title: Patient led goal setting in chronic low back pain-What goals are important to the patient and are they aligned to what we measure?
abstract: OBJECTIVE
  To determine the extent of alignment between clinical outcome measures and patient-derived goals for the management of chronic low back pain (cLBP).
  
  
  METHODS
  A customised, patient-led goal setting intervention was implemented facilitated by a physiotherapist, in which participants identified problem areas and developed strategies to address them. Patient goals were compared to the most commonly used outcome measures in cLBP as well as research outcomes recommended by the IMMPACT consortium.
  
  
  RESULTS
  From 20 participants, a total of 27 unique goals were identified, the most common goal related to physical activity (49%). Comparison of participant goals to the most common measures used by physiotherapists found none of the goals could be aligned. Comparison of goals and domains with IMPACCT outcome domains found 76% of the goals were aligned with physical functioning and 16% with emotional functioning.
  
  
  CONCLUSIONS
  This study has identified goals important to patients in cLBP, these were varied, and most did not correspond with current clinical measures.
  
  
  CONCLUSIONS
  Clinical outcome measures may not be providing accurate information about the success of treatments that are meaningful to the patient. Clinicians should consider a collaborative approach with cLBP patients to determine treatment interventions that are driven by patient preference.
authors.affiliation: Faculty of Pharmacy, Sydney University, Sydney, Australia. Electronic address: tgar4750@uni.sydney.edu.au.
authors.forename: Tania
authors.initials: T
authors.lastname: Gardner
authors.affiliation: Faculty of Health Sciences, Sydney University, Sydney, Australia.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Refshauge
authors.affiliation: Neuroscience Research Australia, Sydney, Australia.
authors.forename: James
authors.initials: J
authors.lastname: McAuley
authors.affiliation: Centre for Health Economics Research & Evaluation, University of Technology Sydney, Sydney, Australia.
authors.forename: Stephen
authors.initials: S
authors.lastname: Goodall
authors.affiliation: Neuroscience Research Australia, Sydney, Australia.
authors.forename: Markus
authors.initials: M
authors.lastname: Hübscher
authors.affiliation: Faculty of Pharmacy, Sydney University, Sydney, Australia.
authors.forename: Lorraine
authors.initials: L
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006040:Goals; D006801:Humans; D008137:Longitudinal Studies; D017116:Low Back Pain / Q000523:psychology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010147:Pain Measurement / Q000379:methods; D063868:Patient Outcome Assessment; D057240:Patient Preference; D018802:Patient-Centered Care; D011788:Quality of Life; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Chronic low back pain; Outcome measures; Patient centred; Patient led goal setting