Evidence map›Paper›PMID 39763162›Full record

ArticleMusculoskeletal care2025

Person-Centredness and Paternalism: The Dance With Power.

Clement Noel, Clair Hebron

Abstract read
In one paragraph

Article in Musculoskeletal care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Clement NoelSchool of Sport and Health Sciences, University of Brighton, Brighton, UK.ORCID 0009-0002-4845-9315
Clair HebronSchool of Sport and Health Sciences, University of Brighton, Brighton, UK.ORCID 0000-0003-4353-9711

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe World Health Organization advocates for person-centredness (PC) as essential for quality care, yet its definitions and interpretations vary widely among professionals. Most qualitative research on PC focuses on physiotherapists in countries such as the UK, Australia, and the US, where PC is explicitly emphasised. In contrast, the term PC is absent in French educational standards, and its promotion is lacking in the French healthcare system. This study explores French physiotherapists' conceptualisation of PC.

methodsThis phenomenographic study followed an interpretivist paradigm. Seven physiotherapists practicing in France were purposively selected. Data were collected through remote semi-structured interviews, transcribed verbatim, and translated into English. The analysis followed the steps outlined by Larsson and Holmström (2007).

findingsThree categories were generated to illustrate the conceptualisation of PC by participants: Creating a relationship, Adapting the rehabilitation, and Giving the choice. Despite recognising the importance of these aspects, they also highlighted challenges related to paternalism and power dynamics, which often limited trusting relationships, effective adaptations and true shared decision-making.

conclusionWhile these physiotherapists expressed a commitment to person-centred practices, they encountered challenges in relinquishing power, highlighting the ongoing journey towards becoming person centred.

Indexed as

PaternalismPatient-Centered CarePhysical TherapistsAdultFemaleFranceHumansMaleMiddle AgedQualitative ResearchconceptualisationFrenchperson‐centrednessphysiotherapists

Identifiers

PMID39763162
PMCPMC11704454

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.