Early Intervention Options for Acute Low Back Pain Patients: A Prospective One-Year Follow-Up Study

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dc.contributor.advisor Gatchel , Robert J . en
dc.creator Whitfill , Travis A . en
dc.date.accessioned 2010 -07 -12T18 :13 :26Z en
dc.date.accessioned 2014 -02 -19T22 :00 :10Z
dc.date.available 2010 -07 -12T18 :13 :26Z en
dc.date.available 2014 -02 -19T22 :00 :10Z
dc.date.issued 2009 -09 -04 en
dc.identifier.other 760909732 en
dc.identifier.uri http : / /hdl .handle .net /2152 .5 /483 en
dc.description.abstract This study represents a continuation of research that has focused on the treatment of acute low back pain (ALBP ) patients using techniques designed to address the psychosocial , as well as physical , aspects of pain . Initially , an algorithm was developed by Gatchel et al . (1995a ) to identify patients suffering from ALBP who were at high -risk for developing chronic low back pain (CLBP ) . An interdisciplinary early intervention program was then implemented by Gatchel et al . (2003 ) to discourage the progression of ALBP to CLBP . Previous studies demonstrated the effectiveness of the early intervention program in reducing levels of pain and disability as compared to those not receiving additional treatment . Another advantage that the treatment group had , relative to the "treatment as usual" group , was cost -effectiveness , as evidenced by lower levels of healthcare utilization , time away from work and medication costs . Due to the important position that work status holds in a discussion of disability and costs associated with injury , a work transition component was added to the early intervention program . Individuals considered high -risk for developing LBP were randomly assigned into one of four groups : early intervention (EI ) ; early intervention with work transition (EI /WT ) ; work transition (NI /W ) ; and non -intervention (NI ) . A one -year prospective study looked at how these groups differed regarding outcome measures designed to evaluate pain level , coping abilities and work status (Holberg &Gatchel , 2007 ) . Earlier findings were confirmed regarding the effectiveness of early intervention programs at addressing these issues , but a small sample size did not allow for conclusive results . The current study expanded upon previous research by utilizing additional instruments in the measurement of the physical and psychosocial status of those at high risk for developing CLBP , including cortisol analyses intended to demonstrate the interplay between the physical and mental aspects of pain . In addition to these measures , an increase in sample size allowed for greater statistical power and more definitive statements regarding the long -term efficacy of early intervention interdisciplinary programs for the treatment of ALBP . en
dc.format.medium Electronic en
dc.format.mimetype application /pdf en
dc.language.iso en en
dc.subject Low Back Pain en
dc.subject Outcome and Process Assessment (Health Care ) en
dc.subject Epidemiologic Studies en
dc.title Early Intervention Options for Acute Low Back Pain Patients : A Prospective One -Year Follow -Up Study en
dc.type.genre dissertation en
dc.type.material Text en
thesis.degree.name Doctor of Philosophy en
thesis.degree.level Ph .D . en
thesis.degree.discipline Clinical Psychology en
thesis.degree.grantor Graduate School of Biomedical Sciences en
thesis.degree.department en
dc.format.digitalOrigin born digital en
thesis.date.available 2011 -09 -04 en


Early Intervention Options for Acute Low Back Pain Patients: A Prospective One-Year Follow-Up Study. Graduate School of Biomedical Sciences. Available electronically from http : / /hdl .handle .net /2152 .5 /483 .

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