ORIGINAL ARTICLES   Free access

European Journal of Physical and Rehabilitation Medicine 2010 December;46(4):505-10

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Reasons for drop-out in rehabilitation treatment of native patients and non-native patients with chronic low back pain in the Netherlands: a medical file study

Sloots M. ¹, Dekker J. H. M. ², Bartels E. A. C. ³, Geertzen J. H. B. ^{4, 5}, Dekker J. ^{1, 6} ✉

¹ Jan van Breemen Institute, Center for Rheumatology and Rehabilitation, Amsterdam, The Netherlands; ² Rehabilitation Center Heliomare, Wijk aan Zee, The Netherlands; ³ Department of Social and Cultural Anthropology, Faculty of Social Sciences, VU University, Amsterdam, The Netherlands; ⁴ Department of Rehabilitation Medicine, Center for Rehabilitation, Groningen University Medical Center, Groningen, The Netherlands; ⁵ School for Health Care Research (SHARE), University of Groningen, Groningen, The Netherlands; ⁶ Department of Rehabilitation Medicine and Department of Psychiatry, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands

AIM: Drop-out of rehabilitation treatment in non-native patients with chronic low back pain has been reported to be higher than in native Dutch patients. It was expected that drop-out in non-native patients would be due to different expectations on the content of rehabilitation treatment and due to language or communication problems. Aim of this study was to determine differences in reasons for drop-out between native patients and non-native patients with chronic non-specific low back pain participating in a rehabilitation program.
METHODS: A retrospective study in medical files (N.=99) of patients who dropped out of treatment was performed in two rehabilitation centers and two rehabilitation departments of general hospitals. Patient files were checked for diagnosis, status of origin, gender, age and reason for drop-out. The differences in frequency in reasons for drop-out between native and non-native patients were tested by Chi-square tests.
RESULTS: Withdrawal due to different expectations on the content of rehabilitation treatment occurred significantly more frequently in non-native patients (P=0.035). Withdrawal due to refusal to participate (no further reason given) occurred more often (P=0.008) in native Dutch patients than in non-native patients. No significant differences between non-native patients and native Dutch patients were reported regarding withdrawal due to language or communication problems, and no show (patient did not show up at consultation sessions without informing about the reason and without making an appointment for a new consultation).
CONCLUSION: The present study provided evidence that drop-out in non-native patients is often related to different expectations regarding the content of rehabilitation treatment.