Empowered Relief, cognitive behavioral therapy, and health education for people with chronic pain: a comparison of outcomes at 6-month Follow-up for a randomized controlled trial.
Empowered Relief, cognitive behavioral therapy, and health education for people with chronic pain: a comparison of outcomes at 6-month Follow-up for a randomized controlled trial.
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DOI：
10.1097/pr9.0000000000001116
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发表时间：
2024-01
期刊：
影响因子：
4.8
通讯作者：
中科院分区：
文献类型：
--
作者：
补充数字内容可在文本中获得。在6个月的时间里，一个疗程的增强缓解提供了与8个疗程的认知行为疗法相当的临床有意义的效果。需要不同患者的有效性数据。我们之前进行了一项三组随机试验（263名患有慢性腰痛的成年人），比较了基于组的(1)单次疼痛缓解技能干预（赋权缓解；ER）；(2) 8期认知行为疗法（CBT）治疗慢性背痛；(3)单节健康与背痛教育班（HE）。结果表明，在治疗后3个月，ER与CBT在一系列结果上的非劣效性。在这里，我们在治疗后6个月测试了治疗效果的持久性。我们检查了6个月时主要和次要结局的组间差异，以及每个治疗组从3个月到6个月的结局减少或改善的程度。授权救济在大多数结果上不逊于CBT，而急诊和CBT在大多数结果上都优于HE。从3个月到6个月，内啡肽治疗的结果改善并没有显著下降，事实上，内啡肽治疗在疼痛灾难化、疼痛困扰和焦虑方面显示了额外的3到6个月的改善。ER在治疗后6个月的效果（中期结果）与接受8次CBT的参与者报告的效果保持一致。维持这些绝对水平意味着内质网效应具有很强的稳定性。结果延伸至治疗后6个月，先前的研究结果表明，ER和CBT对结果的影响相似。
Supplemental Digital Content is Available in the Text. A One-session empowered relief provides clinically meaningful effects comparable to an 8-session cognitive behavioral therapy at 6 months for chronic low back pain. Effectiveness data are needed in diverse patients. We previously conducted a 3-arm randomized trial (263 adults with chronic low back pain) which compared group-based (1) single-session pain relief skills intervention (Empowered Relief; ER); (2) 8-session cognitive behavioral therapy (CBT) for chronic back pain; and (3) single-session health and back pain education class (HE). Results suggested non-inferiority of ER vs. CBT at 3 months post-treatment on an array of outcomes. Here, we tested the durability of treatment effects at 6 months post-treatment. We examined group differences in primary and secondary outcomes at 6 months and the degree to which outcomes eroded or improved from 3-month to 6-month within each treatment group. Empowered Relief remained non-inferior to CBT on most outcomes, whereas both ER and CBT remained superior to HE on most outcomes. Outcome improvements within ER did not decrease significantly from 3-month to 6-month, and indeed ER showed additional 3- to 6-month improvements on pain catastrophizing, pain bothersomeness, and anxiety. Effects of ER at 6 months post-treatment (moderate term outcomes) kept pace with effects reported by participants who underwent 8-session CBT. The maintenance of these absolute levels implies strong stability of ER effects. Results extend to 6 months post-treatment previous findings documenting that ER and CBT exhibit similarly potent effects on outcomes.
影响因子：
2.5
作者：
Ziadni MS;Anderson SR;Gonzalez-Castro L;Darnall BD
通讯作者：
Darnall BD