TY - JOUR
T1 - Community-based self-management of chronic low back pain in a rural African primary care setting
T2 - A feasibility study
AU - Igwesi-Chidobe, Chinonso N.
AU - Godfrey, Emma L.
AU - Kitchen, Sheila
AU - Onwasigwe, Chika N.
AU - Sorinola, Isaac O.
PY - 2019/4/29
Y1 - 2019/4/29
N2 - A small pragmatic non-randomised controlled study investigated the feasibility and acceptability of a novel theory-informed community-based self-management programme targeting the biopsychosocial factors associated with chronic low back pain disability in a rural Nigerian primary care centre. Participants either received the programme, once weekly for 6 weeks, or usual care. The programme combined group exercise sessions with group/individual discussion sessions, informed by cognitive behavioural therapy and motivational interviewing. Recruitment rate, intervention delivery, proportion of planned treatment attended, retention/dropout rate, adherence to recommended self-management strategies and biopsychosocial outcomes were used to determine feasibility. Structured qualitative exit feedback interviews ascertained acceptability. Recruitment rate was 100%, treatment uptake was 83% and loss to follow-up was 8%. Greater benefits for the self-management group compared with control were observed for primary and secondary biopsychosocial outcomes. Although the programme appears promising, the exploratory design of this study warrants more rigorous intervention testing following suggested programme improvement.
AB - A small pragmatic non-randomised controlled study investigated the feasibility and acceptability of a novel theory-informed community-based self-management programme targeting the biopsychosocial factors associated with chronic low back pain disability in a rural Nigerian primary care centre. Participants either received the programme, once weekly for 6 weeks, or usual care. The programme combined group exercise sessions with group/individual discussion sessions, informed by cognitive behavioural therapy and motivational interviewing. Recruitment rate, intervention delivery, proportion of planned treatment attended, retention/dropout rate, adherence to recommended self-management strategies and biopsychosocial outcomes were used to determine feasibility. Structured qualitative exit feedback interviews ascertained acceptability. Recruitment rate was 100%, treatment uptake was 83% and loss to follow-up was 8%. Greater benefits for the self-management group compared with control were observed for primary and secondary biopsychosocial outcomes. Although the programme appears promising, the exploratory design of this study warrants more rigorous intervention testing following suggested programme improvement.
KW - Chronic low back pain
KW - Cognitive behavioural therapy
KW - Self-management
UR - http://www.scopus.com/inward/record.url?scp=85081974681&partnerID=8YFLogxK
U2 - 10.1017/S1463423619000070
DO - 10.1017/S1463423619000070
M3 - Article
AN - SCOPUS:85081974681
SN - 1463-4236
VL - 20
JO - Primary health care research & development
JF - Primary health care research & development
M1 - S1463423619000070
ER -