Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

PURPOSE: This interview study aimed to capture an account of change in low back pain over time and understand the interaction of known bio-psychosocial risk factors. METHODS: Thirty-four participants from the Back Skills Training (BeST) U.K. trial, evaluating a cognitive behavioural approach intervention for LBP, gave 61 interviews. Semi-structured interviews taken once or twice post intervention explored participants' experiences of LBP and the intervention received. Initial thematic analysis of the data gave themes, which participants spoke about in an integrated way. Rereading of whole transcripts identified interactions between themes, which we classified as helpful or unhelpful to recovery. The team also explored whether there were correlations with Roland and Morris Disability Questionnaire (RMDQ) scores from the main trial. RESULTS: Web diagrams gave a graphic representation of the interactions between factors, which were highly individual and time specific. We identified three categories of webs; dense web (mostly unhelpful), open web (helpful and unhelpful) and sparse web (mostly helpful). These categories correlated with (RMDQ) scores. CONCLUSIONS: Facilitators as well as potential barriers to recovery give added insight when considering psychosocial risk factors. Web categories highlight patterns of interaction between psychosocial factors, which underlie levels of disability. These patterns of interaction may help to guide clinicians in their choice of treatment approaches.

Original publication

DOI

10.3109/09638288.2014.913705

Type

Journal article

Journal

Disability and rehabilitation

Publication Date

01/2015

Volume

37

Pages

194 - 206

Addresses

Warwick Clinical Trials Unit, Division of Health Sciences, Warwick Medical School, University of Warwick , Coventry , UK .

Keywords

Humans, Low Back Pain, Disability Evaluation, Treatment Outcome, Risk Factors, Cognitive Therapy, Adolescent, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male, Interviews as Topic, Randomized Controlled Trials as Topic, Young Adult, Chronic Pain