[article]
Titre : |
An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse |
Type de document : |
texte imprimé |
Auteurs : |
Delphine Claus, Auteur ; Jean Chazal, Auteur ; Emmanuel Coudeyre, Auteur |
Année de publication : |
2017 |
Article en page(s) : |
p. 68-73 |
Langues : |
Anglais (eng) Français (fre) |
Mots-clés : |
Lombalgie Attitude Peur Chirurgie orthopédique Brochure Disque intervertébral Booklet,Self-care,Fear-avoidance beliefs,Low back pain,Discectomy |
Résumé : |
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.
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in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 68-73
[article] An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse [texte imprimé] / Delphine Claus, Auteur ; Jean Chazal, Auteur ; Emmanuel Coudeyre, Auteur . - 2017 . - p. 68-73. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 68-73
Mots-clés : |
Lombalgie Attitude Peur Chirurgie orthopédique Brochure Disque intervertébral Booklet,Self-care,Fear-avoidance beliefs,Low back pain,Discectomy |
Résumé : |
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.
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