Các yếu tố thiết kế trong một thử nghiệm lâm sàng về can thiệp hành vi nhận thức để quản lý đau lưng dưới trong chăm sóc sức khỏe ban đầu: Thử nghiệm Đào tạo Kỹ năng Lưng

BMC Musculoskeletal Disorders - Tập 8 - Trang 1-8 - 2007
Sarah E Lamb1,2, Ranjit Lall1, Zara Hansen1, Emma J Withers1, Frances E Griffiths3, Ala Szczepura4, Julie Barlow5, Martin R Underwood6
1Warwick Clinical Trials Unit, Health Sciences Institute, Warwick Medical School, University of Warwick, Coventry, UK
2Kadoorie Critical Care Research Centre, University of Oxford, Oxford, UK
3Primary Health Care Studies, Health Sciences Institute, Warwick Medical School, University of Warwick, Coventry, UK
4Clinical Sciences Institute, Warwick Medical School, University of Warwick, Coventry, UK
5Interdisciplinary Research Centre in Health, Faculty of Health & Life Sciences, Coventry University, Coventry, UK
6Centre for Health Sciences, Queen Mary University of London, UK

Tóm tắt

Đau lưng dưới (LBP) là một vấn đề lớn về sức khỏe cộng đồng. Các yếu tố rủi ro cho sự phát triển và kéo dài của LBP bao gồm các yếu tố thể chất và tâm lý. Tuy nhiên, hầu hết các nghiên cứu tập trung vào các giải pháp thể chất như phương pháp nắn chỉnh, luyện tập thể dục và khuyến khích hoạt động. Thử nghiệm ngẫu nhiên có kiểm soát này sẽ thiết lập hiệu quả lâm sàng và chi phí của một chương trình nhóm, dựa trên nguyên tắc hành vi nhận thức, nhằm quản lý LBP bán cấp và mãn tính trong chăm sóc sức khỏe ban đầu. Các kết quả chính của chúng tôi là các chỉ số bệnh riêng biệt về đau đớn và chức năng. Các kết quả thứ cấp bao gồm niềm tin về lưng, chất lượng cuộc sống liên quan đến sức khỏe tổng quát và việc sử dụng tài nguyên. Tất cả các kết quả sẽ được đo lường trong vòng 12 tháng. Những người tham gia được ngẫu nhiên vào nhóm can thiệp sẽ được mời tham dự tối đa sáu buổi hội thảo hàng tuần, mỗi buổi kéo dài 90 phút; mỗi nhóm có từ 6 đến 8 người tham gia. Một nghiên cứu định tính song song sẽ hỗ trợ việc đánh giá can thiệp này. Trong bài báo này, chúng tôi mô tả lý do và thiết kế của một đánh giá ngẫu nhiên về can thiệp hành vi nhận thức theo nhóm cho đau lưng dưới.

Từ khóa

#đau lưng dưới #can thiệp hành vi nhận thức #chăm sóc sức khỏe ban đầu #thử nghiệm ngẫu nhiên có kiểm soát #chất lượng cuộc sống

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BMC Musculoskeletal Disorders

Tập 8

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