Prognostic factors and course for successful clinical outcome quality of life and patients' perceived effect after a cognitive behavior therapy for chronic non-specific low back pain: A 12-months prospective study
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Prognostic factors and course for successful clinical outcome quality of life and patients' perceived effect after a cognitive behavior therapy for chronic non-specific low back pain: A 12-months prospective study
Wij hanteren het label Open Access voor onderzoek met een Creative Commons licentie. Door een CC-licentie toe te kennen, geeft de auteur toestemming aan anderen om zijn of haar werk te verspreiden, te delen of te bewerken. Voor meer informatie over wat de verschillende CC-licenties inhouden, klik op het CC-icoon. Alle rechten voorbehouden wordt gebruikt voor publicaties waar enkel de auteurswet op van toepassing is.
Samenvatting
This study investigates the clinical course of and prognostic factors for quality of life (Short Form 36
items Health survey (SF-36)) and global perceived effect (GPE) in patients treated for chronic nonspecific
low back pain at 5 and 12-months follow-up. Data from a prospective cohort (n ¼ 1760) of a
rehabilitation center were used, where patients followed a 2-months cognitive behavior treatment. The
outcome ‘improvement in quality of life (SF-36)’ was defined as a 10% increase in score on the SF-36 at
follow-up compared with baseline. On the GPE scale, patients who indicated to be ‘much improved’ were
coded as ‘clinically improved’. Multivariable logistic regression analysis included 23 baseline characteristics.
At 5-months follow-up, scores on the SF-36 Mental Component Scale (SF-36; MCS) and the
Physical Component Scale (SF-36; PCS) had increased from 46.6 (SD 10.3) to 50.4 (SD 9.8) and from 31.9
(SD 7.1) to 46.6 (SD 10.3), respectively. At 5-months follow-up, 53.0% of the patients reported clinical
improvement (GPE) which increased to 60.3% at 12-months follow-up. The 10% improvement in quality
of life (SF-36 MCS) at 5-months follow-up was associated with patient characteristics and psychological
factors. At 5-months follow-up, the 10% improvement in quality of life (SF-36 PCS) and GPE was associated
with patient characteristics, physical examination, work-related factors and psychological factors;
for GPE, an association was also found with clinical status. At 12-months follow-up GPE was associated
with patient characteristics, clinical status, physical examination and work-related factors. The next
phase in this prognostic research is external validation of these results.
Organisatie | Hogeschool Rotterdam |
Lectoraat | Kenniscentrum Zorginnovatie |
Gepubliceerd in | Manual Therapy Elsevier Ltd., Vol. 20, Uitgave: 1, Pagina's: 96-102 |
Datum | 2015-02-01 |
Type | Artikel |
Taal | Nederlands |