A Qualitative Investigation of the Psychosocial Impact of Chronic Low Back Pain in Ghana

Journal article


Ampiah, J., Moffatt, F., Diver, C. and Ampiah, P. K. (2023). A Qualitative Investigation of the Psychosocial Impact of Chronic Low Back Pain in Ghana. BMJ Open. 13 (7). https://doi.org/10.1136/bmjopen-2023-073538
AuthorsAmpiah, J., Moffatt, F., Diver, C. and Ampiah, P. K.
Abstract

Introduction: Chronic low back pain (CLBP) is a global health concern associated with multidimensional/biopsychosocial levels of affectation in developed countries, with holistic management requiring consideration of these factors. There has been minimal research exploring the psychosocial impact of CLBP, and the factors influencing it, in African contexts, with none in Ghana.

Objectives: To explore the psychosocial impact of CLBP among patients with CLBP in Ghana.

Design: Qualitative study using individual semistructured face-to-face interviews, underpinned by Straussian grounded theory principles and critical realist philosophy.

Participants: Thirty patients with CLBP attending physiotherapy at two hospitals in Ghana.

Results: Five categories: loss of self and roles, emotional distress, fear, stigmatisation and marginalisation, financial burden, and social support and three mechanisms: acquired biomedical/mechanical beliefs from healthcare professionals (HCPs), sociocultural beliefs and the socioeconomic impact of CLBP were derived.

Conclusion: CLBP adversely affects multidimensional/biopsychosocial aspects of individuals experiencing CLBP in Ghana. This delineates the need for a biopsychosocial approach to care. There is the need for HCPs in Ghana to reassess current CLBP management strategies to address the influence of adverse HCPs biomedical inclinations on patients’ psychosocial consequences. Population-based education strategies and consideration of formal support systems for persons with disabling CLBP may also be beneficial.

KeywordsPsychosocial, psychological, low back pain, Ghana, qualitative, impact
Year2023
JournalBMJ Open
Journal citation13 (7)
PublisherBMJ Publishing Group
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2023-073538
Web address (URL)https://bmjopen.bmj.com/content/13/7/e073538
Publication dates
Print20 Jul 2023
Publication process dates
Accepted24 May 2023
Deposited04 Aug 2023
Publisher's version
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/94q04

Download files


Publisher's version
e073538.full.pdf
License: CC BY 4.0
File access level: Open

  • 23
    total views
  • 11
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Export as

Related outputs

Understanding how patients' pain beliefs influence chronic low back pain management in Ghana: a grounded theory approach.
Ampiah, J., Moffatt, F., Diver, C. and Ampiah, P.K. (2022). Understanding how patients' pain beliefs influence chronic low back pain management in Ghana: a grounded theory approach. BMJ Open. 12 (12), p. e061062. https://doi.org/10.1136/bmjopen-2022-061062
Operationalisation of a biopsychosocial approach for the non-pharmacological management of patients with chronic musculoskeletal pain in low- and middle-income countries: A systematic review
Ampiah, P.K., Hendrick, P, Moffatt, F. and Ampiah, J. (2020). Operationalisation of a biopsychosocial approach for the non-pharmacological management of patients with chronic musculoskeletal pain in low- and middle-income countries: A systematic review. Musculoskeletal Care. https://doi.org/10.1002/msc.1462
Chronic Low Back Pain Beliefs and Management Practices in Africa: Time for a Re-think?
Ampiah, J., Moffatt, F., Diver, C. and Ampiah, PK (2019). Chronic Low Back Pain Beliefs and Management Practices in Africa: Time for a Re-think? Musculoskeletal Care. 17 (4), pp. 376-381. https://doi.org/10.1002/msc.1424
Patients’ Satisfaction with In-patient Orthopaedic Physiotherapy Services at a Tertiary Facility in Ghana
Ampiah, P.K., Ahenkorah, J. and Karikari, M. (2018). Patients’ Satisfaction with In-patient Orthopaedic Physiotherapy Services at a Tertiary Facility in Ghana. Journal of Patient Experience. https://doi.org/10.1177/2374373518793144