The smallest worthwhile change on function from a self-management intervention for non-persistent low back pain.
Eur Spine J
; 32(9): 3272-3279, 2023 09.
Article
em En
| MEDLINE
| ID: mdl-37314579
ABSTRACT
PURPOSE:
To determine (1) the smallest change in function patients would need to see following a self-management intervention for low back pain (LBP) to consider it worthwhile; (2) the association between patient-related factors and the magnitude of the smallest worthwhile change.METHODS:
A cross-sectional analysis of 212 participants of the TEXT4myBACK randomised trial was conducted. At baseline, participants nominated the smallest change in function (0-30 scale) following a self-management program they would need to reach to consider it worthwhile. A multivariate regression model estimated the effects of demographic, comorbidities, lifestyle and LBP-related factors on the smallest worthwhile change estimates.RESULTS:
On average, people with LBP need to experience an improvement of at least 9.4 points (SD 5.7) in function to consider a self-management intervention worthwhile. Only baseline function severity was significantly associated with the smallest worthwhile estimate (-0.60; 95%CI - 0.76, - 0.44).CONCLUSION:
On average, an improvement of 9.4 points (or 31%) in function is considered by people with LBP as the smallest change that makes self-management worthwhile. Those with lower levels of function needed to experience greater improvements.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dor Lombar
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Autogestão
Tipo de estudo:
Clinical_trials
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article