An effective coaching intervention for people with low recovery expectations and low back pain: A content analysis

Iles, Ross; Taylor, Nicholas F.; Davidson, Megan; O’Halloran, Paul

doi:10.3233/bmr-130424

Cited by 10 publications

(9 citation statements)

References 21 publications

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“…Validated measures are now available to gauge this risk factor of poor RTW and/or recovery [ 37 , 39 , 48 ]. Investing in interventions such as education, coaching or multidisciplinary programs could improve RTW rates by adjusting expectations; thereby reducing the associated costs of lost productivity [ 49 – 51 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of return to work following motor vehicle related orthopaedic trauma

Murgatroyd

Harris

Tran

et al. 2016

BMC Musculoskelet Disord

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BackgroundWork disability following motor vehicle related orthopaedic trauma is a significant contributor to the burden of injury and disease. Early identification of predictors for return to work (RTW) is essential for developing effective interventions to prevent work disability. The study aim was to determine the predictors (including compensation related factors) of time to RTW following motor vehicle related orthopaedic trauma.MethodsAdmitted patients were recruited prospectively from two trauma hospitals with upper and/or lower extremity fractures following a motor vehicle crash. Baseline and follow up data were collected by written questionnaire. For baseline, this occurred in person within 2 weeks of injury. For follow up, this occurred by mail at six, 12 and 24 months. Additional demographic and injury-related information was retrieved from hospital databases. Analysis involved: descriptive statistics; logrank test to detect survival distributions of categorical variables; and Cox proportional hazards regression models for risks of time to RTW using baseline characteristic and compensation related variables (at 6 months).ResultsOf 452 study participants 334 (74 %) were working pre-injury: results are based on this subset. Baseline characteristics were mean age 36 years (13.9 Standard Deviation [SD]), 80 % male; 72 % self-assessed very good-excellent pre-injury health, 83 % household income > AU$40,000 (Australian Dollar). Follow up data was available for 233 (70 %), 210 (63 %), and 182 (54 %) participants at six, 12 and 24 months respectively.Significant risks of a longer time to RTW were greater injury severity, as measured by the New Injury Severity Score (NISS) (Hazards Rate Ratio [HRR] = 0.54, 95 % CI 0.35-0.82); and lower occupational skill levels (HRR = 0.53, 95 % CI 0.34-0.83). Significant risks of a shorter time to RTW were: recovery expectations for usual activities within 90 days (HRR = 2.10, 95 % CI 1.49-2.95); full-time pre-injury work hours (HRR = 1.99, 95 % CI 1.26-3.14); and very good self-assessed pre-injury health status (HRR = 1.41, 95 % CI 0.98-2.02). Legal representation (analysed at six months only) was not associated with time to RTW. At each time period, there were 146 (63 %), 149 (71 %), and 137 (76 %) working participants.ConclusionsA longer time to RTW was associated with greater injury severity and lower occupational skill levels; while a shorter time to RTW was associated with recovery expectations for usual activities within 90 days, full-time pre-injury work hours, and very good self-assessed pre-injury health status. Our findings reinforce existing research. There is an opportunity to trial interventions that address potentially modifiable factors. The issues surrounding legal representation are complex and require further research.

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Section: Discussionmentioning

confidence: 99%

Predictors of return to work following motor vehicle related orthopaedic trauma

Murgatroyd

Harris

Tran

et al. 2016

BMC Musculoskelet Disord

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“…Despite these limitations, findings from this study support the expanding pool of evidence demonstrating quantifiable benefits of cognitive behavioral interventions for chronic pain management ( Hajihasani et al, 2019 ;Cherkin et al, 2017Cherkin et al, , 2016Kamper et al, 2015 ;Carpenter et al, 2012 ;Hoffman et al, 2007 ) and digital interventions for managing chronic pain conditions ( Toelle et al, 2019;Amorim et al, 2019;Hüppe et al, 2019;Mecklenburg et al, 2018;Huber et al, 2017;Buhrman et al, 2016;Iles et al, 2014;Beatty & Lambert, 2013;Lawson et al, 2013 ;Buhrman et al, 2004 ). These methods of pain management could also potentially mitigate the use of more expensive and invasive types of care that may pose greater risk of harm to the patient ( Cherkin et al, 2018 ;Herman et al, 2017 ).…”

Section: Discussionmentioning

confidence: 52%

“…Conservative approaches, such as exercise and manual therapy (e.g., spinal manipulation), have been widely regarded as first-line treatments to improve pain and function for individuals with LBP. Overall healthcare costs are reduced and prognosis is typically improved when services from providers of conservative interventions, such as physical therapists (PTs) and chiropractors, are used by patients within a few weeks of LBP symptom onset ( Carey et al, 2019;Kazis et al, 2019;Carvalho et al, 2017;Gay et al, 2016;Iles et al, 2014;Kosloff et al, 2013;Nelson et al, 2005 ;Legorreta et al, 2004 ). However, long-term recovery is not always sustained.…”

Section: Introductionmentioning

confidence: 99%

“…Results demonstrated that the digital care program group had a significantly greater reduction in pain and improved physical function compared to the control group at the end of the program. Other research supports telephonic health coaching for high-risk populations ( Lawson et al, 2013 ) and individuals with chronic low back pain ( Hüppe et al, 2019 ;Iles et al, 2014 ), digital self-management support programs for chronic pain ( Buhrman et al, 2016 ;Beatty & Lambert, 2013 ), and telephonic health coaching with digital resource support for patients with low back pain ( Amorim et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

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Effects of a Remotely Delivered Cognitive Behavioral Coaching Program on the Self-Rated Functional Disability of Participants with Low Back Pain

Bjornaraa

Bowers

Mino

et al. 2022

Pain Management Nursing

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A remotely delivered cognitive behavioral coaching (CBC) program was offered as a service benefit for commercial health plan members with low back pain (LBP). This study describes changes in self-rated functional disability in a sample of plan members participating in the program ( N = 423). Methods: Independent measures included demographics, length of program enrollment, total CBC sessions, and baseline self-reported patient activation and presenteeism levels. Participants rated their functional disability level due to LBP using the Oswestry Disability Index (ODI). Dependent outcomes quantified change in participant functional disability rating (final ODI score minus baseline ODI score). Nonparametric tests compare differences between groups and within-group ODI score change. Two generalized linear models test for associations between independent variables and the ODI change score. Results: A significant difference between baseline and final ODI scores was observed at the overall program level ( p < .001) and within all independent variable categories of interest. Over 68% of total participants ( n = 289) reported improved functional ability from baseline to final (decrease in ODI score). Participants who completed more CBC sessions demonstrated significantly greater improvement in functional ability ( p = .038) compared to those who completed fewer sessions. Participants aged 55 and older were significantly more likely to show deterioration in functional ability from baseline to final ( p = .021). Conclusion: Outcomes suggest that program participation can influence self-rated functional disability in the management of LBP.

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“…There is limited research on the use of MI by physiotherapists, although studies investigating other motivational interventions have demonstrated that their implementation may: increase patient self-efficacy and activity levels (McGrane et al, 2015); address recovery expectations (Iles et al, 2014); enhance outcome expectancy and working alliance (Cheing et al, 2014); and increase patient motivation, exercise, compliance and physical function (Vong et al, 2011).…”

Section: Motivational Interviewing As a Psychologically Informed Approachmentioning

confidence: 99%

Can a training programme in motivational interviewing change musculoskeletal physiotherapists’ practice? The example of low back pain

Haig

2019

Physiotherapy

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BackgroundLow back pain (LBP) is a leading cause of disability nationally and globally, and forms between 40% and 65% of musculoskeletal physiotherapists' caseloads in the UK. Despite professional expectations to deliver person-centred practice, a biomedical and practitioner-centred perspective continues to dominate within physiotherapy. Many physiotherapists lack the knowledge and skills to deliver psychologically informed practice, which for persistent LBP requires consideration of the needs, preferences and values of the patient. Motivational interviewing (MI) has been recommended as a psychologically informed approach for physiotherapists working with persistent LBP patients, although little research has been carried out into its use. AimThis study aims to investigate the effects of MI training on physiotherapists' beliefs, attitudes and practice in relation to persistent LBP. MethodsA convergent parallel mixed methods study was undertaken. Volunteer musculoskeletal physiotherapists (n=16) were recruited from two musculoskeletal physiotherapy departments within a Community NHS Trust in greater London and allocated to either a MI training Group A (n=10) or a comparison Group B (n=6). The MI training group received an initial two-day MI course followed up by monthly supervision sessions delivered in the workplace. Outcomes were measured pretraining (baseline) then at three and six months later for both groups. Beliefs and attitudes and to persistent low back pain were measured using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) and the Health Care Providers Pain and Impairment Relationship Scale (HC-PAIRS). Self-reported proficiency, confidence and intention to use MI were measured using visual analogues scales (VAS). The Motivational Interviewing Training Integrity scale (MITI) generated global ratings and behaviour counts from audio-recordings of initial consultations with persistent LBP patients. The implementation and impact of MI in practice was explored through semi-structured interviews with Group A physiotherapists only at six months.

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An effective coaching intervention for people with low recovery expectations and low back pain: A content analysis

Cited by 10 publications

References 21 publications

Predictors of return to work following motor vehicle related orthopaedic trauma

Predictors of return to work following motor vehicle related orthopaedic trauma

Effects of a Remotely Delivered Cognitive Behavioral Coaching Program on the Self-Rated Functional Disability of Participants with Low Back Pain

Can a training programme in motivational interviewing change musculoskeletal physiotherapists’ practice? The example of low back pain

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