Preventing chronic back pain:: Evaluation of a theory-based cognitive-behavioural training programme for patients with subacute back pain
Preventing chronic back pain:: Evaluation of a theory-based cognitive-behavioural training programme for patients with subacute back pain
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DOI：
10.1016/j.pec.2005.11.018
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发表时间：
2006-12-01
影响因子：
3.5
通讯作者：
Schlicht, Wolfgang
中科院分区：
文献类型：
--
作者：
Goehner, Wiebke;Schlicht, Wolfgang
目的：为了获得长期的治疗效果，亚急性背痛患者需要坚持治疗建议，而不仅仅是规定的运动治疗。坚持率低至30%，所以我们开发了一个认知行为训练计划，以提高患者的自我效能，最大限度地提高严重程度的看法，并减少barrier perception.Method：A 2 × 4（组×时间）重复测量设计。47名非特异性、亚急性背痛的患者被随机分配到一个训练组（运动治疗加认知行为训练计划）或对照组结果：重复测量方差分析显示显著的主效应和交互效应;训练组报告说，自我效能和严重性的看法，减少障碍的看法，并自我报告说，随着时间的推移，他们比对照组锻炼得更频繁。然而，关于疼痛强度没有组间差异emerging.Conclusion：我们的研究结果表明，短期和廉价的认知行为训练计划是一种有效的工具，使背痛患者能够定期遵循治疗建议。实践意义：短期和简单的干预可以很容易地进行人员，而不是心理学家，即，物理治疗师(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
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. (c) 2005 Elsevier Ireland Ltd. All rights reserved.