Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial
Objective: To examine the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence and treatment outcome in patients undergoing low back pain rehabilitation. Design: A mixed-model 2 (time) × 3 (group) randomized controlled trial. Setting: A residential rehabilitation ce...
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| Veröffentlicht in: | Clinical rehabilitation 2012-11, Vol.26 (11), p.1032-1042 |
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| container_title | Clinical rehabilitation |
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| creator | Coppack, Russell J Kristensen, Jakob Karageorghis, Costas I |
| description | Objective:
To examine the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence and treatment outcome in patients undergoing low back pain rehabilitation.
Design:
A mixed-model 2 (time) × 3 (group) randomized controlled trial.
Setting:
A residential rehabilitation centre for military personnel.
Subjects:
UK military personnel volunteers (N = 48); mean age was 32.9 (SD 7.9) with a diagnosis of non-specific low back pain.
Interventions:
Subjects were randomly assigned to either a goal setting experimental group (Exp, n = 16), therapist-led exercise therapy group (C1, n = 16) or non-therapist-led exercise therapy group (C2, n = 16). Treatment duration for all groups was three weeks.
Main measures:
Self-efficacy, treatment efficacy and treatment outcome were recorded before and after the treatment period. Adherence was rated during regularly scheduled treatment sessions using the Sports Injury Rehabilitation Adherence Scale (SIRAS). The Biering-Sørensen test was used as the primary measure of treatment outcome.
Results:
ANCOVA results showed that adherence scores were significantly higher in the experimental group (13.70 ± 1.58) compared with C2 (11.74 ± 1.35), (P < 0.025). There was no significant difference for adherence between the experimental group and C1 (P = 0.13). Self-efficacy was significantly higher in the experimental group compared to both C1 and C2 (P < 0.05), whereas no significant difference was found for treatment efficacy. Treatment outcome did not differ significantly between the experimental and two control groups.
Conclusions:
The findings provide partial support for the use of goal setting to enhance adherence in clinical rehabilitation. |
| doi_str_mv | 10.1177/0269215512436613 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1364764880</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0269215512436613</sage_id><sourcerecordid>1364764880</sourcerecordid><originalsourceid>FETCH-LOGICAL-c506t-c8b39d3e085499958bd463e2bc23a2b9abe2b81a390a64b29fb7d473ee8df7173</originalsourceid><addsrcrecordid>eNqFkc1rVTEQxYMo9lndu5KAGzdX83Xz4U6KrULBjV1fkty5r6l5yTPJa9G_3lxeFSmIq5nJ_M4ZwkHoJSVvKVXqHWHSMDqOlAkuJeWP0IYKpQaiFX-MNut6WPcn6FmtN4QQzQR9ik4Y46NSxmzQ3VUFnBds8TbbiCu0FtIWh9Sg3EJqISfccp99AdtRO19DgeRhfY35Djvrv-G9DQkXuLYuxNDsqnrfLYtNc96FnzBjn1MrOcbethJsfI6eLDZWeHFfT9HV-cevZ5-Gyy8Xn88-XA5-JLINXjtuZg5Ej8IYM2o3C8mBOc-4Zc5Y13tNLTfESuGYWZyaheIAel4UVfwUvTn67kv-foDapl2oHmK0CfKhTpRLoaTQmvwfpZQbzYjRHX39AL3Jh5L6R1ZKSMIp450iR8qXXGuBZdqXsLPlx0TJtOY3PcyvS17dGx_cDuY_gt-BdWA4AtVu4a-r_zL8BXnsoi4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1114603123</pqid></control><display><type>article</type><title>Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><creator>Coppack, Russell J ; Kristensen, Jakob ; Karageorghis, Costas I</creator><creatorcontrib>Coppack, Russell J ; Kristensen, Jakob ; Karageorghis, Costas I</creatorcontrib><description>Objective:
To examine the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence and treatment outcome in patients undergoing low back pain rehabilitation.
Design:
A mixed-model 2 (time) × 3 (group) randomized controlled trial.
Setting:
A residential rehabilitation centre for military personnel.
Subjects:
UK military personnel volunteers (N = 48); mean age was 32.9 (SD 7.9) with a diagnosis of non-specific low back pain.
Interventions:
Subjects were randomly assigned to either a goal setting experimental group (Exp, n = 16), therapist-led exercise therapy group (C1, n = 16) or non-therapist-led exercise therapy group (C2, n = 16). Treatment duration for all groups was three weeks.
Main measures:
Self-efficacy, treatment efficacy and treatment outcome were recorded before and after the treatment period. Adherence was rated during regularly scheduled treatment sessions using the Sports Injury Rehabilitation Adherence Scale (SIRAS). The Biering-Sørensen test was used as the primary measure of treatment outcome.
Results:
ANCOVA results showed that adherence scores were significantly higher in the experimental group (13.70 ± 1.58) compared with C2 (11.74 ± 1.35), (P < 0.025). There was no significant difference for adherence between the experimental group and C1 (P = 0.13). Self-efficacy was significantly higher in the experimental group compared to both C1 and C2 (P < 0.05), whereas no significant difference was found for treatment efficacy. Treatment outcome did not differ significantly between the experimental and two control groups.
Conclusions:
The findings provide partial support for the use of goal setting to enhance adherence in clinical rehabilitation.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215512436613</identifier><identifier>PMID: 22357799</identifier><identifier>CODEN: CEHAEN</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adherence ; Adolescent ; Adult ; Analysis of Variance ; Back pain ; Chronic Pain - rehabilitation ; Clinical outcomes ; Clinical trials ; Compliance ; Exercise Therapy - methods ; Female ; Goal setting ; Goals ; Human performance ; Humans ; Intervention ; Low back pain ; Low Back Pain - rehabilitation ; Male ; Middle Aged ; Military Personnel ; Patient Compliance - psychology ; Patient Compliance - statistics & numerical data ; Patients ; Rehabilitation ; Self Efficacy ; Selfefficacy ; Sports injuries ; Sports medicine ; Therapists ; Therapy ; Treatment Outcome ; United Kingdom ; Young Adult</subject><ispartof>Clinical rehabilitation, 2012-11, Vol.26 (11), p.1032-1042</ispartof><rights>The Author(s) 2012</rights><rights>SAGE Publications © Nov 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-c8b39d3e085499958bd463e2bc23a2b9abe2b81a390a64b29fb7d473ee8df7173</citedby><cites>FETCH-LOGICAL-c506t-c8b39d3e085499958bd463e2bc23a2b9abe2b81a390a64b29fb7d473ee8df7173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269215512436613$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269215512436613$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,12829,21802,27907,27908,30982,30983,43604,43605</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22357799$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coppack, Russell J</creatorcontrib><creatorcontrib>Kristensen, Jakob</creatorcontrib><creatorcontrib>Karageorghis, Costas I</creatorcontrib><title>Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective:
To examine the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence and treatment outcome in patients undergoing low back pain rehabilitation.
Design:
A mixed-model 2 (time) × 3 (group) randomized controlled trial.
Setting:
A residential rehabilitation centre for military personnel.
Subjects:
UK military personnel volunteers (N = 48); mean age was 32.9 (SD 7.9) with a diagnosis of non-specific low back pain.
Interventions:
Subjects were randomly assigned to either a goal setting experimental group (Exp, n = 16), therapist-led exercise therapy group (C1, n = 16) or non-therapist-led exercise therapy group (C2, n = 16). Treatment duration for all groups was three weeks.
Main measures:
Self-efficacy, treatment efficacy and treatment outcome were recorded before and after the treatment period. Adherence was rated during regularly scheduled treatment sessions using the Sports Injury Rehabilitation Adherence Scale (SIRAS). The Biering-Sørensen test was used as the primary measure of treatment outcome.
Results:
ANCOVA results showed that adherence scores were significantly higher in the experimental group (13.70 ± 1.58) compared with C2 (11.74 ± 1.35), (P < 0.025). There was no significant difference for adherence between the experimental group and C1 (P = 0.13). Self-efficacy was significantly higher in the experimental group compared to both C1 and C2 (P < 0.05), whereas no significant difference was found for treatment efficacy. Treatment outcome did not differ significantly between the experimental and two control groups.
Conclusions:
The findings provide partial support for the use of goal setting to enhance adherence in clinical rehabilitation.</description><subject>Adherence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Back pain</subject><subject>Chronic Pain - rehabilitation</subject><subject>Clinical outcomes</subject><subject>Clinical trials</subject><subject>Compliance</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Goal setting</subject><subject>Goals</subject><subject>Human performance</subject><subject>Humans</subject><subject>Intervention</subject><subject>Low back pain</subject><subject>Low Back Pain - rehabilitation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Military Personnel</subject><subject>Patient Compliance - psychology</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Patients</subject><subject>Rehabilitation</subject><subject>Self Efficacy</subject><subject>Selfefficacy</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Therapists</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><subject>United Kingdom</subject><subject>Young Adult</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkc1rVTEQxYMo9lndu5KAGzdX83Xz4U6KrULBjV1fkty5r6l5yTPJa9G_3lxeFSmIq5nJ_M4ZwkHoJSVvKVXqHWHSMDqOlAkuJeWP0IYKpQaiFX-MNut6WPcn6FmtN4QQzQR9ik4Y46NSxmzQ3VUFnBds8TbbiCu0FtIWh9Sg3EJqISfccp99AdtRO19DgeRhfY35Djvrv-G9DQkXuLYuxNDsqnrfLYtNc96FnzBjn1MrOcbethJsfI6eLDZWeHFfT9HV-cevZ5-Gyy8Xn88-XA5-JLINXjtuZg5Ej8IYM2o3C8mBOc-4Zc5Y13tNLTfESuGYWZyaheIAel4UVfwUvTn67kv-foDapl2oHmK0CfKhTpRLoaTQmvwfpZQbzYjRHX39AL3Jh5L6R1ZKSMIp450iR8qXXGuBZdqXsLPlx0TJtOY3PcyvS17dGx_cDuY_gt-BdWA4AtVu4a-r_zL8BXnsoi4</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Coppack, Russell J</creator><creator>Kristensen, Jakob</creator><creator>Karageorghis, Costas I</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20121101</creationdate><title>Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial</title><author>Coppack, Russell J ; Kristensen, Jakob ; Karageorghis, Costas I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-c8b39d3e085499958bd463e2bc23a2b9abe2b81a390a64b29fb7d473ee8df7173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adherence</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Back pain</topic><topic>Chronic Pain - rehabilitation</topic><topic>Clinical outcomes</topic><topic>Clinical trials</topic><topic>Compliance</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Goal setting</topic><topic>Goals</topic><topic>Human performance</topic><topic>Humans</topic><topic>Intervention</topic><topic>Low back pain</topic><topic>Low Back Pain - rehabilitation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Military Personnel</topic><topic>Patient Compliance - psychology</topic><topic>Patient Compliance - statistics & numerical data</topic><topic>Patients</topic><topic>Rehabilitation</topic><topic>Self Efficacy</topic><topic>Selfefficacy</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Therapists</topic><topic>Therapy</topic><topic>Treatment Outcome</topic><topic>United Kingdom</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coppack, Russell J</creatorcontrib><creatorcontrib>Kristensen, Jakob</creatorcontrib><creatorcontrib>Karageorghis, Costas I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coppack, Russell J</au><au>Kristensen, Jakob</au><au>Karageorghis, Costas I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>26</volume><issue>11</issue><spage>1032</spage><epage>1042</epage><pages>1032-1042</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><coden>CEHAEN</coden><abstract>Objective:
To examine the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence and treatment outcome in patients undergoing low back pain rehabilitation.
Design:
A mixed-model 2 (time) × 3 (group) randomized controlled trial.
Setting:
A residential rehabilitation centre for military personnel.
Subjects:
UK military personnel volunteers (N = 48); mean age was 32.9 (SD 7.9) with a diagnosis of non-specific low back pain.
Interventions:
Subjects were randomly assigned to either a goal setting experimental group (Exp, n = 16), therapist-led exercise therapy group (C1, n = 16) or non-therapist-led exercise therapy group (C2, n = 16). Treatment duration for all groups was three weeks.
Main measures:
Self-efficacy, treatment efficacy and treatment outcome were recorded before and after the treatment period. Adherence was rated during regularly scheduled treatment sessions using the Sports Injury Rehabilitation Adherence Scale (SIRAS). The Biering-Sørensen test was used as the primary measure of treatment outcome.
Results:
ANCOVA results showed that adherence scores were significantly higher in the experimental group (13.70 ± 1.58) compared with C2 (11.74 ± 1.35), (P < 0.025). There was no significant difference for adherence between the experimental group and C1 (P = 0.13). Self-efficacy was significantly higher in the experimental group compared to both C1 and C2 (P < 0.05), whereas no significant difference was found for treatment efficacy. Treatment outcome did not differ significantly between the experimental and two control groups.
Conclusions:
The findings provide partial support for the use of goal setting to enhance adherence in clinical rehabilitation.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>22357799</pmid><doi>10.1177/0269215512436613</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-2155 |
| ispartof | Clinical rehabilitation, 2012-11, Vol.26 (11), p.1032-1042 |
| issn | 0269-2155 1477-0873 |
| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List |
| subjects | Adherence Adolescent Adult Analysis of Variance Back pain Chronic Pain - rehabilitation Clinical outcomes Clinical trials Compliance Exercise Therapy - methods Female Goal setting Goals Human performance Humans Intervention Low back pain Low Back Pain - rehabilitation Male Middle Aged Military Personnel Patient Compliance - psychology Patient Compliance - statistics & numerical data Patients Rehabilitation Self Efficacy Selfefficacy Sports injuries Sports medicine Therapists Therapy Treatment Outcome United Kingdom Young Adult |
| title | Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial |
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