Article

This interview study aimed to capture an account of change in low back
pain over time and understand the interaction of known bio-psychosocial risk
factors. METHODS: Thirty-four participants from the Back Skills Training (BeST)
U.K. trial, evaluating a cognitive behavioural approach intervention for LBP,
gave 61 interviews. Semi-structured interviews taken once or twice post
intervention explored participants' experiences of LBP and the intervention
received. Initial thematic analysis of the data gave themes, which participants
spoke about in an integrated way. Rereading of whole transcripts identified
interactions between themes, which we classified as helpful or unhelpful to
recovery. The team also explored whether there were correlations with Roland and
Morris Disability Questionnaire (RMDQ) scores from the main trial. RESULTS: Web
diagrams gave a graphic representation of the interactions between factors, which
were highly individual and time specific. We identified three categories of webs;
dense web (mostly unhelpful), open web (helpful and unhelpful) and sparse web
(mostly helpful). These categories correlated with (RMDQ) scores. CONCLUSIONS:
Facilitators as well as potential barriers to recovery give added insight when
considering psychosocial risk factors. Web categories highlight patterns of
interaction between psychosocial factors, which underlie levels of disability.
These patterns of interaction may help to guide clinicians in their choice of
treatment approaches.

Langue : ANGLAIS