{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:07:50Z","timestamp":1773248870257,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,4,29]],"date-time":"2016-04-29T00:00:00Z","timestamp":1461888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To understand the patient experience of being admitted to hospital with acute low back pain (<jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content>), with a view to developing suggestions for care and <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> management guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Interpretive phenomenological analysis (<jats:styled-content style=\"fixed-case\">IPA<\/jats:styled-content>) was adopted to examine semi\u2010structured interviews from patients admitted to hospital with acute <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content>. Sampling continued until thematic saturation was reached (<jats:italic>n<\/jats:italic> = 14). Data were analyzed using the Framework Method, so that data from multiple participants could be systematically summarized, compared, and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four themes were identified: pain and helplessness, desire for validation, interactions with healthcare teams, and a return to pre\u2010morbid identity and roles. Patients' initial presentation to hospital was characterized by severe pain, disability and difficulty in communicating their illness experience. Patients expected doctors to investigate for an underlying cause of the back pain. To recover, they were required to navigate a system they did not understand, interacting with healthcare workers who seemed to operate independently rather than as a team. Patients viewed medical treatment as a means of returning to pre\u2010morbid activities of daily living, roles and relationships. Using these themes, a model of the inpatient journey was developed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We have described new patient insights which highlight how the hospital environment adds unique challenges to managing acute <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content>. Several suggestions for acute <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> management guidelines are made: developing lay summaries for patients, including methods for communicating the team structure and roles to patients, and ensuring all members of treating teams are educated to ensure guidelines are consistently implemented.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12870","type":"journal-article","created":{"date-parts":[[2016,4,30]],"date-time":"2016-04-30T13:07:04Z","timestamp":1462021624000},"page":"796-803","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The experience of patients admitted to hospital with acute low back pain: a qualitative study"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1159-2323","authenticated-orcid":false,"given":"Carlos","family":"El\u2010Haddad","sequence":"first","affiliation":[{"name":"School of Medicine 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