Long-Term Effects of Interprofessional Biopsychosocial Rehabilitation for Adults with Chronic Non-Specific Low Back Pain: A Multicentre, Quasi-Experimental Study
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{"title"=>"Long-term effects of interprofessional biopsychosocial rehabilitation for adults with chronic non-specific low Back pain: A multicentre, quasi-experimental study", "type"=>"journal", "authors"=>[{"first_name"=>"Jana", "last_name"=>"Semrau", "scopus_author_id"=>"56437437600"}, {"first_name"=>"Christian", "last_name"=>"Hentschke", "scopus_author_id"=>"36196589100"}, {"first_name"=>"Jana", "last_name"=>"Buchmann", "scopus_author_id"=>"56647797900"}, {"first_name"=>"Karin", "last_name"=>"Meng", "scopus_author_id"=>"14028805800"}, {"first_name"=>"Heiner", "last_name"=>"Vogel", "scopus_author_id"=>"7402026843"}, {"first_name"=>"Hermann", "last_name"=>"Faller", "scopus_author_id"=>"55412462600"}, {"first_name"=>"Hartmut", "last_name"=>"Bork", "scopus_author_id"=>"6603699517"}, {"first_name"=>"Klaus", "last_name"=>"Pfeifer", "scopus_author_id"=>"56924772000"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pmid"=>"25768735", "scopus"=>"2-s2.0-84929468081", "doi"=>"10.1371/journal.pone.0118609", "sgr"=>"84929468081", "pui"=>"604134939"}, "id"=>"cc0bab58-92a7-3f40-9c1c-1fb52ec664cc", "abstract"=>"BACKGROUND: Improvement 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. METHODS: A 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). RESULTS: In 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. CONCLUSION: The 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 REGISTRATION: ClinicalTrials.gov NCT02056951.", "link"=>"http://www.mendeley.com/research/longterm-effects-interprofessional-biopsychosocial-rehabilitation-adults-chronic-nonspecific-low-bac-1", "reader_count"=>60, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>5, "Other"=>2, "Student > Master"=>13, "Student > Bachelor"=>13, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>5, "Other"=>2, "Student > Master"=>13, "Student > Bachelor"=>13, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>11, "Medicine and Dentistry"=>28, "Neuroscience"=>1, "Philosophy"=>1, "Sports and Recreations"=>4, "Psychology"=>6, "Social Sciences"=>7}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>28}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>7}, "Sports and Recreations"=>{"Sports and Recreations"=>4}, "Psychology"=>{"Psychology"=>6}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>11}, "Unspecified"=>{"Unspecified"=>2}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"United Kingdom"=>1, "Australia"=>1, "Ethiopia"=>1}, "group_count"=>5}

Scopus | Further Information

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/1948357"], "description"=>"<p>Flowchart.</p>", "links"=>[], "tags"=>["measurement time points", "interprofessional", "program", "Hannover Functional Ability Questionnaire", "interdisciplinary", "effectiveness", "favour", "CLBP", "12 months", "48 hours", "extent", "mor", "biopsychosocial rehabilitation concept", "intervention", "management", "ci", "Interprofessional Biopsychosocial Rehabilitation", "inpatient rehabilitation centres", "outcome", "participant", "data", "nct"], "article_id"=>1335374, "categories"=>["Biological Sciences"], "users"=>["Jana Semrau", "Christian Hentschke", "Jana Buchmann", "Karin Meng", "Heiner Vogel", "Hermann Faller", "Hartmut Bork", "Klaus Pfeifer"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0118609.g001", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flowchart_/1335374", "title"=>"Flowchart.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-03-13 04:17:10"}
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  • {"files"=>["https://ndownloader.figshare.com/files/1948366"], "description"=>"<p>LMM = linear mixed model; t1 = baseline, t2 = end of rehabilitation, t3 = 12-month follow-up; CI = confidence interval, P = significance value; bold = significant between-group difference (P<0.05); d = Effect size Cohen’s d for the between group difference; FFbH-R = Hannover Functional Ability Questionnaire</p><p>LMM (secondary analysis)—primary outcome functional ability (FFbH-R).</p>", "links"=>[], "tags"=>["measurement time points", "interprofessional", "program", "Hannover Functional Ability Questionnaire", "interdisciplinary", "effectiveness", "favour", "CLBP", "12 months", "48 hours", "extent", "mor", "biopsychosocial rehabilitation concept", "intervention", "management", "ci", "Interprofessional Biopsychosocial Rehabilitation", "inpatient rehabilitation centres", "outcome", "participant", "data", "nct"], "article_id"=>1335383, "categories"=>["Biological Sciences"], "users"=>["Jana Semrau", "Christian Hentschke", "Jana Buchmann", "Karin Meng", "Heiner Vogel", "Hermann Faller", "Hartmut Bork", "Klaus Pfeifer"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0118609.t005", "stats"=>{"downloads"=>4, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_LMM_secondary_analysis_8212_primary_outcome_functional_ability_FFbH_R_/1335383", "title"=>"LMM (secondary analysis)—primary outcome functional ability (FFbH-R).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-13 04:17:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/1948367"], "description"=>"<p>M = mean, SD = standard deviation; CI = confidence interval; ANCOVA = analysis of covariance; <i>P</i> = significance value; bold = significant between-group difference (P<0.05); d = Effect size Cohen’s d for the between group difference; SF 12 = Short Form 12, NRS = Numeric Rating Scale, FFkA = Freiburg Questionnaire of physical activity</p><p>ANCOVA (primary analysis)—secondary outcomes SF 12, NRS, FFkA.</p>", "links"=>[], "tags"=>["measurement time points", "interprofessional", "program", "Hannover Functional Ability Questionnaire", "interdisciplinary", "effectiveness", "favour", "CLBP", "12 months", "48 hours", "extent", "mor", "biopsychosocial rehabilitation concept", "intervention", "management", "ci", "Interprofessional Biopsychosocial Rehabilitation", "inpatient rehabilitation centres", "outcome", "participant", "data", "nct"], "article_id"=>1335384, "categories"=>["Biological Sciences"], "users"=>["Jana Semrau", "Christian Hentschke", "Jana Buchmann", "Karin Meng", "Heiner Vogel", "Hermann Faller", "Hartmut Bork", "Klaus Pfeifer"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0118609.t006", "stats"=>{"downloads"=>8, "page_views"=>22, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_ANCOVA_primary_analysis_8212_secondary_outcomes_SF_12_NRS_FFkA_/1335384", "title"=>"ANCOVA (primary analysis)—secondary outcomes SF 12, NRS, FFkA.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-13 04:17:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/1948365"], "description"=>"<p>M = mean, SD = standard deviation; CI = confidence interval; ANCOVA = analysis of covariance; <i>P</i> = significance value; bold = significant between-group difference (<i>P</i><0.05); d = Effect size Cohen’s d for the between group difference; FFbH-R = Hannover Functional Ability Questionnaire</p><p>ANCOVA (primary analysis)—primary outcome functional ability (FFbH-R).</p>", "links"=>[], "tags"=>["measurement time points", "interprofessional", "program", "Hannover Functional Ability Questionnaire", "interdisciplinary", "effectiveness", "favour", "CLBP", "12 months", "48 hours", "extent", "mor", "biopsychosocial rehabilitation concept", "intervention", "management", "ci", "Interprofessional Biopsychosocial Rehabilitation", "inpatient rehabilitation centres", "outcome", "participant", "data", "nct"], "article_id"=>1335382, "categories"=>["Biological Sciences"], "users"=>["Jana Semrau", "Christian Hentschke", "Jana Buchmann", "Karin Meng", "Heiner Vogel", "Hermann Faller", "Hartmut Bork", "Klaus Pfeifer"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0118609.t004", "stats"=>{"downloads"=>3, "page_views"=>70, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_ANCOVA_primary_analysis_8212_primary_outcome_functional_ability_FFbH_R_/1335382", "title"=>"ANCOVA (primary analysis)—primary outcome functional ability (FFbH-R).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-13 04:17:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/1948362"], "description"=>"<p>Description of PASTOR.</p>", "links"=>[], "tags"=>["measurement time points", "interprofessional", "program", "Hannover Functional Ability Questionnaire", "interdisciplinary", "effectiveness", "favour", "CLBP", "12 months", "48 hours", "extent", "mor", "biopsychosocial rehabilitation concept", "intervention", "management", "ci", "Interprofessional Biopsychosocial Rehabilitation", "inpatient rehabilitation centres", "outcome", "participant", "data", "nct"], "article_id"=>1335379, "categories"=>["Biological Sciences"], "users"=>["Jana Semrau", "Christian Hentschke", "Jana Buchmann", "Karin Meng", "Heiner Vogel", "Hermann Faller", "Hartmut Bork", "Klaus Pfeifer"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0118609.t001", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Description_of_PASTOR_/1335379", "title"=>"Description of PASTOR.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-13 04:17:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/1948376", "https://ndownloader.figshare.com/files/1948377", "https://ndownloader.figshare.com/files/1948378", "https://ndownloader.figshare.com/files/1948379", "https://ndownloader.figshare.com/files/1948380", "https://ndownloader.figshare.com/files/1948381", "https://ndownloader.figshare.com/files/1948382", "https://ndownloader.figshare.com/files/1948383", "https://ndownloader.figshare.com/files/1948384"], "description"=>"<div><p>Background</p><p>Improvement 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.</p><p>Methods</p><p>A 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).</p><p>Results</p><p>In 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.</p><p>Conclusion</p><p>The 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.</p><p>Trial Registration</p><p>ClinicalTrials.gov <a href=\"https://clinicaltrials.gov/ct2/show/NCT02056951\" target=\"_blank\">NCT02056951</a></p></div>", "links"=>[], "tags"=>["measurement time points", "interprofessional", "program", "Hannover Functional Ability Questionnaire", "interdisciplinary", "effectiveness", "favour", "CLBP", "12 months", "48 hours", "extent", "mor", "biopsychosocial rehabilitation concept", "intervention", "management", "ci", "Interprofessional Biopsychosocial Rehabilitation", "inpatient rehabilitation centres", "outcome", "participant", "data", "nct"], "article_id"=>1335393, "categories"=>["Biological Sciences"], "users"=>["Jana Semrau", "Christian Hentschke", "Jana Buchmann", "Karin Meng", "Heiner Vogel", "Hermann Faller", "Hartmut Bork", "Klaus Pfeifer"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0118609.s001", "https://dx.doi.org/10.1371/journal.pone.0118609.s002", "https://dx.doi.org/10.1371/journal.pone.0118609.s003", "https://dx.doi.org/10.1371/journal.pone.0118609.s004", "https://dx.doi.org/10.1371/journal.pone.0118609.s005", "https://dx.doi.org/10.1371/journal.pone.0118609.s006", "https://dx.doi.org/10.1371/journal.pone.0118609.s007", "https://dx.doi.org/10.1371/journal.pone.0118609.s008", "https://dx.doi.org/10.1371/journal.pone.0118609.s009"], "stats"=>{"downloads"=>7, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Long_Term_Effects_of_Interprofessional_Biopsychosocial_Rehabilitation_for_Adults_with_Chronic_Non_Specific_Low_Back_Pain_A_Multicentre_Quasi_Experimental_Study_/1335393", "title"=>"Long-Term Effects of Interprofessional Biopsychosocial Rehabilitation for Adults with Chronic Non-Specific Low Back Pain: A Multicentre, Quasi-Experimental Study", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-03-13 04:17:10"}

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{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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