A set of pictures facilitating the formulation of therapeutic objectives in patients with chronic low back pain

Kupper, Danièle; Steiner, Anne-Sylvie; Gallice, J.; Sartori, Marlene; Genevay, Stéphane; Cedraschi, Christine

doi:10.1051/tpe/2016010

Cited by 4 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In summary, the program started with a one-day individual evaluation involving physical and psychological tests, and a clinical tool, based on a set of pictures, was used to gather important information with which to set meaningful, individual, therapeutic goals [19]. The tool identified patients’ priorities in their daily lives and their perceived degree of apprehension about performing those activities.…”

Section: Methodsmentioning

confidence: 99%

Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study

Ibrahim

Weber

Courvoisier

et al. 2019

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

Background Chronic low back pain (LBP) is a leading cause of disability worldwide. Biopsychosocial rehabilitation programs have been advocated for its management, especially since the widespread acceptance of the biopsychosocial model of chronic pain. Despite extensive evidence of its short-term benefits, few studies have reported on its long-term effect and more specifically on indirect outcomes such as return to work and quality of life (QoL). The present study evaluated the long-term effect of a multidisciplinary biopsychosocial rehabilitation (MBR) program for patients with chronic LBP, for which short- and intermediate-term efficacy had been established, with an emphasis on recovering work capability. Methods This prospective cohort study enrolled 201 patients on a four-week MBR program incorporating physical and occupational therapies and psychological counselling. Assessments occurred at program admission and discharge and at 6 and 18 months. Work capability, Oswestry Disability Index, Tampa Scale for Kinesiophobia, Core Outcome Measures Index (COMI), and Hospital Anxiety and Depression Scale were assessed. Multiple mixed models were used to detect changes in each outcome. Logistic regressions were calculated to identify predictors of recovery of work capability. Results Of the 201 patients who fulfilled the eligibility criteria, 160 (79.8%) attended the discharge assessment, 127 (63.2%) attended the 6-month follow-up, and 107 (53.3%) continued to the 18-month follow-up. Initially, 128 patients (71.5%) had been on sick leave. At 6 and 18 months, 72 (56.7%) and 84 (78.5%) participants had recovered their work capability, respectively. There were significant improvements in pain, disability, kinesiophobia, and anxiety and depression scores over time. Patients who recovered work capability showed significantly greater improvements in their total COMI score, general QoL, and disability, which were the best three predictors of recovering work capability. Conclusions This study extends previous results confirming the program’s contribution to recovering work capability among chronic LBP patients.

show abstract

Section: Methodsmentioning

confidence: 99%

Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study

Ibrahim

Weber

Courvoisier

et al. 2019

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

show abstract

“…Indeed, the investment of the various therapists is important, and it is encouraging to see that the satisfaction of the patients lived up to their commitment. For further applications, we are thinking about a tool that could specifically help get goals emerged and defined, like for example a set of cards [37].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic education program for patients with hypermobile Ehlers-Danlos syndrome: feasibility and satisfaction of the participants

Chaléat-Valayer¹,

Zelmar

Marie-Hélène³

et al. 2019

Educ Ther Patient/Ther Patient Educ

View full text Add to dashboard Cite

Objectives: To describe a therapeutic education program for patients with hypermobile Ehlers-Danlos syndrome, called PrEduSED and to evaluate its feasibility and efficiency in terms of satisfaction and impact on disease management in daily life. Methods: Prospective observational study. Evaluation before, after and 6 months after PrEduSED, consisted in: CSQ-F, SF-12, HAD, QIC, FIS, Zarit, Quiz and Vignettes (knowledge and skills about the disease), satisfaction questionnaire, Goal Attainment Scales. Results: Nineteen (19) patients (89% women, mean age: 39.2) were included and 9 relatives (78% men, mean age: 44.1). Participants were generally highly satisfied with the content and the organization of PrEduSED. Knowledge about the EDS and skills significantly improved (p < 0.001 for patients, p = 0.016 for relatives). QIC score improved significantly (p = 0.047) and FIS score also for the relationships domain (p = 0.05). At the end of the program, 69% of participants thought they had achieved their goals (mainly about acquiring knowledge and managing their treatment) beyond what they had hoped for; at 6 months, 54% felt they had achieved them beyond what they hoped for. Conclusions: Real success of PrEduSED for patients with hypermobile EDS in terms of recognition, satisfaction, increase of knowledge about the disease and adaptative skills.

show abstract

“…Les détails de la conception et de la construction de l'échelle ont été présentés ailleurs ainsi que l'étude qualitative qui a permis de mettre en évidence la pertinence de l'outil. 13 L'ensemble des images de l'échelle permet aux patients d'identifier rapidement les tâches prioritaires. Il constitue ainsi un support appréciable pour discuter des difficultés rencontrées au quotidien et des ressources que le patient peut mobiliser.…”

Section: éChelle Prodigieuseunclassified

Outil clinique pour élaborer des objectifs thérapeutiques avec des patients lombalgiques chroniques

Kupper¹,

Genevay²,

Cedraschi³

2017

Revue Médicale Suisse

Self Cite

View full text Add to dashboard Cite

Outil clinique pour élaborer des objectifs thérapeutiques avec des patients lombalgiques chroniquesIl est important de déterminer avec les patients souffrant de douleurs chroniques du dos, des objectifs thérapeutiques réalistes, mesurables et qui soient centrés sur les activités de la vie quotidienne. Pour aider patients et thérapeutes dans la détermination de ces objectifs, nous avons développé un outil clinique composé d'une échelle métrique graduée de 0 à 10 et d'une série de photographies. Dans le cadre d'un entretien semi-dirigé, cet outil est non seulement une aide dans la détection des activités significatives pour lesquelles se révèle une kinésiophobie, c'est-à-dire une peur ou une appréhension du mouvement, mais également un support dans la détermination et la négociation d'objectifs adaptés au contexte de vie du patient, réalisables dans le processus de soins. A clinical tool to develop therapeutic goals with chronic low back pain patientsWhen treating patients suffering from chronic low back pain, it is important to determine therapeutic objectives that are realistic, measurable and focused on the activities of everyday life. To help patients and therapists to elaborate these objectives, we developped a clinical tool made of a metric scale graduated from 0 to 10 and of a series of photographs. Within the framework of a semi-structured interview, this tool is a help not only in the detection of relevant activities that may induce fear avoidance behaviours but also in the determination and negotiation of objectives that can be realised in the care process and are adapted to the patient's context of living.

show abstract

A set of pictures facilitating the formulation of therapeutic objectives in patients with chronic low back pain

Cited by 4 publications

References 32 publications

Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study

Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study

Therapeutic education program for patients with hypermobile Ehlers-Danlos syndrome: feasibility and satisfaction of the participants

Outil clinique pour élaborer des objectifs thérapeutiques avec des patients lombalgiques chroniques

Contact Info

Product

Resources

About