Community-based self-management of chronic low back pain in a rural African primary care setting: a feasibility study.
chronic low back pain
cognitive behavioural therapy
self-management
Journal
Primary health care research & development
ISSN: 1477-1128
Titre abrégé: Prim Health Care Res Dev
Pays: England
ID NLM: 100897390
Informations de publication
Date de publication:
29 04 2019
29 04 2019
Historique:
entrez:
18
8
2020
pubmed:
29
4
2019
medline:
23
9
2020
Statut:
epublish
Résumé
A small pragmatic non-randomised controlled study investigated the feasibility and acceptability of a novel theory-informed community-based self-management programme targeting the biopsychosocial factors associated with chronic low back pain disability in a rural Nigerian primary care centre. Participants either received the programme, once weekly for 6 weeks, or usual care. The programme combined group exercise sessions with group/individual discussion sessions, informed by cognitive behavioural therapy and motivational interviewing. Recruitment rate, intervention delivery, proportion of planned treatment attended, retention/dropout rate, adherence to recommended self-management strategies and biopsychosocial outcomes were used to determine feasibility. Structured qualitative exit feedback interviews ascertained acceptability. Recruitment rate was 100%, treatment uptake was 83% and loss to follow-up was 8%. Greater benefits for the self-management group compared with control were observed for primary and secondary biopsychosocial outcomes. Although the programme appears promising, the exploratory design of this study warrants more rigorous intervention testing following suggested programme improvement.
Identifiants
pubmed: 32800022
doi: 10.1017/S1463423619000070
pii: S1463423619000070
pmc: PMC6536765
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e45Références
J Clin Nurs. 2010 Jan;19(1-2):234-9
pubmed: 19886874
Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91
pubmed: 11124735
J Psychosom Res. 2006 Jun;60(6):631-7
pubmed: 16731240
BMC Musculoskelet Disord. 2015 Apr 13;16:87
pubmed: 25888381
Lancet. 2007 Dec 8;370(9603):1929-38
pubmed: 18063029
Physiotherapy. 2017 Jun;103(2):180-185
pubmed: 27913064
BMC Musculoskelet Disord. 2011 Oct 14;12:234
pubmed: 21999666
Clin Psychol Psychother. 2011 Sep-Oct;18(5):426-37
pubmed: 21898672
Occup Environ Med. 2005 Dec;62(12):851-60
pubmed: 16299094
Patient Educ Couns. 2010 Aug;80(2):205-11
pubmed: 19931372
Rehabil Res Pract. 2012;2012:909675
pubmed: 22973517
Trials. 2013 Jun 13;14:172
pubmed: 23764140
BMJ. 2010 Nov 24;341:c6325
pubmed: 21106618
Disabil Rehabil. 2017 Apr;39(8):779-790
pubmed: 27111492
Disabil Rehabil. 2001 Nov 20;23(17):758-67
pubmed: 11762878
Patient Educ Couns. 2011 Dec;85(3):e299-310
pubmed: 21458196
Pain. 2004 Jan;107(1-2):176-90
pubmed: 14715404
Eur Spine J. 2011 Jan;20(1):19-39
pubmed: 20640863
Rural Remote Health. 2012;12:1920
pubmed: 22934910
Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52
pubmed: 22588748
Musculoskeletal Care. 2011 Sep;9(3):160-8
pubmed: 21695751
Int Health. 2018 May 1;10(3):137-148
pubmed: 29554307
Patient Educ Couns. 2002 Oct -Nov;48(2):177-87
pubmed: 12401421
Phys Ther. 2002 Dec;82(12):1213-23
pubmed: 12444880
BMJ Glob Health. 2017 Sep 15;2(3):e000284
pubmed: 29225944
Disabil Rehabil. 2019 Apr;41(8):948-957
pubmed: 29239235
Arthritis Rheum. 2003 Aug;48(8):2207-13
pubmed: 12905474
Pain. 2008 Feb;134(3):310-9
pubmed: 17544212
BMJ. 2013 Dec 11;347:f7095
pubmed: 24335669
N Engl J Med. 2005 May 5;352(18):1891-8
pubmed: 15872204
Curr Hypertens Rep. 2007 Dec;9(6):520-8
pubmed: 18350109
Am Psychol. 2014 Feb-Mar;69(2):153-66
pubmed: 24547801
Front Psychol. 2013 Nov 26;4:863
pubmed: 24324449
Pain. 1993 Feb;52(2):157-68
pubmed: 8455963
Spine (Phila Pa 1976). 2005 Oct 1;30(19):2153-63
pubmed: 16205340
Clin J Pain. 2012 Mar-Apr;28(3):259-67
pubmed: 21753728
BMC Musculoskelet Disord. 2015 Jun 16;16:147
pubmed: 26076755
Pilot Feasibility Stud. 2016 May 20;2:25
pubmed: 27965844
Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769-81
pubmed: 21665125
PLoS One. 2016 Mar 15;11(3):e0150205
pubmed: 26978655