Trial reportPloS one2015
Long-term effects of interprofessional biopsychosocial rehabilitation for adults with chronic non-specific low back pain: a multicentre, quasi-experimental study.
Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02056951 (Interprofessional Biopsychosocial Rehabilitation to Optimize Inpatient Multidisciplinary Orthopedic Rehabilitation for Chronic Low Back Pain), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Interprofessional Biopsychosocial Rehabilitation to Optimize Inpatient Multidisciplinary Orthopedic Rehabilitation for Chronic Low Back Pain
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review.Systematic reviews · 2022Pooled it
- Longitudinal outcome evaluations of Interdisciplinary Multimodal Pain Treatment programmes for patients with chronic primary musculoskeletal pain: A systematic review and meta-analysis.European journal of pain (London, England) · 2022Pooled it
- Effect of multidimensional physiotherapy on non-specific chronic low back pain: a randomized controlled trial.Advances in rheumatology (London, England) · 2023Trial
- [Debora: Long-Term Effectiveness of an Inpatient Combined Pain Competence and Depression Prevention Training for Non-Specific Chronic Low Back Pain and Depressive Symptoms].Psychotherapie, Psychosomatik, medizinische Psychologie · 2023Trial
- Effects of behavioural exercise therapy on the effectiveness of multidisciplinary rehabilitation for chronic non-specific low back pain: a randomised controlled trial.BMC musculoskeletal disorders · 2021Trial
- Disparities in access but not outcomes: Medicaid versus non-Medicaid patients in multidisciplinary chronic pain rehabilitation.Disability and rehabilitation · 2024Article
- [Is the relationship between depressive symptoms and work-related factors mediated by pain self-efficacy in non-specific chronic low back pain?]Schmerz (Berlin, Germany) · 2024Article
- Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis.Journal of rehabilitation medicine · 2024Article
- Health care providers' understanding of self-management support for people with chronic low back pain in Ethiopia: an interpretive description.BMC health services research · 2022Article
- Long-term effects of rehabilitation and prevention of further chronification of pain among patients with non-specific low back pain.Journal of back and musculoskeletal rehabilitation · 2022Article
- Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research.PloS one · 2021Article
- Physical activity and health promotion for nursing staff in elderly care: a study protocol for a randomised controlled trial.BMJ open · 2020Article
- Pain rehabilitation's dual power: Treatment for chronic pain and prevention of opioid-related risks.The American psychologist · 2020Article
- Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database.BMC public health · 2018Article
- Providing chronic pain management in the "Fifth Vital Sign" Era: Historical and treatment perspectives on a modern-day medical dilemma.Drug and alcohol dependence · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImprovement of the long-term effectiveness of multidisciplinary ortho-paedic rehabilitation (MOR) in the management of chronic non-specific low back pain (CLBP) remains a central issue for health care in Germany. We developed an interprofessional and interdisciplinary, biopsychosocial rehabilitation concept named "PASTOR" to promote self-management in adults with CLBP and compared its effectiveness with the current model of MOR.
methodsA multicentre quasi-experimental study with three measurement time points was implemented. 680 adults aged 18 to 65 with CLBP were assed for eligibil-ity in three inpatient rehabilitation centres in Germany. At first the effects of the MOR, with a total extent of 48 hours (control group), were assessed. Thereafter, PASTOR was implemented and evaluated in the same centres (intervention group). It consisted of six interprofessional modules, which were provided on 12 days in fixed groups, with a total extent of 48 hours. Participants were assessed with self-report measures at baseline, discharge, and 12 months for functional ability (primary outcome) using the Hannover Functional Ability Questionnaire (FFbH-R) and vari-ous secondary outcomes (e.g. pain, health status, physical activity, pain coping, pain-related cognitions).
resultsIn total 536 participants were consecutively assigned to PASTOR (n=266) or MOR (n=270). At 12 months, complete data of 368 participants was available. The adjusted between-group difference in the FFbH-R at 12 months was 6.58 (95% CI 3.38 to 9.78) using complete data and 3.56 (95% CI 0.45 to 6.67) using available da-ta, corresponding to significant small-to-medium effect sizes of d=0.42 (p<0.001) and d=0.10 (p=0.025) in favour of PASTOR. Further improvements in secondary out-comes were also observed in favour of PASTOR.
conclusionThe interprofessional and interdisciplinary, biopsychosocial rehabilita-tion program PASTOR shows some improvements of the long-term effectiveness of inpatient rehabilitation in the management of adults with CLBP. Further insights into mechanisms of action of complex intervention programs are required.
trial registrationClinicalTrials.gov NCT02056951.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.