A brief primary care intervention to reduce fear of movement in chronic low back pain patients

Thomas Guck, Raymond V. Burke, Christopher Rainville, Dreylana Hill-Taylor, Dustin P. Wallace

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Fear avoidance model of chronic pain-based interventions are effective, but have not been successfully implemented into primary care. It was hypothesized that speed walking times and key measures of the fear avoidance model would improve following the brief intervention delivered in primary care. A brief primary care-based intervention (PCB) that included a single educational session, speed walking (an in vivo desensitization exposure task), and visual performance feedback was designed to reduce fear avoidance beliefs and improve function in 4 patients with chronic low back pain. A multiple baseline across subjects with a changing criterion design indicated that speed walking times improved from baseline only after the PCB intervention was delivered. Six fear avoidance model outcome measures improved from baseline to end of study and five of six outcome measures improved from end of study to follow-up. This study provides evidence for the efficacy of a brief PCB fear avoidance intervention that was successfully implemented into a busy clinic for the treatment of chronic pain.

Original languageEnglish
Pages (from-to)113-121
Number of pages9
JournalTranslational Behavioral Medicine
Volume5
Issue number1
DOIs
StatePublished - 2015

Fingerprint

Low Back Pain
Fear
Primary Health Care
Chronic Pain
Outcome Assessment (Health Care)
Sensory Feedback
Task Performance and Analysis
Walking Speed
Therapeutics

All Science Journal Classification (ASJC) codes

  • Behavioral Neuroscience
  • Applied Psychology

Cite this

A brief primary care intervention to reduce fear of movement in chronic low back pain patients. / Guck, Thomas; Burke, Raymond V.; Rainville, Christopher; Hill-Taylor, Dreylana; Wallace, Dustin P.

In: Translational Behavioral Medicine, Vol. 5, No. 1, 2015, p. 113-121.

Research output: Contribution to journalArticle

Guck, Thomas ; Burke, Raymond V. ; Rainville, Christopher ; Hill-Taylor, Dreylana ; Wallace, Dustin P. / A brief primary care intervention to reduce fear of movement in chronic low back pain patients. In: Translational Behavioral Medicine. 2015 ; Vol. 5, No. 1. pp. 113-121.
@article{c56345cb1d95455dbf8b0d72f8ee0914,
title = "A brief primary care intervention to reduce fear of movement in chronic low back pain patients",
abstract = "Fear avoidance model of chronic pain-based interventions are effective, but have not been successfully implemented into primary care. It was hypothesized that speed walking times and key measures of the fear avoidance model would improve following the brief intervention delivered in primary care. A brief primary care-based intervention (PCB) that included a single educational session, speed walking (an in vivo desensitization exposure task), and visual performance feedback was designed to reduce fear avoidance beliefs and improve function in 4 patients with chronic low back pain. A multiple baseline across subjects with a changing criterion design indicated that speed walking times improved from baseline only after the PCB intervention was delivered. Six fear avoidance model outcome measures improved from baseline to end of study and five of six outcome measures improved from end of study to follow-up. This study provides evidence for the efficacy of a brief PCB fear avoidance intervention that was successfully implemented into a busy clinic for the treatment of chronic pain.",
author = "Thomas Guck and Burke, {Raymond V.} and Christopher Rainville and Dreylana Hill-Taylor and Wallace, {Dustin P.}",
year = "2015",
doi = "10.1007/s13142-014-0292-x",
language = "English",
volume = "5",
pages = "113--121",
journal = "Translational Behavioral Medicine",
issn = "1869-6716",
publisher = "Springer Publishing Company",
number = "1",

}

TY - JOUR

T1 - A brief primary care intervention to reduce fear of movement in chronic low back pain patients

AU - Guck, Thomas

AU - Burke, Raymond V.

AU - Rainville, Christopher

AU - Hill-Taylor, Dreylana

AU - Wallace, Dustin P.

PY - 2015

Y1 - 2015

N2 - Fear avoidance model of chronic pain-based interventions are effective, but have not been successfully implemented into primary care. It was hypothesized that speed walking times and key measures of the fear avoidance model would improve following the brief intervention delivered in primary care. A brief primary care-based intervention (PCB) that included a single educational session, speed walking (an in vivo desensitization exposure task), and visual performance feedback was designed to reduce fear avoidance beliefs and improve function in 4 patients with chronic low back pain. A multiple baseline across subjects with a changing criterion design indicated that speed walking times improved from baseline only after the PCB intervention was delivered. Six fear avoidance model outcome measures improved from baseline to end of study and five of six outcome measures improved from end of study to follow-up. This study provides evidence for the efficacy of a brief PCB fear avoidance intervention that was successfully implemented into a busy clinic for the treatment of chronic pain.

AB - Fear avoidance model of chronic pain-based interventions are effective, but have not been successfully implemented into primary care. It was hypothesized that speed walking times and key measures of the fear avoidance model would improve following the brief intervention delivered in primary care. A brief primary care-based intervention (PCB) that included a single educational session, speed walking (an in vivo desensitization exposure task), and visual performance feedback was designed to reduce fear avoidance beliefs and improve function in 4 patients with chronic low back pain. A multiple baseline across subjects with a changing criterion design indicated that speed walking times improved from baseline only after the PCB intervention was delivered. Six fear avoidance model outcome measures improved from baseline to end of study and five of six outcome measures improved from end of study to follow-up. This study provides evidence for the efficacy of a brief PCB fear avoidance intervention that was successfully implemented into a busy clinic for the treatment of chronic pain.

UR - http://www.scopus.com/inward/record.url?scp=84924023742&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924023742&partnerID=8YFLogxK

U2 - 10.1007/s13142-014-0292-x

DO - 10.1007/s13142-014-0292-x

M3 - Article

VL - 5

SP - 113

EP - 121

JO - Translational Behavioral Medicine

JF - Translational Behavioral Medicine

SN - 1869-6716

IS - 1

ER -