학술논문
Changes in Pain Self-Efficacy, Coping Skills, and Fear-Avoidance Beliefs in a Randomized Controlled Trial of Yoga, Physical Therapy, and Education for Chronic Low Back Pain
INTEGRATIVE MEDICINE SECTION
INTEGRATIVE MEDICINE SECTION
Document Type
Report
Author
Source
Pain Medicine. April 2022, Vol. 23 Issue 4, p834, 10 p.
Subject
Language
English
ISSN
1526-2375
Abstract
Introduction Chronic low back pain (cLBP) is a leading cause of disability and health care cost in the United States [1, 2]. Low-income and racially diverse adults report greater pain [...]
Objective. We evaluated exercise interventions for cognitive appraisal of chronic low back pain (cLBP) in an underserved population. Methods. We conducted a secondary analysis of the Back to Health Trial, showing yoga to be noninferior to physical therapy (PT) for pain and function outcomes among adults with cLBP (n = 320) recruited from primary care clinics with predominantly low-income patients. Participants were randomized to 12weeks of yoga, PT, or education. Cognitive appraisal was assessed with the Pain Self-Efficacy Questionnaire (PSEQ), Coping Strategies Questionnaire (CSQ), and Fear-Avoidance Beliefs Questionnaire (FABQ). Using multiple imputation and linear regression, we estimated within- and between-group changes in cognitive appraisal at 12 and 52weeks, with baseline and the education group as references. Results. Participants (mean age=46 years) were majority female (64%) and majority Black (57%), and 54% had an annual household income Key Words: Back Pain; Chronic Pain; Yoga; Physical Therapy; Self-Efficacy; Coping Skills
Objective. We evaluated exercise interventions for cognitive appraisal of chronic low back pain (cLBP) in an underserved population. Methods. We conducted a secondary analysis of the Back to Health Trial, showing yoga to be noninferior to physical therapy (PT) for pain and function outcomes among adults with cLBP (n = 320) recruited from primary care clinics with predominantly low-income patients. Participants were randomized to 12weeks of yoga, PT, or education. Cognitive appraisal was assessed with the Pain Self-Efficacy Questionnaire (PSEQ), Coping Strategies Questionnaire (CSQ), and Fear-Avoidance Beliefs Questionnaire (FABQ). Using multiple imputation and linear regression, we estimated within- and between-group changes in cognitive appraisal at 12 and 52weeks, with baseline and the education group as references. Results. Participants (mean age=46 years) were majority female (64%) and majority Black (57%), and 54% had an annual household income Key Words: Back Pain; Chronic Pain; Yoga; Physical Therapy; Self-Efficacy; Coping Skills