Effects of a Remotely Delivered Cognitive Behavioral Coaching Program on the Self-Rated Functional Disability of Participants with Low Back Pain

Autor: Kimberly Wagner, David Mino, Denee Choice, Anne Bowers, Douglas Metz, Jaynie Bjornaraa
Rok vydání: 2022
Předmět:
Zdroj: Pain Management Nursing. 23:397-410
ISSN: 1524-9042
DOI: 10.1016/j.pmn.2021.08.006
Popis: PURPOSE: A remotely delivered cognitive behavioral coaching (CBC) program was offered as a service benefit for commercial health plan members with low back pain (LBP). This study describes changes in self-rated functional disability in a sample of plan members participating in the program (N=423). METHODS: Independent measures included demographics, length of program enrollment, total CBC sessions, and baseline self-reported patient activation and presenteeism levels. Participants rated their functional disability level due to LBP using the Oswestry Disability Index (ODI). Dependent outcomes quantified change in participant functional disability rating (final ODI score minus baseline ODI score). Nonparametric tests compare differences between groups and within-group ODI score change. Two generalized linear models test for associations between independent variables and the ODI change score. RESULTS: A significant difference between baseline and final ODI scores was observed at the overall program level (p
Databáze: OpenAIRE