpose: Patient participation is the cornerstone for effective physiotherapy intervention. The aim was to analyze how patients and physiotherapists negotiate symptoms during exercise therapy and describe patients’ participation during this process.en_US
dc.description.abstractMethods: Nineteen consultations with sixteen patients and six physiotherapists were video-recorded in two Hong Kong outpatient settings. Conversation Analysis was used to uncover interactional aspects of symptom-talk, focusing on turn-taking, sequence organization, and vocabulary.en_US
dc.description.abstractResults: Physiotherapists explored patients’ symptoms only minimally and their frequent use of closed-ended questions allowed limited opportunity for participation. For patient-initiated symptom-talk, less than half elicited actions from physiotherapists, whose minimal acknowledgments were often accepted. Yet, some patients achieved a more substantial contribution through: (1) pausing the exercise-in-progress; (2) gazing at the physiotherapist; (3) pointing at the painful area; and (4) interrupting the physiotherapist, thereby challenging the social order. While discussion about symptoms was often initiated by physiotherapists, some patients participated actively by engaging in certain communicative strategies.en_US
dc.description.abstractConclusions: Patient participation can be improved by physiotherapists offering a supportive environment (i.e., question design, responding to patients’ initiations, and promoting health literacy), and by patients embracing action-engendering communicative strategies. The fine details of interaction shed light onto the subtleties of symptom-talk initiated by patients or physiotherapists in physiotherapy.en_US
dc.description.sponsorshipDepartment of Rehabilitation Sciencesen_US
dc.publisherTaylor & Francisen_US
dc.relation.ispartofPhysiotherapy theory and practiceen_US
dc.subjectHealthcare communicationen_US
dc.subjectPatient participationen_US
dc.subjectHealth literacyen_US
dc.subjectConversation analysisen_US
dc.subjectQualitative researchen_US
dc.titleFacilitating patient participation in physiotherapy : symptom-talk during exercise therapy from an Asian contexten_US
dc.typeJournal/Magazine Articleen_US
dc.description.validate201806 bcmaen_US
dc.description.oaNot applicableen_US
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