Combined education and patient-led goal setting intervention reduced chronic low back pain disability and intensity at 12 months: a randomised controlled trial

British Journal of Sports Medicine
Tania GardnerLorraine Smith

Abstract

One model of care that has not been tested for chronic low back pain (LBP) is patient-led goal setting. We aimed to compare the clinical effectiveness and healthcare use of a patient-led goal setting approach (intervention) with simple advice to exercise (control) over 12 months. An assessor-blinded randomised controlled trial. Intervention was education combined with patient-led goal setting compared with a control group receiving a standardised exercise programme. The primary outcomes were back pain disability and pain intensity. Secondary outcomes were quality of life, kinesiophobia, self-efficacy, depression, anxiety and stress. Outcomes and healthcare use were assessed immediately post-treatment (2 months) and after 4 and 12 months. Analysis was by intention to treat. Seventy-five patients were randomly assigned to either the intervention (n=37) or the control (n=38) group. Using linear mixed model analyses, adjusted mean changes in primary outcomes of disability and pain intensity were greater in the intervention group than in the control group (disability post-treatment: p<0.05). These differences were clinically meaningful. Mean differences in all secondary measures were greater in the intervention group than in the con...Continue Reading

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Citations

Nov 14, 2019·Journal of Aging and Physical Activity·Allison NaberBrooke Poppe
Sep 2, 2019·Archives of Physical Medicine and Rehabilitation·Javier Martinez-CalderonAlejandro Luque-Suarez
Dec 20, 2020·International Journal of Environmental Research and Public Health·Yining XuYaodong Gu
May 6, 2021·The Journal of Nutrition, Health & Aging·N KuritaY Ishibashi
Jul 17, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Mia T MinenTimothy Roberts
Sep 29, 2021·The Cochrane Database of Systematic Reviews·Jill A HaydenMaurits W van Tulder
Nov 2, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Steven Z GeorgeKatherine S Norman

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