AI Article Synopsis
- - The study aimed to evaluate how effective different communication and education strategies are in improving patients' awareness of low back pain, modifying maladaptive behaviors, and enhancing adherence to exercise in those with chronic low back pain.
- - A systematic review of 24 randomized controlled trials was conducted, with a focus on various interventions like cognitive behavioral therapy, coaching, mindfulness, and pain science education; most studies showed a low risk of bias.
- - Findings suggest that while some strategies, like pain science education and graded exposure, significantly improve behavior change and long-term exercise compliance, others, such as self-management and coaching, offer limited or short-term benefits.
Article Abstract
Objective: To investigate the effectiveness of communicative and educative strategies on 1) patient's low back pain awareness/knowledge, 2) maladaptive behavior modification and 3) compliance with exercise in patients with chronic low back pain.
Methods: A systematic review was conducted. Searches were performed on 13 databases. Only randomized controlled trials enrolling patients ≥ 18 years of age were included. Risk of bias was assessed with the Cochrane Collaboration's tool and interrater agreement between authors for full-texts selection was evaluated with Cohen's Kappa. No meta-analysis was performed and qualitative analysis was conducted.
Results: 24 randomized controlled trials which intervention included communicative and educative strategies were selected. Most of the studies were judged as low risk of bias and Cohen's Kappa was excellent ( = 0.822). Interventions addressed were cognitive behavioral therapy as unique treatment or combined with other treatments (multimodal interventions), coaching, mindfulness, pain science education, self-management, graded activity and graded exposure.
Conclusions, Practice Implication: Patient's low back pain awareness/knowledge is still a grey area of literature. Pain science education, graded exposure and multimodal interventions are the most effective for behavior modification and compliance with exercise with benefits also in the long-term, while self-management, graded activity and coaching provide only short-term or no benefits.
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| http://dx.doi.org/10.1016/j.pec.2019.11.031 | DOI Listing |
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