05-24 – The role of empathy in interactions between healthcare professionals and people with fibromyalgia

Fibromyalgia syndrome (FMS) is a complex chronic pain condition that significantly impairs people’s lives and poses challenges for both patients and healthcare professionals (HCPs) across many medical specialties. Despite the potential support HCPs can provide, FMS patients commonly report a lack of understanding and empathy from them, which may lead to psychological distress. Empathetic therapeutic relationships have been linked to high-quality patient care, resulting in higher satisfaction and lower pain perception in FMS patients. However, how empathy is communicated during medical appointments and its influence on patient outcomes remain unclear.
The current study uses Q-methodology to explore the perspectives of HCPs and FMS patients regarding how empathy is conveyed and perceived in healthcare settings. Participants from both groups will sort a set of 40 opinion statements related to clinical empathy (the Q-set, co-produced with both HCPs and FMS patients) to best represent their views, a process called the Q-sort. This method employs a forced-choice distribution, with rankings based on the extent to which participants agree or disagree with each statement. Participants will then provide qualitative comments on the sorting process and notable statements. This mixed-methods approach aims to capture relevant information that may be missed in purely quantitative or qualitative studies. It will provide direct insights into the shared and distinct opinions on clinical empathy between HCPs and FMS patients, ultimately helping to identify which aspects of empathy lead to the greatest satisfaction and reduced distress during healthcare interactions. This study is part of a programme of work to inform best clinical practices and promote beneficial interactions for both HCPs and individuals living with FMS.