Feasibility and acceptability of telephone‐delivered cognitive‐behavioral‐based physical therapy for patients with traumatic lower extremity injury. Issue 2 (13th March 2019)

• Record Type: Journal Article
• Authors: Davidson, Claudia A.; Coronado, Rogelio A.; Vanston, Susan W.; Blade, Elizabeth G.; Henry, Abigail L.; Obremskey, William T.; Wegener, Stephen T.; Archer, Kristin R.
• Is Part Of: Journal of applied biobehavioral research. Volume 24:Issue 2(2019)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2019-03-13
• Subjects: cognitive therapy -- orthopedics -- pain management -- trauma; Clinical health psychology -- Periodicals; Psychophysiology -- Periodicals; Behaviorism (Psychology) -- Periodicals; 616.0019
• DOI: 10.1111/jabr.12163
• Languages: English
• ISSNs: 1071-2089

Abstract

Abstract: Purpose: To determine feasibility and acceptability of a telephone‐based Cognitive‐Behavioral‐Based Physical Therapy program for patients following traumatic lower extremity injury (CBPT‐Trauma). Methods: Patients were screened for high psychosocial risk factors and then completed the 6‐week CBPT‐Trauma program. Physical function, pain, and psychosocial outcomes were assessed at baseline and 6‐months follow‐up. Descriptive statistics assessed change in outcomes. Results: Recruitment rate was 59%. Twenty‐seven patients (73%) had a high psychosocial risk profile. Twelve patients completed the program and the follow‐up assessment at 6 months and found the program to be very or extremely helpful to their overall recovery. All demonstrated a clinically meaningful increase in physical function. Six patients demonstrated a clinically relevant decrease in pain intensity, pain catastrophizing, and fear of movement. Seven patients reported a clinically meaningful increase in pain self‐efficacy. Discussion: Findings suggest that recruitment is feasible for CBPT‐Trauma program. However, engagement in the CBPT‐Trauma study was low. For those that completed the program, patients were satisfied with the CBPT‐Trauma program and experienced meaningful improvement in psychosocial factors and patient‐reported outcomes. This open pilot study highlights the importance of targeted treatment for patients at high‐risk for poor outcomes and the potential for increased access to services through telephone‐delivery.