nach oben

Translational Behavioral Medicine

Erschienen in:

01.06.2012 | Original Research

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

verfasst von: Michael J L Sullivan, PhD, Gregory Simon, MD

Erschienen in: Translational Behavioral Medicine | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

ABSTRACT

The purpose of the present research was to examine the feasibility of a telephonic occupational rehabilitation program. A sample of 23 individuals with chronic musculoskeletal pain was enrolled in the telephonic version of the Progressive Goal Attainment Program (PGAP-Tel). The PGAP-Tel is a risk-targeted intervention designed to reduce pain-related disability consequent to musculoskeletal injury. Treatment outcomes of PGAP-Tel were compared to a group of individuals with chronic musculoskeletal pain, who participated in the face-to-face format of the PGAP. Results showed that PGAP-Tel was acceptable to the majority of participants (76%) to whom it was offered. There were indications that engagement and adherence issues were more problematic in PGAP-Tel than in the face-to-face intervention. Both groups showed comparable reductions in pain, depression, fear of symptom exacerbation, and self-reported disability. Participants in the face-to-face intervention showed greater reduction in catastrophic thinking than participants in PGAP-Tel. Finally, 26% of participants in PGAP-Tel had resumed some form of employment at treatment termination compared to 56% of the participants in the face-to-face intervention. Given the low cost of the PGAP-Tel intervention and the accessibility advantages of a telephonic delivery, this type of intervention might be an important resource for targeting occupational disability in rural or remote communities when face-to-face services are not available.

Adams H, Ellis T, Stanish WD, Sullivan MJL. Psychosocial factors related to return to work following rehabilitation of whiplash injuries. J Occup Rehabil. 2007;17(2):305-315.PubMedCrossRef

Beckner V, Howard I, Vella L, Mohr DC. Telephone-administered psychotherapy for depression in MS patients: moderating role of social support. J Behav Med. 2010;33(1):47-59.PubMedCrossRef

Bee PE, Bower P, Lovell K, Gilbody S, Richards D, Gask L, et al. Psychotherapy mediated by remote communication technologies: a meta-analytic review. BMC Psychiatry. 2008;8:60.PubMedCrossRef

Befort CA, Donnelly JE, Sullivan DK, Ellerbeck EF, Perri MG. Group versus individual phone-based obesity treatment for rural women. Eat Behav. 2010;11(1):11-17.PubMedCrossRef

Dworkin RH, Turk DC, McDermott MP, Peirce-Sandner S, Burke LB, Cowan P, et al. Interpreting the clinical importance of group differences in chronic pain clinical trials: IMMPACT recommendations. Pain. 2009;146(3):238-244.PubMedCrossRef

Feuerstein M. A multidisciplinary approach to the prevention, evaluation, and management of work disability. J Occup Rehabil. 1991;1:5-12.CrossRef

Feuerstein M, Huang GD, Haufler AJ, Miller JK. Development of a screen for predicting clinical outcomes in patients with work-related upper extremity disorders. J Occup Environ Med. 2000;42(7):749-761.PubMedCrossRef

Feuerstein M, Shaw WS, Lincoln AE, Miller VI, Wood PM. Clinical and workplace factors associated with a return to modified duty in work-related upper extremity disorders. Pain. 2003;102(1–2):51-61.PubMedCrossRef

Gatchel R, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007;133:581-624.PubMedCrossRef

10.

Gauthier N, Sullivan MJ, Adams H, Stanish WD, Thibault P. Investigating risk factors for chronicity: the importance of distinguishing between return-to-work status and self-report measures of disability. J Occup Environ Med. 2006;48(3):312-318.PubMedCrossRef

11.

Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med. 2007;22(11):1596-1602.PubMedCrossRef

12.

Godley MD, Coleman-Cowger VH, Titus JC, Funk RR, Orndorff MG. A randomized controlled trial of telephone continuing care. J Subst Abuse Treat. 2010;38(1):74-82.PubMedCrossRef

13.

Guzman J, Esmail R, Karjalainen K, Malmivaara A, Irvin E, Bombardier C. Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. Cochrane Database Syst Rev. 2004.

14.

Huang FY, Chung H, Kroenke K, Delucchi KL, Spitzer RL. Using the Patient Health Questionnaire-9 to measure depression among racially and ethnically diverse primary care patients. J Gen Intern Med. 2006;21(6):547-552.PubMedCrossRef

15.

Jensen MP, Turner JA, Romano JM. Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning. Pain. 2007;131(1–2):38-47.PubMedCrossRef

16.

Keefe F, Rumble M, Scipio C, Giardano L, Perri L. Psychological aspects of persistent pain: current state of the science. J Pain. 2004;5:195-211.PubMedCrossRef

17.

Kori S, Miller R, Todd D. Kinesiophobia: a new view of chronic pain behavior. Pain Manag (Jan) 1990; 35–43.

18.

Krause N, Dasinger LK, Neuhauser F. Modified work and return to work: a review of the literature. J Occup Rehabil. 1998;8:113-119.CrossRef

19.

Li C, Friedman B, Conwell Y, Fiscella K. Validity of the Patient Health Questionnaire 2 (PHQ-2) in identifying major depression in older people. J Am Geriatr Soc. 2007;55(4):596-602.PubMedCrossRef

20.

Martin DJ, Garske JP, Davis MK. Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. J Consult Clin Psychol. 2000;68:438-450.PubMedCrossRef

21.

Michalopoulos C, Wittenburg D, Israel D, Schore J, Warren A, Zutshi A, et al. The accelerated benefits demonstration and evaluation project: health and employment at 12 months: MDRC. New York; 2011.

22.

Miller L, Weissman M. Interpersonal psychotherapy delivered over the telephone to recurrent depressives. a pilot study. Depress Anxiety. 2002;16(3):114-117.PubMedCrossRef

23.

Mohr DC, Hart SL, Julian L, Catledge C, Honos-Webb L, Vella L, et al. Telephone-administered psychotherapy for depression. Arch Gen Psychiatry. 2005;62(9):1007-1014.PubMedCrossRef

24.

Mohr DC, Vella L, Hart S, Heckman T, Simon G. The effect of telephone-administered psychotherapy on symptoms of depression and attrition: a meta-analysis. Clinical Psychology. 2008;15(3):243-253.PubMed

25.

Schultz IZ, et al. Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model. Pain. 2004;107(1):77-85.PubMedCrossRef

26.

Smeets RJ, Vlaeyen JW, Kester AD, Knottnerus JA. Reduction of pain catastrophizing mediates the outcome of both physical and cognitive–behavioral treatment in chronic low back pain. J Pain. 2006;7(4):261-271.PubMedCrossRef

27.

Spinhoven P, Ter Kuile M, Kole-Snijders AM, Hutten Mansfeld M, Den Ouden DJ, Vlaeyen JW. Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain. Eur J Pain. 2004;8(3):211-219.PubMedCrossRef

28.

Spitzer RL, Williams JBW, Kroenke K, & al e. Patient Health Questionnaire - 9. Prime MD Today: Pfizer Inc.; 1999.

29.

Sullivan MJL, Adams H, Rhodenizer T, Stanish W. A psychosocial risk factor targeted intervention for the prevention of chronic pain and disability following whiplash injury. Phys Ther. 2006;86:8-18.PubMed

30.

Sullivan MJL, Feuerstein M, Gatchel RJ, Linton SJ, Pransky G. Integrating psychological and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil. 2005;15:485-489.

31.

Sullivan MJL, Ward LC, Tripp D, French D, Adams A, Stanish W. Secondary prevention of work disability: community-based psychosocial intervention for musculoskeletal disorders. J Occup Rehabil. 2005;15:377-392.PubMedCrossRef

32.

Sullivan MJL. Emerging trends in secondary prevention of pain-related disability. Clin J Pain. 2003;19:77-79.CrossRef

33.

Sullivan MJL, Adams H. Psychosocial techniques to augment the impact of physical therapy interventions for low back pain. Physiother Can. 2010;62:180-189.PubMedCrossRef

34.

Sullivan MJL, Adams H, Thibault P, Corbiere M, Stanish WD. Initial depression severity and the trajectory of recovery following cognitive–behavioral intervention for work disability. J Occup Rehabil. 2006;16(1):63-74.PubMedCrossRef

35.

Sullivan MJL, Bishop S, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:524-532.CrossRef

36.

Sullivan MJL, Neish N. The effects of disclosure on pain during dental hygiene treatment: the moderating role of catastrophizing. Pain. 1999;79(2–3):155-163.PubMedCrossRef

37.

Sullivan MJL, Stanish WD. Psychologically based occupational rehabilitation: the pain–disability prevention program. Clin J Pain. 2003;19(2):97-104.PubMedCrossRef

38.

Tait RC, Chibnall JT, Krause S. The pain disability index: psychometric properties. Pain. 1990;40(2):171-182.PubMedCrossRef

39.

Tutty S, Ludman EJ, Simon G. Feasibility and acceptability of a telephone psychotherapy program for depressed adults treated in primary care. Gen Hosp Psychiatry. 2005;27(6):400-410.PubMedCrossRef

40.

Waddell G, Aylward M, Sawney P. Back pain, incapacity for work and social security benefits: an international literature review and analysis. London: Royal Society of Medicine Press; 2002.

41.

Waddell G, Burton A, Main C. Screening to identify people at risk of long-term incapacity for work. London, UK: Royal Society of Medicine Press; 2003.

42.

Walter SD. Number needed to treat (NNT): estimation of a measure of clinical benefit. Stat Med. 2001;20(24):3947-3962.PubMedCrossRef

43.

Wideman TH, Sullivan MJL. Reducing catastrophic thinking associated with pain. Pain Manag. 2011;1:249-256.CrossRef

Titel: A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain
verfasst von: Michael J L Sullivan, PhD
Gregory Simon, MD
Publikationsdatum: 01.06.2012
Verlag: Springer-Verlag
Erschienen in: Translational Behavioral Medicine / Ausgabe 2/2012
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-012-0119-6

Springer Medizin

ABSTRACT

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2012

A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults

People reducing risk and improving strength through exercise, diet, and drug adherence (PRAISEDD): a case report on long-term single site adoption

News from the CDC: translating epilepsy self-management research to practice

Factors and predictors of cognitive impairment in the elderly

Adopting an evidence-based lifestyle physical activity program: dissemination study design and methods

News from NIH: translational research for an aging population