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Psychosocial Factors Related to Functional Restoration Treatment Completion and Return-to-Function for Patients With
Krista J Howard1, Ricardo A Castaneda, Avia L Gray
1Texas State University, , San Marcos, Texas (Dr Howard, Mr Castaneda, Ms Gray, Dr Haskard-Zolnierek), and RestoreFX, North Vancouver, British Columbia, Canada (Dr Jordan).
Objective:
The aim of this study was to identify demographic and psychosocial variables associated with successful completion of a functional restoration program and return-to-function within 3 months of treatment completion.
Methods:
Three hundred seven patients admitted to the functional restoration program were evaluated for completion status and 200 patients with valid data were assessed for 3-month return-to-function status following completion. Psychosocial and functional status was assessed at baseline.
Results:
Key factors associated with program completion included lower perceived disability, lower pain, lower functional impairment, and lower fear avoidance. Factors associated with 3-month return-to-function included lower perceived disability, lower depression, greater belief that pain is not associated with impairment, and higher quality of life.
Conclusions:
Psychosocial and functional factors contribute to both functional restoration completion and 3-month return-to-function outcomes.
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