The mean (SD) 4HCS score was 59.8 (13.5), clearly below the
scale midpoint, while the mean (SD) score for habit IV was 31.0
(7.1), slightly above the scale midpoint (Table 2). The doctors,
physiotherapists, and chiropractors did not differ significantly on
the measured variables. Patient sex, educational level, and social
class were not associated with any of the outcome variables.
Table 3 shows the bivariate correlations between communication
quality (4HCS) and patient age, pain duration, and consultation
length. There were strongly significant negative correlations
between the 4HCS total score and patient age and pain duration.
This reflects a difference of about eight points between young
and old patients or between patients with duration of pain less
or more than 10 years. We found similar correlations with habits
IV, III, and II as well, but not with habit I. The differences pertained
mostly to interest in the patient’s understanding and psychosocial
status, encouraging expression of emotions, test for comprehension,
involvement in decisions, and asking for additional questions.
The negative correlation between 4HCS total score and pain duration
was significant for all professional groups (chiropractors 0.50
(p = 0.003), physiotherapists 0.37 (p = 0.02), physicians 0.77
(p = 0.04)). All other correlations went in the same direction for
all professional groups.
We identified one physiotherapist (long consultations, high ratings),
and three chiropractors (two with short consultations and
low ratings, one with very long consultations and high ratings)
with outlying values. When excluding these providers
The mean (SD) 4HCS score was 59.8 (13.5), clearly below thescale midpoint, while the mean (SD) score for habit IV was 31.0(7.1), slightly above the scale midpoint (Table 2). The doctors,physiotherapists, and chiropractors did not differ significantly onthe measured variables. Patient sex, educational level, and socialclass were not associated with any of the outcome variables.Table 3 shows the bivariate correlations between communicationquality (4HCS) and patient age, pain duration, and consultationlength. There were strongly significant negative correlationsbetween the 4HCS total score and patient age and pain duration.This reflects a difference of about eight points between youngand old patients or between patients with duration of pain lessor more than 10 years. We found similar correlations with habitsIV, III, and II as well, but not with habit I. The differences pertainedmostly to interest in the patient’s understanding and psychosocialstatus, encouraging expression of emotions, test for comprehension,involvement in decisions, and asking for additional questions.The negative correlation between 4HCS total score and pain durationwas significant for all professional groups (chiropractors 0.50(p = 0.003), physiotherapists 0.37 (p = 0.02), physicians 0.77(p = 0.04)). All other correlations went in the same direction forall professional groups.We identified one physiotherapist (long consultations, high ratings),and three chiropractors (two with short consultations and
low ratings, one with very long consultations and high ratings)
with outlying values. When excluding these providers
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