An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse.
Ann Phys Rehabil Med
; 60(2): 68-73, 2017 Apr.
Article
en En
| MEDLINE
| ID: mdl-26776321
ABSTRACT
OBJECTIVE:
We aimed to assess the impact of a booklet integrating the biopsychosocial model of chronic pain management on reducing disability among patients undergoing lumbar discetomy.METHODS:
In a prospective, controlled, time-series study with an alternate-month design, we enrolled 129 patients from a tertiary care university hospital after they underwent uncomplicated lumbar discectomy for the first time. The intervention group received the biopsychosocial evidence-based booklet and the control group a biomedical-based booklet; the booklets differed only in information content. Patients were blinded to treatment group. The main outcome was disability at 2 months (measured by the Quebec back-pain disability scale [QBPDS]). Secondary outcomes were fear and avoidance beliefs measured by the Fear-Avoidance Beliefs Questionnaire (FABQ). All data were collected by self-reporting questionnaires.RESULTS:
At 2 months, disability did not differ between the 2 groups (QBPDS score 32.4±22.8 vs 36.1±18.7, P=0.36). FABQ physical activity score was lower with the evidenced-based booklet as compared with controls (8.0±7.14 vs 11.2±6.3, P=0.008).CONCLUSIONS:
Providing an evidence-based booklet had no effect at 2 months after surgery on disability but reduced fear-avoidance beliefs about physical activity. This booklet could be an effective tool for health care professionals in helping with patient education. CLINICALTRIALS. GOV IDENTIFIER NCT00761111.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Folletos
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Conocimientos, Actitudes y Práctica en Salud
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Educación del Paciente como Asunto
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Dolor de la Región Lumbar
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Discectomía
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Desplazamiento del Disco Intervertebral
Tipo de estudio:
Clinical_trials
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Etiology_studies
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Prognostic_studies
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Qualitative_research
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2017
Tipo del documento:
Article