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Effectiveness of training in guideline-oriented BPS management of low-back pain in occupational health services, 2021, Ryynänen et al

Discussion in 'Other psychosomatic news and research' started by ME/CFS Skeptic, Apr 20, 2021.

  1. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

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    Effectiveness of training in guideline-oriented biopsychosocial management of low-back pain in occupational health services – a cluster randomized controlled trial by Ryynänen et al.

    Objective This study aimed to investigate the effectiveness of brief training in the guideline-oriented biopsychosocial management of low-back pain (LBP) in occupational health services using a cluster-randomized design. A small sample of physiotherapists and physicians from the intervention units (N=12) were given three- to seven-day training focusing on the biopsychosocial management of LBP, while professionals in the control units (N=15) received no such training.

    Methods Eligible patients with LBP, with or without radicular pain, aged 18–65, were invited to participate. A web-based questionnaire was sent to all recruited patients at baseline, three months and one year. The primary outcome measure was disability (Oswestry Disability Index, ODI) over one year. Between-group differences were analyzed using linear and generalized linear mixed models adjusted for baseline-response delay as well as variables showing between-group imbalance at baseline.

    Results The final study sample comprised 234 and 81 patients in the intervention and control groups, respectively at baseline, and 137 and 47 patients, respectively, at one year. At baseline, the mean duration of pain was longer in the intervention group (P=0.017), and pain-related fear concerning physical activity was lower (P=0.012). We observed no significant difference between the groups’ primary outcome measure (adjusted one-year mean difference in the ODI: 2.3; 95% confidence interval -1.0–5.7; P=0.175) or most secondary outcomes.

    Conclusions Brief training in guideline-oriented biopsychosocial management of LBP for occupational health professionals did not appear to be effective in reducing patients’ symptom over one-year follow-up compared to treatment as usual.

    https://www.sjweh.fi/show_abstract.php?abstract_id=3959
     
    DokaGirl, nick2155, Mithriel and 8 others like this.
  2. MEMarge

    MEMarge Senior Member (Voting Rights)

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    Great to see a negative result published for a change.
     
    DokaGirl, nick2155, Mithriel and 11 others like this.
  3. Midnattsol

    Midnattsol Moderator Staff Member

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    I also like the unintended "con" in the thread title :laugh:

    (moderator note - the title has now been edited to leave out the part of 'a cluster randomised control trial' that the character limit allowed)
     
    Last edited by a moderator: Apr 21, 2021
    DokaGirl, Trish, Hutan and 7 others like this.
  4. rvallee

    rvallee Senior Member (Voting Rights)

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    Buy lottery tickets and fire up the grill for unicorn meat!

    I am still utterly confused as to how the BPS model is not straight up alternative medicine. It's just a set of vague assumptions and ideas that are fully individualized to the HCP, ask 100 people what it means in practice and you'll get anywhere between 150 and 500 different explanations or ideas.
     
    DokaGirl, nick2155, Frankie and 4 others like this.
  5. alktipping

    alktipping Senior Member (Voting Rights)

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    so training health professionals to lie to patients results in no benefit to the patient . who knew .
     
    DokaGirl, Michelle, rvallee and 5 others like this.

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