Patient-led Goal Setting

Autor: Lorraine Smith, Markus Hübscher, Stephen Goodall, Kathryn M. Refshauge, Tania Gardner, James H. McAuley
Rok vydání: 2016
Předmět:
Zdroj: Spine. 41:1405-1413
ISSN: 1528-1159
0362-2436
Popis: STUDY DESIGN A prospective, single-arm, pre-postintervention study. OBJECTIVE The aim of this study was to test the preliminary effectiveness of a patient-led goal-setting intervention on improving disability and pain in chronic low back pain. SUMMARY OF BACKGROUND DATA An effective intervention for the treatment of chronic low back pain remains elusive despite extensive research into the area.An intervention using patient-centered goal setting to drive intervention strategies and encourage self-management for patients suffering chronic low back was developed. METHODS A single group longitudinal cohort pilot study was conducted. Twenty participants (male = nine) experiencing chronic low back pain were involved in a patient-led goal-setting intervention, facilitated by a physiotherapist over a 2-month period with two monthly follow-up sessions after treatment conclusion. Participants, guided by the therapist, identified problem areas of personal importance, defined goals, and developed evidence-based strategies to achieve the goals. Participants implemented the strategies independently between sessions. Primary outcome measures of disability and pain intensity were measured at baseline, 2, and 4 months. Secondary measures of quality of life, stress and anxiety, self-efficacy, and fear of movement were also taken. RESULTS Significant improvements (repeated analysis of variance P
Databáze: OpenAIRE
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