A 12‐h combined physical and psychological treatment programme for patients with persistent back pain. (15th February 2018)

• Record Type: Journal Article
• Authors: Rogers, David; Nightingale, Peter; Gardner, Adrian
• Is Part Of: Musculoskeletal care. Volume 16:Number 2(2018)
• Page Start: 318
• Page End: 321
• Publication Date: 2018-02-15
• Subjects: Cognitive behavioural approach -- Functional restoration -- Low back pain; Musculoskeletal system -- Diseases -- Periodicals; Rheumatology -- Periodicals; 616.7005
• DOI: 10.1002/msc.1235
• Languages: English
• ISSNs: 1478-2189

Abstract

Abstract: This service evaluation analysed the long‐term clinical outcomes, as measured by the Pain Self‐Efficacy Questionnaire (PSEQ) and Oswestry Disability Index (ODI), of a 12‐h group‐based, multidisciplinary, combined physical and psychological treatment programme for patients with persistent back pain in a secondary care setting. Between April 2012 and December 2015, 373 patients attended the programme, with outcome measures obtained for 272 patients post‐treatment. We randomly selected 120 patients who had completed treatment, for long‐term outcome measurement follow‐up, and gained outcome measures for 40 patients in total. At a median follow‐up of 27 months post‐treatment, the results demonstrated significant improvements in both clinical outcome measures. We conclude that a brief combined physical and psychological treatment programme appears to be effective at reducing back disability and pain self‐efficacy, with improvements maintained in the longer term