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Open AccessArticle

Getting “Unstuck”: A Multi-Site Evaluation of the Efficacy of an Interdisciplinary Pain Intervention Program for Chronic Low Back Pain

by 1,*, 1,† and 2,†
1
Baylor Center for Pain Management, 3600 Gaston Ave, Wadley Tower, Suite 360, Dallas, TX 75246, USA
2
Eugene McDermott Center for Pain Management—University of Texas Southwestern Medical Center, 1801 Inwood Avenue, Suite WA 7.5, Dallas, TX 75390, USA
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editors: Robert J. Gatchel and Sampath Parthasarathy
Healthcare 2016, 4(2), 33; https://doi.org/10.3390/healthcare4020033
Received: 16 December 2015 / Revised: 2 June 2016 / Accepted: 3 June 2016 / Published: 14 June 2016
(This article belongs to the Special Issue Low Back Pain: Recent Advances And Perspectives)
Chronic low back pain is one of the major health problems in the U.S., resulting in a large number of years of disability. To address the biopsychosocial nature of pain, interdisciplinary pain programs provide integrated interventions by an interdisciplinary team in a unified setting with unified goals. This study examined outcomes of an interdisciplinary program located at two sites with different staff, yet with a unified model of treatment and documentation. Efficacy at the combined sites was examined by comparing standard measures obtained upon admission to the program with measures at completion of a 3–4 week long program for 393 patients with chronic low back pain (CLBP). Repeated measures included pain severity, pain interference, efficacy of self-management strategies, hours of activity, depression, ability to do ADLs, and physical endurance. All repeated measures differed at the p < 0.001 level, with large effect sizes (0.66–0.85). Eighty-two percent of graduates reported being “very much improved” or “much improved”. A second analyses provided evidence that treatment effects were robust across sites with no differences (<0.001) found on five of seven selected outcome measures. A third analysis found that number of days of treatment was correlated on three of seven measures at the <0.01 level. However, the amount of variance explained by days of treatment was under 5% on even the most highly correlated measure. These finding are consistent with previous research and explore short-term effectiveness of treatment across treatment sites and with variable duration of treatment. View Full-Text
Keywords: low back pain; interdisciplinary treatment; effectiveness; biopsychosocial; outcome measures low back pain; interdisciplinary treatment; effectiveness; biopsychosocial; outcome measures
MDPI and ACS Style

Clark, T.; Wakim, J.C.; Noe, C. Getting “Unstuck”: A Multi-Site Evaluation of the Efficacy of an Interdisciplinary Pain Intervention Program for Chronic Low Back Pain. Healthcare 2016, 4, 33. https://doi.org/10.3390/healthcare4020033

AMA Style

Clark T, Wakim JC, Noe C. Getting “Unstuck”: A Multi-Site Evaluation of the Efficacy of an Interdisciplinary Pain Intervention Program for Chronic Low Back Pain. Healthcare. 2016; 4(2):33. https://doi.org/10.3390/healthcare4020033

Chicago/Turabian Style

Clark, Timothy; Wakim, Jean C.; Noe, Carl. 2016. "Getting “Unstuck”: A Multi-Site Evaluation of the Efficacy of an Interdisciplinary Pain Intervention Program for Chronic Low Back Pain" Healthcare 4, no. 2: 33. https://doi.org/10.3390/healthcare4020033

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Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

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