Combined education and patient-led goal setting intervention reduced chronic low back pain disability and intensity at 12 months: a randomised controlled trial
| Autor: | Tania Gardner, James H. McAuley, Markus Hübscher, Stephen Goodall, Lorraine Smith, Kathryn M. Refshauge |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Anxiety law.invention Disability Evaluation 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Patient Education as Topic Randomized controlled trial law Intervention (counseling) medicine Back pain Humans Orthopedics and Sports Medicine 030212 general & internal medicine Goal setting Pain Measurement Rehabilitation Intention-to-treat analysis Depression business.industry General Medicine Middle Aged Self Efficacy Treatment Outcome Linear Models Quality of Life Physical therapy Female Chronic Pain medicine.symptom business Goals Low Back Pain Sport Sciences Stress Psychological 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Sports Medicine. 53:1424-1431 |
| ISSN: | 1473-0480 0306-3674 |
| Popis: | BackgroundOne model of care that has not been tested for chronic low back pain (LBP) is patient-led goal setting. We aimed to compare the clinical effectiveness and healthcare use of a patient-led goal setting approach (intervention) with simple advice to exercise (control) over 12 months.MethodsAn assessor-blinded randomised controlled trial. Intervention was education combined with patient-led goal setting compared with a control group receiving a standardised exercise programme. The primary outcomes were back pain disability and pain intensity. Secondary outcomes were quality of life, kinesiophobia, self-efficacy, depression, anxiety and stress. Outcomes and healthcare use were assessed immediately post-treatment (2 months) and after 4 and 12 months. Analysis was by intention to treat.ResultsSeventy-five patients were randomly assigned to either the intervention (n=37) or the control (n=38) group. Using linear mixed model analyses, adjusted mean changes in primary outcomes of disability and pain intensity were greater in the intervention group than in the control group (disability post-treatment: pConclusionA patient-led goal setting intervention was significantly more effective than advice to exercise for improving outcomes in disability, pain intensity, quality of life, self-efficacy and kinesiophobia in chronic LBP. These improvements were maintained at 12 months. Smaller effects were seen in measures of depression, anxiety and stress.Trial registration numberACTRN12614000830695. |
| Databáze: | OpenAIRE |
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