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Exploring the use of the ‘Adapted Miracle Question’ in the assessment of low back pain

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Nichols, Vivien P., Griffiths, Frances, McCarthy, Christopher J. and Lamb, S. E. (Sallie E.). (2011) Exploring the use of the ‘Adapted Miracle Question’ in the assessment of low back pain. Physiotherapy, Vol.97 (No.3). pp. 203-208. ISSN 00319406

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Official URL: http://dx.doi.org/10.1016/j.physio.2010.11.003

Abstract

Background: Low back pain is a complex condition, often recurring or chronic, which has proved difficult to characterise. To explore an alternative approach to assessing low back pain, an expert panel adapted the 'Miracle Question' from Solution-Focused Brief Therapy. This asks about a forward scenario of waking without the problems that the client had presented with. The question was adapted to: What would you do if you did not have back pain? Objectives: To explore the use of the Adapted Miracle Question (AMQ) within an interview study of patients with low back pain. Design, setting and participants: The AMQ was used in an interview study of 34 participants recruited from the UK Back Skills Training (BeST) trial, assessing the effectiveness of a cognitive behavioural approach intervention for the management of low back pain. Responses to the AMQ were analysed thematically and then case by case. Results: Interviewees talked about details of their activities and ability to function that would be different, and about change to their quality of life. Some talked about work. Five interviewees said that it would make no difference to them. When considered overall, the responses could be categorised as: no change; some change in activity/function; a return to their pre-back pain state; and life would be transformed. Conclusion: The AMQ was straightforward to ask and prompted a breadth of responses which may be useful in tailoring treatment. This question warrants further evaluation in the clinical setting. (C) 2010 Chartered Society of Physiotherapy

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Backache, Qualitative research
Journal or Publication Title: Physiotherapy
Publisher: Elsevier
ISSN: 00319406
Date: September 2011
Volume: Vol.97
Number: No.3
Page Range: pp. 203-208
Identification Number: 10.1016/j.physio.2010.11.003
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: National Institute for Health Research Health Technology Assessment Programme (NIHRHTAP)
Grant number: ISRCTN54717854 (NIHRHTAP)
URI: http://wrap.warwick.ac.uk/id/eprint/38553

Data sourced from Thomson Reuters' Web of Knowledge

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