بيانات النشر: Linköpings universitet, Avdelningen för prevention, rehabilitering och nära vård
Linköpings universitet, Medicinska fakulteten
Linköpings universitet, Institutionen för hälsa, medicin och vård
Oulu Univ Hosp, Finland; Univ Oulu, Finland; Univ Oulu, Finland
Oulu Univ Hosp, Finland; Univ Oulu, Finland
Oulu Univ Hosp, Finland; Univ Oulu, Finland; South Savo Social & Hlth Care Author, Finland
Univ Jyvaskyla, Finland
Univ Oulu, Finland
Finnish Inst Occupat Hlth, Finland
Tampere Univ, Finland
Finnish Inst Hlth & Welf, Finland
Oulu Univ Hosp, Finland; Univ Oulu, Finland; Rehabil Serv South Karelia Social & Hlth Care Dis, Finland
Nordic Association of Occupational Safety and Health (NOROSH)
نبذة مختصرة : Objective This study aimed to investigate the effectiveness of brief training in the guideline-oriented biopsychosocial management of low-back pain (LBP) in occupational health services using a cluster-randomized design. A small sample of physiotherapists and physicians from the intervention units (N=12) were given three- to seven-day training focusing on the biopsychosocial management of LBP, while professionals in the control units (N=15) received no such training. Methods Eligible patients with LBP, with or without radicular pain, aged 18-65, were invited to participate. A web-based questionnaire was sent to all recruited patients at baseline, three months and one year. The primary outcome measure was disability (Oswestry Disability Index, ODI) over one year. Between-group differences were analyzed using linear and generalized linear mixed models adjusted for baseline-response delay as well as variables showing between-group imbalance at baseline. Results The final study sample comprised 234 and 81 patients in the intervention and control groups, respectively at baseline, and 137 and 47 patients, respectively, at one year. At baseline, the mean duration of pain was longer in the intervention group (P=0.017), and pain-related fear concerning physical activity was lower (P=0.012). We observed no significant difference between the groups primary outcome measure (adjusted one-year mean difference in the ODI: 2.3; 95% confidence interval -1.0-5.7; P=0.175) or most secondary outcomes. Conclusions Brief training in guideline-oriented biopsychosocial management of LBP for occupational health professionals did not appear to be effective in reducing patients symptom over one-year follow-up compared to treatment as usual. ; Funding Agencies|Finnish Work Environment Fund; Finnish Institute of Occupational Health; Rokua Health and Rehabilitation Foundation; University of Oulu, Oulu, Finland
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