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However, guidelines provide little information on how physiotherapists should best deliver reassurance. This study explores how \u201creassurance\u201d is enacted by physiotherapists and back pain patients during an initial consultation. The research setting was primary care. Twenty initial physiotherapy consultations were video-recorded and transcribed. The patient\u2013physiotherapist interactions were analyzed using conversation analysis, a qualitative observational method. These data highlighted how some physiotherapists gave reassurance directed by what they considered to be important but not always grounded in patients\u2019 expressed concerns. We also observed examples where physiotherapists developed a better understanding of patients\u2019 concerns, which provided more patient-focused and targeted reassurance with less interactional \u201ctrouble\u201d and greater patient affiliation. These findings suggest that physiotherapists should develop a good understanding of patients\u2019 concerns, and take them into consideration, before delivering their reassurance. This will require that physiotherapists be responsive to patients\u2019 concerns and adapt their communication to the individual needs of the patient.<\/jats:p>","DOI":"10.1177\/10497323251320874","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T10:48:41Z","timestamp":1748861321000},"page":"1181-1196","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Detailed Analysis of How Physiotherapists \u201cGive\u201d Reassurance for Patients\u2019 Concerns in Back Pain Consultations"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4498-5740","authenticated-orcid":false,"given":"Ian","family":"Cowell","sequence":"first","affiliation":[{"name":"Imperial College"},{"name":"Brook Physiotherapy Ltd"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"McGregor","sequence":"additional","affiliation":[{"name":"Imperial College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"Curtin University"},{"name":"Bodylogic Physiotherapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"University of Limerick"},{"name":"Aspetar Orthopaedic and Sports Medicine Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Poyton","sequence":"additional","affiliation":[{"name":"Imperial College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Schoeb","sequence":"additional","affiliation":[{"name":"University of Applied Sciences and Arts, Western Switzerland (HES-SO)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5088-5121","authenticated-orcid":false,"given":"Ged","family":"Murtagh","sequence":"additional","affiliation":[{"name":"Imperial College"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_3_6_2_1","volume-title":"Low back pain clinical care standard","author":"Australian Commission on Safety and Quality in Health Care","year":"2022","unstructured":"Australian Commission on Safety and Quality in Health Care. 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