Group membership and staff turnover affect outcomes in group CBT for persistent pain

Pain
Amanda C de C Williams, Henry W W Potts

Abstract

The effects of two contextual factors, group membership and staff turnover, on the outcome of group cognitive behavioral therapy (CBT) for persistent pain were investigated. The data came from end of treatment and 1 month follow-up assessments of 3050 individuals who attended an intensive group programme over 16 years. Intraclass correlations (ICC) showed significant intragroup effects on self-efficacy (ICC=0.16 at end of treatment; 0.12 at 1 month), catastrophizing (ICC=0.06; 0.13) and distance walked (ICC=0.20; 0.19). This underlines the importance of modelling group membership when analyzing data from group interventions. Linear regression showed that high periods of staff turnover were significantly related to poorer outcomes on self-efficacy and distance walked at end of treatment, with the effect on self-efficacy persisting to 1 month follow-up. Having demonstrated significant contextual effects in an existing data set, further research is needed to explore the mechanisms by which these effects operate.

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Citations

Jan 26, 2012·Current Pain and Headache Reports·Kevin E Vowles, Miles Thompson
Mar 25, 2011·Current Opinion in Supportive and Palliative Care·Lance M McCracken, Miles Thompson
Oct 23, 2012·Journal of Substance Abuse Treatment·Bryan R GarnerBrooke D Hunter
Apr 12, 2016·Frontiers in Psychology·Wolfram A BrandtAlexander Georgi
Feb 12, 2014·Pain·Amanda C de C Williams
May 7, 2016·AIDS and Behavior·Virginia R McKayJoseph A Catania
Sep 17, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Annalee Johnson-KwochkaAngela L Rollins
Feb 28, 2020·Clinical Child and Family Psychology Review·Laurel A BrabsonAmy D Herschell
Jan 5, 2019·The Journal of Behavioral Health Services & Research·Laurel A BrabsonStanley J Mrozowski
Jan 15, 2021·Irish Journal of Psychological Medicine·Nnamdi NkireVincent I O Agyapong
Jun 29, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michelle FarrJeremy Horwood

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