支持与背部相关的腿部疼痛的生物心理社会自我管理:一个随机的可行性研究,整合了一个整个人视角
Brent Leininger1, Roni Evans2, Carol M Greco3
1Integrative Health and Wellbeing Research Program, Earl E. Bakken Center for Spirituality and Healing, University of Minnesota, Mayo Memorial Building C504, 420 Delaware Street, Minneapolis, MN, 55414, USA. lein0122@umn.edu.
Chiropractic & manual therapies
|February 5, 2025
概括
这项研究发现,对背部相关腿部疼痛 (BRLP) 进行全人支持的自我管理干预是可行的. 将这种方法与医疗保健进行比较的全面试验是可行的,并确定了优化领域.
科学领域:
- 疼痛管理 疼痛管理
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
背景情况:
- 对于与背部相关的腿部疼痛 (BRLP) 的保守治疗方法存在有限的高质量研究.
- 这项可行性研究为一项全面试验做了准备,该试验将支持的自我管理与慢性BRLP的医疗护理进行比较.
研究的目的:
- 评估对慢性BRLP进行全面随机试验的可行性.
- 将全人支持的自我管理干预与标准医疗保健进行比较.
主要方法:
- 参与者被随机分配到12周的个性化支持的自我管理或基于指南的药理学医疗护理.
- 支持自我管理整合了BRLP教育,心理社会策略和身体模式.
- 通过招聘,入学,干预交付和数据收集目标评估可行性.
主要成果:
- 几乎所有可行性目标都实现或超过,招聘和保留率高.
- 报告的自我管理实践参与度高 (95%) 和满意度高 (85%).
- 干预提供者实现了高保真度,尽管在共享决策方面存在挑战.
结论:
- 对慢性BRLP进行全面的随机试验,将支持的自我管理与医疗保健进行比较是可行的.
- 该研究确定了为更大的试验优化流程和协议的关键领域.
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