Preventing chronic back pain: evaluation of a theory-based cognitive-behavioural training programme for patients with subacute back pain
- PMID: 16540279
- DOI: 10.1016/j.pec.2005.11.018
Preventing chronic back pain: evaluation of a theory-based cognitive-behavioural training programme for patients with subacute back pain
Abstract
Objective: For long-term treatment effects, patients with subacute back pain need to adhere to treatment recommendations beyond the prescribed exercise treatment. Adherence rates are as low as 30%, so we developed a cognitive-behavioural training programme to enhance patients' self-efficacy, maximise severity perceptions and reduce barrier perceptions.
Method: A 2 x 4 (group x time) repeated measurement design was applied. Forty-seven patients with non-specific, subacute back pain were randomly assigned to a training group (exercise treatment plus cognitive-behavioural training programme) or a control group (exercise treatment only).
Results: Repeated measures ANOVA revealed significant main and interaction effects; the training group reported enhanced self-efficacy and severity perceptions, reduced barrier perceptions, and self-reported that they exercised more often than the control group over time. However, no group differences regarding pain intensity emerged.
Conclusion: Our findings demonstrate that a short and inexpensive cognitive-behavioural training programme is an effective tool to enable back pain patients to follow treatment recommendations on a regular basis.
Practice implications: The short and simple intervention can easily be conducted by personnel, other than psychologists, i.e., physiotherapists.
Similar articles
-
Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain.Phys Ther. 2005 Mar;85(3):209-25. Phys Ther. 2005. PMID: 15733046 Clinical Trial.
-
A descriptive study of medical and chiropractic patients with chronic low back pain and sciatica: management by physicians (practice activities) and patients (self-management).J Manipulative Physiol Ther. 2001 Nov-Dec;24(9):543-51. doi: 10.1067/mmt.2001.118978. J Manipulative Physiol Ther. 2001. PMID: 11753326
-
Effects of a back-pain-reducing program during pregnancy for Korean women: a non-equivalent control-group pretest-posttest study.Int J Nurs Stud. 2007 Jan;44(1):19-28. doi: 10.1016/j.ijnurstu.2005.11.016. Epub 2006 Jan 4. Int J Nurs Stud. 2007. PMID: 16386740 Clinical Trial.
-
The development of an evidence-based physical self-management rehabilitation programme for cancer survivors.Patient Educ Couns. 2008 May;71(2):169-90. doi: 10.1016/j.pec.2007.11.027. Epub 2008 Feb 5. Patient Educ Couns. 2008. PMID: 18255249 Review.
-
[Unspecific back pain - basic principles and possibilities for intervention from a psychological point of view].Gesundheitswesen. 2009 Dec;71(12):845-56. doi: 10.1055/s-0029-1192028. Epub 2009 Jun 23. Gesundheitswesen. 2009. PMID: 19551623 Review. German.
Cited by
-
Barriers and facilitators to physiotherapy among adult orthopedic patients at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia: A cross-sectional study.Saudi Med J. 2023 Jul;44(7):679-686. doi: 10.15537/smj.2023.44.7.20230276. Saudi Med J. 2023. PMID: 37463715 Free PMC article. Review.
-
Occupational low back pain prevention capacity of nurses in China: A multicenter cross-sectional study.Front Public Health. 2023 Mar 16;11:1103325. doi: 10.3389/fpubh.2023.1103325. eCollection 2023. Front Public Health. 2023. PMID: 37006565 Free PMC article.
-
Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review.Man Ther. 2010 Jun;15(3):220-8. doi: 10.1016/j.math.2009.12.004. Epub 2010 Feb 16. Man Ther. 2010. PMID: 20163979 Free PMC article. Review.
-
The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis.PLoS One. 2015 Aug 5;10(8):e0134192. doi: 10.1371/journal.pone.0134192. eCollection 2015. PLoS One. 2015. PMID: 26244668 Free PMC article. Review.
-
A Multidisciplinary Workplace Intervention for Chronic Low Back Pain among Nursing Assistants in Iran.Asian Spine J. 2017 Jun;11(3):419-426. doi: 10.4184/asj.2017.11.3.419. Epub 2017 Jun 15. Asian Spine J. 2017. PMID: 28670410 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
