Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury

Q1 Social Sciences
Claudia A. Davidson, Rogelio A. Coronado, Susan W. Vanston, Elizabeth G. Blade, Abigail L. Henry, William T. Obremskey, Stephen T. Wegener, Kristin R. Archer
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引用次数: 2

Abstract

Purpose

To determine feasibility and acceptability of a telephone-based Cognitive-Behavioral-Based Physical Therapy program for patients following traumatic lower extremity injury (CBPT-Trauma).

Methods

Patients were screened for high psychosocial risk factors and then completed the 6-week CBPT-Trauma program. Physical function, pain, and psychosocial outcomes were assessed at baseline and 6-months follow-up. Descriptive statistics assessed change in outcomes.

Results

Recruitment rate was 59%. Twenty-seven patients (73%) had a high psychosocial risk profile. Twelve patients completed the program and the follow-up assessment at 6 months and found the program to be very or extremely helpful to their overall recovery. All demonstrated a clinically meaningful increase in physical function. Six patients demonstrated a clinically relevant decrease in pain intensity, pain catastrophizing, and fear of movement. Seven patients reported a clinically meaningful increase in pain self-efficacy.

Discussion

Findings suggest that recruitment is feasible for CBPT-Trauma program. However, engagement in the CBPT-Trauma study was low. For those that completed the program, patients were satisfied with the CBPT-Trauma program and experienced meaningful improvement in psychosocial factors and patient-reported outcomes. This open pilot study highlights the importance of targeted treatment for patients at high-risk for poor outcomes and the potential for increased access to services through telephone-delivery.

Abstract Image

电话传递认知行为物理治疗外伤性下肢损伤的可行性和可接受性
这项工作部分由国防部通过国会指导医学研究计划(CDMRP)的同行评议骨科研究计划资助。w81xwh - 16 - 2 - 0060。观点、解释、结论和建议是作者的观点,不一定得到国防部的认可。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
0
期刊介绍: The Journal of Applied Biobehavioral Research, launched in 1993, aims to disseminate findings of behavioral science research which have applications to current problems of society. By publishing relevant research and emphasizing the excellence of experimental design, as well as potential applicability of experimental results, the journal bridges the theoretical and applied areas of biobehavioral research. The Journal of Applied Biobehavioral Research serves as a means of communication among scientists, as well as between researchers and those engaged in the task of solving social and biomedical problems.
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