Effectiveness of Multidisciplinary Group-Based Intervention versus Individual Physiotherapy for Improving Chronic Low Back Pain in Nursing Staff: A Clinical Trial with 3- and 6-Month Follow-Up Visits from Tehran, Iran.
10.4184/asj.2017.11.3.396
- Author:
Leila GHADYANI
1
;
Sedigheh Sadat TAVAFIAN
;
Anoshirvan KAZEMNEJAD
;
Joan WAGNER
Author Information
1. Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. tavafian@modares.ac.ir
- Publication Type:Clinical Trial ; Original Article
- Keywords:
Chronic low back pain;
Social cognitive theory;
Physiotherapy;
Multidisciplinary;
Nursing staff
- MeSH:
Back Pain;
Follow-Up Studies*;
Health Education;
Humans;
Iran*;
Low Back Pain*;
Nursing Staff*;
Nursing*;
Outcome Assessment (Health Care);
Physical Therapists;
Specialization
- From:Asian Spine Journal
2017;11(3):396-404
- CountryRepublic of Korea
- Language:English
-
Abstract:
STUDY DESIGN: Clinical trial. PURPOSE: To evaluate the effectiveness of a multidisciplinary group-based intervention on improving pain and disability among Iranian nurses with chronic low back pain in Tehran, Iran. OVERVIEW OF LITERATURE: Although low back pain (LBP) is one of the most important health problems, the challenge remains on how to find an effective intervention to reduce pain and related disabilities. METHODS: Overall, 136 eligible nurses with chronic mechanical LBP were classified into two groups. The intervention group (n=66 participants) participated in a physiotherapy educational program (for 120 minutes) plus a health educational program based on predictive constructs of the social cognitive theory (for 120 minutes). These interventions were delivered by a physiotherapist and a health education specialist. The control group (n=70 participants) participated in a physiotherapy educational program (for 120 minutes). Disability rate, pain severity, and back pain prevention behavior were measured initially and at 3- and 6-month follow-up visits using the visual analogue scale, Roland-Morris Disability, and Nursing Low Back Pain Preventive Behaviors Questionnaire. Data were analyzed by SPSS ver. 16. RESULTS: There were statistically significant differences between the two groups in the main outcome measures immediately after the educational program and at 3- and 6-month follow-up visits. Preventive behaviors of participants in the intervention group were improved at 3- and 6- month follow-up visits (p<0.001). The mean scores of predictive constructs regarding LBP preventive behaviors in the intervention group were improved after 3 and 6 months (p<0.001). Finally, in the intervention group, pain severity and disability were decreased significantly. CONCLUSIONS: This study showed that a multidisciplinary educational program intervention can be an effective approach for reducing LBP and related disabilities among nurses.
