Individually tailored treatment targeting activity, motor behavior, and cognitions reduces pain-related disability: a randomized controlled trial in patients with musculoskeletal pain
2005 (English)In: Pain forum, ISSN 1082-3174, The Journal of Pain, Vol. 6, no 9, 588-603 p.Article in journal (Refereed) Published
This study compares the outcomes of an individually tailored behavioral medicine intervention (experimental) with physical exercise therapy (control). The experimental intervention was systematically individualized according to each participant’s behavioral treatment goals and functional behavioral analyses. One hundred twenty-two patients seeking care at 3 primary health care clinics because of musculoskeletal pain were randomized. Ninety-seven completed the trial. Data were collected at baseline, immediately after treatment, and at a 3-month follow-up. Analyses of data from completers, as well as intention-to-treat analyses, showed that the experimental group experienced lower levels of disability (P = .01), lower maximum pain intensity (P = .02), higher levels of pain control (P = .001), and lower fear of movement (P = .022) as a result of treatment condition. Self-efficacy (P = .0001) and physical performance (P = .0001) increased over time for both groups. Participants in the experimental group generally reported more positive effects after treatment. Treatment fidelity was maintained during the course of the study. Activity can be resumed and pain might be managed by the patients themselves if treatment incorporates the biopsychosocial explanatory model of pain and strategies are tailored according to individual’s priorities of everyday life activities and empirically derived determinants of pain-related disability.
Place, publisher, year, edition, pages
2005. Vol. 6, no 9, 588-603 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-93014DOI: 10.1016/j.jpain.2005.03.008OAI: oai:DiVA.org:uu-93014DiVA: diva2:166361