Getting 'Unstuck': A Multi-Site Evaluation of the Efficacy of an Interdisciplinary Pain Intervention Program for Chronic Low Back Pain
| Autor: | Jean Claude Wakim, Timothy S. Clark, Carl E. Noe |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Biopsychosocial model
medicine.medical_specialty Leadership and Management Psychological intervention lcsh:Medicine effectiveness Health Informatics Article biopsychosocial 03 medical and health sciences outcome measures 0302 clinical medicine Physical medicine and rehabilitation Health Information Management Medicine interdisciplinary treatment 030212 general & internal medicine Depression (differential diagnoses) low back pain business.industry Health Policy lcsh:R Outcome measures Repeated measures design Explained variation Low back pain Chronic low back pain Physical therapy medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Healthcare Healthcare, Vol 4, Iss 2, p 33 (2016) Healthcare; Volume 4; Issue 2; Pages: 33 |
| ISSN: | 2227-9032 |
| Popis: | Chronic low back pain is one of the major health problems in the U.S., resulting in a large number of years of disability. To address the biopsychosocial nature of pain, interdisciplinary pain programs provide integrated interventions by an interdisciplinary team in a unified setting with unified goals. This study examined outcomes of an interdisciplinary program located at two sites with different staff, yet with a unified model of treatment and documentation. Efficacy at the combined sites was examined by comparing standard measures obtained upon admission to the program with measures at completion of a 3–4 week long program for 393 patients with chronic low back pain (CLBP). Repeated measures included pain severity, pain interference, efficacy of self-management strategies, hours of activity, depression, ability to do ADLs, and physical endurance. All repeated measures differed at the p < 0.001 level, with large effect sizes (0.66–0.85). Eighty-two percent of graduates reported being “very much improved” or “much improved”. A second analyses provided evidence that treatment effects were robust across sites with no differences ( |
| Databáze: | OpenAIRE |
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