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Titre : | Characteristics and health outcomes associated with activation for self-management in patients with non-specific low back pain: A cross-sectional study (2023) |
Auteurs : | T. Koppenaal ; J. van der Heiden ; C.J.J. Kloek ; R.M. Arensman ; R.W.J.G. Ostelo ; C. Veenhof ; M.F. Pisters |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 67, October 2023) |
Article en page(s) : | 102830 |
Langues: | Anglais |
Mots-clés: | Non-specific low back pain ; Physiotherapy ; Self-management ; Self-efficacy |
Résumé : | Background Research has shown that the course of non-specific low back pain (LBP) is influenced by, among other factors, patients' self-management abilities. Therefore, clinical guidelines recommend stimulation of self-management. Enhancing patients' self-management potentially can improve patients? health outcomes and reduce future healthcare costs for non-specific LBP. Objectives Which characteristics and health outcomes are associated with activation for self-management in patients with non-specific LBP? Design Cross-sectional study. Method Patients with non-specific LBP applying for primary care physiotherapy were asked to participate. Multivariable linear regression analysis was performed to analyze the multivariable relationship between activation for self-management (Patient Activation Measure, range 0?100) and a range of characteristics, e.g., age, gender, and health outcomes, e.g., self-efficacy, pain catastrophizing. Results The median activation for self-management score of the patients with non-specific LBP (N = 208) was 63.10 (IQR = 19.30) points. The multivariable linear regression analysis revealed that higher self-efficacy scores (B = 0.54), female gender (B = 3.64), and a middle educational level compared with a high educational level (B = ?5.47) were associated with better activation for self-management in patients with non-specific LBP. The goodness-of-fit of the model was 17.24% (R2 = 0.17). Conclusions Patients with better activation for self-management had better self-efficacy, had a higher educational level, and were more often female. However, given the explained variance better understanding of the factors that influence the complex construct of self-management behaviour in patients who are not doing well might be needed to identify possible barriers to engage in self-management. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781223001157 |