Effectiveness of cognitive behavioral therapy vs conservative pain management for occupational performance in patients with low back pain: a systematic review protocol.
Gemiele Elaine Delasas, Ninfa Mae Delgado, Isabelle Kezia Mojica, Stepanie Ragasa, Valentin Dones, Donald Manlapaz
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引用次数: 0
Abstract
Objective: This review aims to evaluate the effectiveness of cognitive behavioral therapy (CBT) compared with conservative pain management for improving the occupational performance of individuals with low back pain.
Introduction: Low back pain is a condition that describes pain between the lower edge of ribs and the buttocks. It is projected to affect 843 million people by 2050, with significant economic and occupational consequences. CBT is a growing treatment for chronic pain that aims to change maladaptive thoughts and behaviors. This review will examine the effectiveness of CBT for improving occupational performance.
Inclusion criteria: The review will focus on the effect of CBT on adults with musculoskeletal low back pain, whether acute, subacute, or chronic. It will analyze randomized controlled trials, cohort studies, case-control studies, and quasi-experimental studies to assess CBT's impact on occupational performance, including activities of daily living, work, and sleep.
Methods: Two independent reviewers will screen titles, abstracts, and full-text manuscripts from PubMed, CINAHL (EBSCOhost), Web of Science Core Collection, Cochrane Library, OTSeeker, and ScienceDirect. Unpublished studies and gray literature will also be searched in ClinicalTrials.gov, Google Scholar, World Health Organization, and ProQuest Dissertations and Theses. A subgroup analysis will explore the effects of CBT on post-treatment outcomes, identifying sources of heterogeneity in its impact on activities of daily living, work, and sleep. Factors such as CBT type, delivery method, participant age, and low back pain chronicity will be considered. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach will assess evidence certainty, and a Summary of Findings will be provided.
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