{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T09:48:30Z","timestamp":1763113710173,"version":"3.45.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Low back pain (LBP) is a highly prevalent and disabling condition. People with LBP may be referred to elective surgical clinics for further evaluation and consideration of surgery. Despite long waits for an initial appointment, many of these patients are not surgical candidates and may be discharged, receiving minimal\u2010to\u2010no care, advice or alternative treatment options, leaving a critical gap in care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Approximately\n                      <jats:styled-content>25<\/jats:styled-content>\n                      participants with dominant, chronic non\u2010specific axial LBP who are (1) referred to and (2) discharged without spinal surgery following consultation in two elective spinal surgery clinics in Western Australia will participate in a one\u2010on\u2010one pre\u2010consultation semi\u2010structured interview and a similar post\u2010consultation qualitative interview. Purposive sampling will be used to recruit participants. Interviews will be audio\u2010recorded and transcribed, underpinned by a qualitative descriptive approach to explore participants' care journey, including pre\u2010consultation expectations and overall experiences post\u2010consultation. We will use inductive content analysis to analyse our data, allowing for the identification of themes that are generated from the participants' responses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion\/Conclusion<\/jats:title>\n                    <jats:p>This protocol outlines the methodological process for a qualitative study exploring the experiences and expectations of LBP patients before and after consulting in elective spinal surgery clinics in Western Australia. The findings may give rise to consumer\u2010focused solutions to improve the care journey and highlight gaps in patient expectations and understanding of non\u2010surgical management, informing the development of tailored educational resources, communication strategies and new care pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>\n                      This study will incorporate patient and\/or public involvement by engaging representatives from Musculoskeletal Australia (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/muscha.org\/\">https:\/\/muscha.org\/<\/jats:ext-link>\n                      ) to contribute to the study design and interpretation of findings. Specifically, a consumer with lived experience of low back pain will be invited to review and provide feedback on the semi\u2010structured interview questions, to ensure they are appropriate, accessible and reflective of patient experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>This study is not a clinical trial and is therefore not registered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70301","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T08:04:32Z","timestamp":1747728272000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Before and After\u2019. The Journey of Patients With Low Back Pain Consulting in Elective Spine Surgery Clinics. A Qualitative Study Protocol"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9802-0573","authenticated-orcid":false,"given":"Matthew","family":"Fernandez","sequence":"first","affiliation":[{"name":"Discipline of Chiropractic CQUniversity Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deb","family":"Lees","sequence":"additional","affiliation":[{"name":"Discipline of Chiropractic CQUniversity Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2763-771X","authenticated-orcid":false,"given":"Katie","family":"de Luca","sequence":"additional","affiliation":[{"name":"Discipline of Chiropractic CQUniversity Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9729-2182","authenticated-orcid":false,"given":"Dawn","family":"Dane","sequence":"additional","affiliation":[{"name":"Discipline of Chiropractic CQUniversity Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2858-9588","authenticated-orcid":false,"given":"Peter","family":"Stilwell","sequence":"additional","affiliation":[{"name":"School of Physical and Occupational Therapy McGill University Montreal Canada"},{"name":"Department of Sports Science and Clinical Biomechanics, Research Unit of Movement, Culture and Society University of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3007-8231","authenticated-orcid":false,"given":"Leanda","family":"McKenna","sequence":"additional","affiliation":[{"name":"South Metropolitan Health Service, Fiona Stanley Fremantle Hospital Group, Department of Physiotherapy Perth Australia"},{"name":"Curtin School of Allied Health, Faculty of Health Sciences Curtin University Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8404-7847","authenticated-orcid":false,"given":"Brigitte","family":"Tampin","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health, Faculty of Health Sciences Curtin University Perth Australia"},{"name":"North Metropolitan Health Service Sir Charles Gairdner Hospital, Department of Physiotherapy, Neurosurgery Spinal Clinic Perth Australia"},{"name":"Hochschule Osnabrueck, Faculty of Business and Social Sciences Osnabrueck University of Applied Sciences Osnabrueck Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4482-563X","authenticated-orcid":false,"given":"Caroline","family":"Bulsara","sequence":"additional","affiliation":[{"name":"Institute for Health Research &amp; National School of Nursing &amp; Midwifery The University of Notre Dame Notre Dame Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3172-5624","authenticated-orcid":false,"given":"Tamar","family":"Pincus","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4865-7066","authenticated-orcid":false,"given":"Michelle","family":"Kendell","sequence":"additional","affiliation":[{"name":"South Metropolitan Health Service, Fiona Stanley Fremantle Hospital Group, Department of Physiotherapy Perth Australia"},{"name":"Curtin School of Allied Health, Faculty of Health Sciences Curtin University Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"unstructured":"Back Problems. 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