🔥1/6 From my PhD:
"My #Back is Fit for Movement": A Qualitative Study Alongside a Randomized Controlled Trial for Chronic Low Back Pain
@Pain_NeuRa @HayleyLeake @AidanCashin @adrian_traeger @SylviaGustin2 @link_physio @EdelOH @UNSWMedicine @neuraustralia
pubmed.ncbi.nlm.nih.gov/36577460/
2a/6 Why?
- The effects of non-pharmacological interventions for CLBP are sustained for only a few months at best.
- A multimodal intervention grounded in evidence of pain-related alterations in neural processing reduced #disability across 12 months: jamanetwork.com/journals/jama/…
2b/6 The program #RESOLVE employed a “fit for purpose” framework: understand, feel and experience that the back is fit for purpose (movement), highlighting the #biopsychosocial nature of
pain and addressing biopsychosocial contributors to
pain experience⤵️
academic.oup.com/ptj/advance-ar…
3/6 What did we do?

We conducted semi-structured interviews with 20 participants to identify perceptions of facilitators/barriers for the intervention - patients' #acceptability; attitude; perceived effectiveness; #selfefficacy...
* We interviewed participants 1 year after the intervention to capture the long-term impact of the treatment: a critical assumption for the long-term effect of #biopsychosocial interventions for #pain.
4a/6 What did we find?

We identified emotional and cognitive responses and classified them into facilitators or barriers for treatment acceptability according to the Theoretical Framework of Acceptability. We found ⤵️
4b/6 We provided detailed qualitative descriptions. For example, a facilitator for perceived effectiveness:
5/6 What did we recommend?

We proposed several recommendations for the RESOLVE intervention and other biopsychosocial treatments for chronic low back pain. For example, to facilitate the perceived effectiveness:
6a/6 What did we conclude?
We highlighted the importance of
1) psychoeducation and behaviour change techniques to create a positive attitude towards movement and
increase the perception of pain control.
6b/6
2) systematic approaches to monitor and target misconceptions about the interventions during treatment

3) psychoeducation and behaviour change techniques to maintain the improvements after the cessation of formal care.

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