Abstract
Objective
To assess treatment preference and attributes of 2 exercise-based treatments for people
with chronic low back pain (LBP).
Design
Cross-sectional study.
Setting
Academic research setting.
Participants
Individuals (N=154) with chronic LBP.
Interventions
Not applicable.
Main Outcome Measures
Participants completed a treatment preference assessment (TPA) measure that described
2 treatments for chronic LBP (strength and flexibility [SF] and motor skill training
[MST]). Participants rated each treatment on 4 attributes: effectiveness, acceptability/logicality,
suitability/appropriateness, and convenience. An overall score for each treatment
was calculated as the mean of the 4 attribute ratings. The participants indicated
either (1) no treatment preference or (2) preference for SF or MST.
Results
One hundred four participants (67.5%) had a treatment preference; of those, 95 (91.3%)
preferred SF and 9 (8.7%) preferred MST. The SF preference group rated SF higher than
MST overall and on all attributes (all Ps <.01, ds ranged from .48-1.07). The MST preference group did not rate the treatments differently
overall or on any of the attributes (all Ps >.05, ds ranged from .43-.66). Convenience of SF (P=.05, d=.79) and effectiveness (d=1.20), acceptability/logicality (d=1.27), and suitability/appropriateness (d=1.52) of MST (all Ps <.01) were rated differently between the 2 preference groups.
Conclusions
When presented with 2 treatment options, a majority of patients preferred SF over
MST. Convenience was a particularly important attribute affecting preference. Assessing
treatment preference and attributes prior to treatment initiation allows the clinician
to identify factors that may need to be addressed to enhance adherence to, and outcomes
of, treatment.
Keywords
List of abbreviations:
LBP (low back pain), MODQ (modified Oswestry Low Back Pain Disability Questionnaire), MST (motor skill training), PT (physical therapy), REDCap (Research Electronic Data Capture), SF (strength and flexibility), TPA (treatment preference assessment)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 28, 2018
Footnotes
Supported by the NIH/NICHD/NCMRR (grant no. R01 HD047709), the Foundation for Physical Therapy Promotion of Doctoral Studies Scholarship, the Dr. Hans and Clara Davis Zimmerman Foundation Health Scholarship, the Clinical and Translational Science Award Grant (grant no. UL1 TR000448), and the Siteman Comprehensive Cancer Center and NCI Cancer Center Support Grant (grant no. P30 CA091842).
Clinical Trial Registration No.: NCT02027623.
Disclosures: none.
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
