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Activity and life-role targeting rehabilitation for persistent pain: feasibility of an intervention in primary healthcare
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Center for Clinical Research Dalarna. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Sch Hlth Care & Social Welf, Dept Physiotherapy, Vasteras, Sweden;Hgsk Dalarna, Sch Educ Hlth & Social Studies, Falun, Sweden.ORCID iD: 0000-0002-8709-4446
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Center for Clinical Research Dalarna.
Sch Hlth Care & Social Welf, Dept Physiotherapy, Vasteras, Sweden.
2018 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 20, no 3, p. 141-151Article in journal (Refereed) Published
Abstract [en]

Background: The activity and life-role targeting rehabilitation programme (ALAR) promotes patient's active involvement in pain rehabilitation.

Purpose: to explore the feasibility of ALAR applied in a primary healthcare context.

Materials and methods: An intervention was conducted at primary healthcare centres. Patients experiencing persistent pain were randomly assigned to ALAR + MMR or Multimodal pain rehabilitation (MMR). Data were collected by patient questionnaires before and after intervention (9 weeks and 1 year), medical record examination and therapist telephone interviews.

Results: Seventy percent of ALAR +MMR participants completed the programme (n = 24). Complete data were obtained for half of the participants (ALAR +MMR n = 15, MMR n = 17). More ALAR +MMR than MMR participants perceived that they had been participating in planning their rehabilitation. The addition of ALAR to MMR induced higher costs short term, but had favourable health-economic effects in the long term.

Conclusions: The methods for delivering ALAR in primary healthcare by specially trained physio and occupational therapists were feasible. Therapists' acceptability and perceived usability of the ALAR programme was high. More ALAR + MMR than MMR participants withdrew without completing treatment. Measures to increase patients' acceptability of the ALAR programme are warranted. Flexibility in number of treatment sessions and addressing patients' self-efficacy for undertaking rehabilitation is suggested, thus emphasising a more individualised rehabilitation plan.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2018. Vol. 20, no 3, p. 141-151
Keywords [en]
Activities of daily living, behavioural medicine, disability, physiotherapy, self-efficacy, self-management
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-365844DOI: 10.1080/21679169.2018.1426784ISI: 000444273400004OAI: oai:DiVA.org:uu-365844DiVA, id: diva2:1266080
Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2018-11-27Bibliographically approved

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Gustavsson, Catharina

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