Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors?: A randomised controlled trial in a secondary care setting

Nanna Rolving; Karina Agerbo; Stine Aalkjær Clausen; Kate Ane Rauff Denby; Anna  Jakobsen; Vivian Langagergaard

doi:10.1177/02692155211056202

Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors? A randomised controlled trial in a secondary care setting

Nanna Rolving, Karina Agerbo, Stine Aalkjær Clausen, Kate Ane Rauff Denby, Anna Jakobsen, Vivian Langagergaard

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

4 Citations (Scopus)

Abstract

Objective: To investigate the effects of a group-based cognitive behavioural intervention for patients with persistent low back pain (LBP) and psychological risk factors referred to secondary care. Design: A randomised controlled trial. Setting: Silkeborg Regional Hospital, Denmark. Subjects: A total of 136 participants with chronic LBP and psychological risk factors. Interventions: Participants were randomised to the standard care group, including examination by a rheumatologist and/or a physiotherapist, or the intervention group, including standard care plus a multidisciplinary group-based pain management programme. Main measures: Patient-reported outcomes were collected at baseline and after 6 and 12 months. The primary outcome was disability (Roland Morris Disability Questionnaire). Secondary outcomes included low back pain intensity, pain catastrophising, health-related quality of life, and sick leave. Results: Among 136 participants, 68 (mean age: 41.7 years (SD 11.8)) were randomised to standard care and 68 (mean age: 46.0 years (SD 10.8)) were randomised to the intervention group. Except for age, baseline characteristics were comparable between groups. 12-month follow-up was completed by 92.6% in the intervention group and 80.9% in the standard care group. Both groups achieved significant improvements on disability, with a reduction of −4.8 points (SD 6.1) in the intervention group compared to −3.7 points (SD 5.2), resulting in an insignificant difference between groups. No significant differences were found in the secondary outcomes. Conclusion: A group-based pain management programme was no more effective than standard care for patients with persistent LBP and psychological risk factors.

Original language	English
Journal	Clinical Rehabilitation
Volume	36
Issue	3
Pages (from-to)	317-330
Number of pages	14
ISSN	0269-2155
DOIs	https://doi.org/10.1177/02692155211056202
Publication status	Published - Mar 2022

Keywords

Adult
Cognitive Behavioral Therapy
Humans
Low Back Pain/diagnosis
Middle Aged
Quality of Life
Risk Factors
Secondary Care
Treatment Outcome

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Rolving, N., Agerbo, K., Clausen, S. A., Denby, K. A. R., Jakobsen, A., & Langagergaard, V. (2022). Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors? A randomised controlled trial in a secondary care setting. Clinical Rehabilitation, 36(3), 317-330. https://doi.org/10.1177/02692155211056202

Rolving, Nanna ; Agerbo, Karina ; Clausen, Stine Aalkjær et al. / Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors? A randomised controlled trial in a secondary care setting. In: Clinical Rehabilitation. 2022 ; Vol. 36, No. 3. pp. 317-330.

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title = "Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors?: A randomised controlled trial in a secondary care setting",

abstract = "Objective: To investigate the effects of a group-based cognitive behavioural intervention for patients with persistent low back pain (LBP) and psychological risk factors referred to secondary care. Design: A randomised controlled trial. Setting: Silkeborg Regional Hospital, Denmark. Subjects: A total of 136 participants with chronic LBP and psychological risk factors. Interventions: Participants were randomised to the standard care group, including examination by a rheumatologist and/or a physiotherapist, or the intervention group, including standard care plus a multidisciplinary group-based pain management programme. Main measures: Patient-reported outcomes were collected at baseline and after 6 and 12 months. The primary outcome was disability (Roland Morris Disability Questionnaire). Secondary outcomes included low back pain intensity, pain catastrophising, health-related quality of life, and sick leave. Results: Among 136 participants, 68 (mean age: 41.7 years (SD 11.8)) were randomised to standard care and 68 (mean age: 46.0 years (SD 10.8)) were randomised to the intervention group. Except for age, baseline characteristics were comparable between groups. 12-month follow-up was completed by 92.6% in the intervention group and 80.9% in the standard care group. Both groups achieved significant improvements on disability, with a reduction of −4.8 points (SD 6.1) in the intervention group compared to −3.7 points (SD 5.2), resulting in an insignificant difference between groups. No significant differences were found in the secondary outcomes. Conclusion: A group-based pain management programme was no more effective than standard care for patients with persistent LBP and psychological risk factors.",

keywords = "Low back pain, rehabilitation interventions, randomized controlled trial, psychological factors, disability, Adult, Cognitive Behavioral Therapy, Humans, Low Back Pain/diagnosis, Middle Aged, Quality of Life, Risk Factors, Secondary Care, Treatment Outcome",

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doi = "10.1177/02692155211056202",

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Rolving, N, Agerbo, K, Clausen, SA, Denby, KAR, Jakobsen, A & Langagergaard, V 2022, 'Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors? A randomised controlled trial in a secondary care setting', Clinical Rehabilitation, vol. 36, no. 3, pp. 317-330. https://doi.org/10.1177/02692155211056202

Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors? A randomised controlled trial in a secondary care setting. / Rolving, Nanna; Agerbo, Karina; Clausen, Stine Aalkjær et al.
In: Clinical Rehabilitation, Vol. 36, No. 3, 03.2022, p. 317-330.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

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T1 - Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors?

T2 - A randomised controlled trial in a secondary care setting

AU - Rolving, Nanna

AU - Agerbo, Karina

AU - Clausen, Stine Aalkjær

AU - Denby, Kate Ane Rauff

AU - Jakobsen, Anna

AU - Langagergaard, Vivian

PY - 2022/3

Y1 - 2022/3

N2 - Objective: To investigate the effects of a group-based cognitive behavioural intervention for patients with persistent low back pain (LBP) and psychological risk factors referred to secondary care. Design: A randomised controlled trial. Setting: Silkeborg Regional Hospital, Denmark. Subjects: A total of 136 participants with chronic LBP and psychological risk factors. Interventions: Participants were randomised to the standard care group, including examination by a rheumatologist and/or a physiotherapist, or the intervention group, including standard care plus a multidisciplinary group-based pain management programme. Main measures: Patient-reported outcomes were collected at baseline and after 6 and 12 months. The primary outcome was disability (Roland Morris Disability Questionnaire). Secondary outcomes included low back pain intensity, pain catastrophising, health-related quality of life, and sick leave. Results: Among 136 participants, 68 (mean age: 41.7 years (SD 11.8)) were randomised to standard care and 68 (mean age: 46.0 years (SD 10.8)) were randomised to the intervention group. Except for age, baseline characteristics were comparable between groups. 12-month follow-up was completed by 92.6% in the intervention group and 80.9% in the standard care group. Both groups achieved significant improvements on disability, with a reduction of −4.8 points (SD 6.1) in the intervention group compared to −3.7 points (SD 5.2), resulting in an insignificant difference between groups. No significant differences were found in the secondary outcomes. Conclusion: A group-based pain management programme was no more effective than standard care for patients with persistent LBP and psychological risk factors.

AB - Objective: To investigate the effects of a group-based cognitive behavioural intervention for patients with persistent low back pain (LBP) and psychological risk factors referred to secondary care. Design: A randomised controlled trial. Setting: Silkeborg Regional Hospital, Denmark. Subjects: A total of 136 participants with chronic LBP and psychological risk factors. Interventions: Participants were randomised to the standard care group, including examination by a rheumatologist and/or a physiotherapist, or the intervention group, including standard care plus a multidisciplinary group-based pain management programme. Main measures: Patient-reported outcomes were collected at baseline and after 6 and 12 months. The primary outcome was disability (Roland Morris Disability Questionnaire). Secondary outcomes included low back pain intensity, pain catastrophising, health-related quality of life, and sick leave. Results: Among 136 participants, 68 (mean age: 41.7 years (SD 11.8)) were randomised to standard care and 68 (mean age: 46.0 years (SD 10.8)) were randomised to the intervention group. Except for age, baseline characteristics were comparable between groups. 12-month follow-up was completed by 92.6% in the intervention group and 80.9% in the standard care group. Both groups achieved significant improvements on disability, with a reduction of −4.8 points (SD 6.1) in the intervention group compared to −3.7 points (SD 5.2), resulting in an insignificant difference between groups. No significant differences were found in the secondary outcomes. Conclusion: A group-based pain management programme was no more effective than standard care for patients with persistent LBP and psychological risk factors.

KW - Low back pain, rehabilitation interventions, randomized controlled trial, psychological factors, disability

KW - Adult

KW - Cognitive Behavioral Therapy

KW - Humans

KW - Low Back Pain/diagnosis

KW - Middle Aged

KW - Quality of Life

KW - Risk Factors

KW - Secondary Care

KW - Treatment Outcome

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DO - 10.1177/02692155211056202

M3 - Journal article

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AN - SCOPUS:85122156773

SN - 0269-2155

VL - 36

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JO - Clinical Rehabilitation

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