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Evaluation of individualized quality of life and illness perceptions in low back pain. A patient education cluster randomized controlled trial.

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Title: Evaluation of individualized quality of life and illness perceptions in low back pain. A patient education cluster randomized controlled trial.
Authors: Løchting, I.1,2 ida.lochting@ous-hf.no, Storheim, K.1,3, Werner, E.L.4,5, Småstuen Cvancarova, M.1, Grotle, M.1,6
Source: Patient Education & Counseling. Dec2016, Vol. 99 Issue 12, p1992-1998. 7p.
Subject Terms: *Quality of life, *Patient education, *Sensory perception, *Comparative studies, *Research methodology, *Research, *Evaluation research, Lumbar pain, Pain management, Individualized medicine, Randomized controlled trials, Cluster analysis (Statistics), Health attitudes, Medical cooperation, Health outcome assessment, Primary health care, Psychology
Abstract: Objective: To evaluate the effect of a cognitive patient education intervention compared with usual care on secondary outcomes of individual quality of life and psychological outcomes of illness perceptions and pain catastrophizing in patients with low back pain.Methods: A pragmatic cluster randomized controlled trial in which 16 general practitioners (GPs) and 20 physiotherapists (PTs) in primary care were randomly assigned to provide either a cognitive patient education intervention or usual treatment. Patients were followed up at 4 weeks and 12 months after treatment. Linear mixed models were used with group, time, type of clinician and interaction effects of group*time as fixed effects.Results: A total of 203 patients provided data at baseline, 86% responded at 4 weeks and 74% at 12 months. For all the outcome measures there was a statistically significant effect of time (p<0.001) and type of clinician (p<0.05) during the follow-up year. There was a significant interaction effect of group×time on illness perceptions (p=0.003), however not for the other outcome measures.Conclusion: The cognitive patient education intervention initiated a faster improvement in illness perceptions but not in the other outcomes.Practice Implications: A patient education intervention can be beneficial to improve illness perceptions, however more research is needed. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Evaluation of individualized quality of life and illness perceptions in low back pain. A patient education cluster randomized controlled trial.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22L&#248;chting%2C+I%2E%22&quot;&gt;L&#248;chting, I.&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt;&lt;i&gt; ida.lochting@ous-hf.no&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Storheim%2C+K%2E%22&quot;&gt;Storheim, K.&lt;/searchLink&gt;&lt;relatesTo&gt;1,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Werner%2C+E%2EL%2E%22&quot;&gt;Werner, E.L.&lt;/searchLink&gt;&lt;relatesTo&gt;4,5&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sm&#229;stuen+Cvancarova%2C+M%2E%22&quot;&gt;Sm&#229;stuen Cvancarova, M.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Grotle%2C+M%2E%22&quot;&gt;Grotle, M.&lt;/searchLink&gt;&lt;relatesTo&gt;1,6&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Patient+Education+%26+Counseling%22&quot;&gt;Patient Education &amp; Counseling&lt;/searchLink&gt;. Dec2016, Vol. 99 Issue 12, p1992-1998. 7p.
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  Data: &lt;bold&gt;Objective: &lt;/bold&gt;To evaluate the effect of a cognitive patient education intervention compared with usual care on secondary outcomes of individual quality of life and psychological outcomes of illness perceptions and pain catastrophizing in patients with low back pain.&lt;bold&gt;Methods: &lt;/bold&gt;A pragmatic cluster randomized controlled trial in which 16 general practitioners (GPs) and 20 physiotherapists (PTs) in primary care were randomly assigned to provide either a cognitive patient education intervention or usual treatment. Patients were followed up at 4 weeks and 12 months after treatment. Linear mixed models were used with group, time, type of clinician and interaction effects of group*time as fixed effects.&lt;bold&gt;Results: &lt;/bold&gt;A total of 203 patients provided data at baseline, 86% responded at 4 weeks and 74% at 12 months. For all the outcome measures there was a statistically significant effect of time (p&lt;0.001) and type of clinician (p&lt;0.05) during the follow-up year. There was a significant interaction effect of group&#215;time on illness perceptions (p=0.003), however not for the other outcome measures.&lt;bold&gt;Conclusion: &lt;/bold&gt;The cognitive patient education intervention initiated a faster improvement in illness perceptions but not in the other outcomes.&lt;bold&gt;Practice Implications: &lt;/bold&gt;A patient education intervention can be beneficial to improve illness perceptions, however more research is needed. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Patient Education &amp; Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=119582773
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        Value: 10.1016/j.pec.2016.05.015
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 1992
    Subjects:
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Patient education
        Type: general
      – SubjectFull: Sensory perception
        Type: general
      – SubjectFull: Comparative studies
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      – SubjectFull: Research methodology
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      – SubjectFull: Research
        Type: general
      – SubjectFull: Evaluation research
        Type: general
      – SubjectFull: Lumbar pain
        Type: general
      – SubjectFull: Pain management
        Type: general
      – SubjectFull: Individualized medicine
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Cluster analysis (Statistics)
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      – SubjectFull: Health attitudes
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Psychology
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      – TitleFull: Evaluation of individualized quality of life and illness perceptions in low back pain. A patient education cluster randomized controlled trial.
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              Text: Dec2016
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