Cited by 252Musculoskeletal pain and rehabilitationPain Management and TreatmentPediatric Pain Management Techniques

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A randomized trial of a cognitive-behavioral program for enhancing back pain self care in a primary care setting.

Moore, James E., Von Korff, Michael, Cherkin, Daniel, Saunders, Kathleen, Lorig, Kate·2000·Pain

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Abstract

Back pain is a significant health care problem that has been managed unsatisfactorily in primary care settings. Providers typically address medical issues but do not adequately address patient concerns or functional limitations related to back pain. We evaluated a brief intervention for primary care back pain patients designed to provide accurate information about back pain, instill attitudes favorable towards self care, reduce fears and worries, assist patients in developing personalized action plans to manage their back pain, and improve functional outcomes. Patients enrolled in a large health maintenance organization were invited to participate in an educational program to improve back pain self care skills 6-8 weeks after a primary care back pain visit. Patients (n=226) were randomly assigned to a Self Care intervention or to Usual Care, and were assessed at baseline, 3-, 6-, and 12-months. The intervention involved a two-session Self Care group and an individual meeting and telephone conversation with the group leader, a psychologist experienced in chronic pain management. The intervention was supplemented by educational materials (book and videos) supporting active management of back pain. The control group received usual care supplemented by a book on back pain care. Participants assigned to the Self Care intervention showed significantly greater reductions in back-related worry and fear-avoidance beliefs than the control group. Modest, but statistically significant, effects on pain ratings and interference with activities were also observed.

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Authors: Moore, J. E., Von Korff, M., Cherkin, D., Saunders, K., & Lorig, K.
Affiliations: Group Health Cooperative (US)
Stanford Medicine (US)
Corresponding author: Moore, James E.
ORCID: Lorig, Kate
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2000-11
Volume: 88
Issue: 2
Pages: 145-153
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(00)00314-6
OpenAlex: W2025314877
Cited by: 252
References: 51
Citations by year: 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 11 · 2020: 6 · 2019: 11 · 2018: 6 · 2017: 7 · 2016: 9 · 2015: 9 · 2014: 8 · 2013: 10 · 2012: 8
FWCI: 6.47
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Funders: Boeing
National Institutes of Health
National Institute of Dental and Craniofacial Research (P01 DE08773, P01DE008773)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: back pain, self-care, cognitive-behavioral intervention, primary care, fear-avoidance beliefs, chronic pain management, functional outcome, health maintenance organizations, patient education
MeSH terms: Adult, Aged, Attitude, Back Pain, Disability Evaluation, Fear, Female, Humans, Male, Mental Health, Middle Aged, Pain Measurement, Primary Health Care, Self Care, Cognitive Behavioral Therapy, Treatment Outcome

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A randomized trial of a cognitive-behavioral program for enhancing back pain self care in a primary care setting.

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