Article

Self-management of chronic neck and low back pain and relevance of information provided during clinical encounters: an observational study. OBJECTIVE: To assess the relative influence of information
provided during physical therapy on a patient's adherence to self-management
strategies in relation to other predictors of adherence (patient and pain
characteristics, use of self-management strategies before intervention). DESIGN:
A longitudinal observational study of the relationship between the information
provided during physical therapy and adherence to self-management strategies.
SETTING: Data came from a clinical-based population in 8 primary health care
centers. PARTICIPANTS: Patients (N=184) with chronic neck or low back pain (77%
under the age of 59y) were surveyed at the beginning and 1 month after completion
of physical therapy. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Specific and overall adherence to 2 types of strategies: (1) nonpharmacologic
pain management strategies, and (2) neck/back care in activities of daily life.
RESULTS: Adherence to strategies of nonpharmacologic self-management of pain was
more probable when patients received information explaining the effectiveness of
the self-management strategies (adjusted odds ratio [AOR]=10.1; P<.05) and
information about their illness (AOR=3.4; P<.05) during clinical encounters.
Information provided by the physical therapist did not have any influence on the
adherence to neck/back care in activity of daily life (P>.05). CONCLUSIONS:
Information provided during clinical encounters is associated with adherence to
different kinds of self-management strategies. While further study is required,
it is suggested that more attention be given to clinical practice strategies for
improving adherence to self-management of chronic pain.

Langue : ANGLAIS