Chronic disease self-management program for low back pain in the elderly

Mitchell Haas, Elyse Groupp, John Muench, D. Kraemer, Ken Brummel-Smith, Rajiv Sharma, Bonnie Ganger, Michael Attwood, Alisa Fairweather

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Objective: To evaluate the effectiveness of Stanford's Chronic Disease Self-Management Program (CDSMP) for chronic low back pain (LBP) in older Americans. Design: Randomized controlled trial. Setting: Community-based program offered at 12 locations. Subjects: Community-dwelling seniors (n = 109) aged 60 and older with chronic LBP of mechanical origin. Methods: Patients were randomly allocated to the CDSMP or to a 6-month, wait-list control group. The program included one 2.5-hour session per week for 6 weeks. Outcomes evaluated at 6 months included 100-point modified Von Korff pain and disability scales; days with pain and disability; SF-36 general health, energy-fatigue, and emotional well-being scales; 2 scales from the Arthritis Self-Efficacy Scale, self-care attitudes/behaviors, and health services utilization. Results: For pain at 6 months, the primary outcome, the adjusted mean difference between the program and control, was -1.0 (P = .835). There was a sizable advantage for the program in disability averaged over the course of the entire 6-month study (-9.2, P = .027), but not at the 6-month follow-up (-5.8, P = .278). There was an interaction between intervention and baseline disability days favoring the program for higher baseline values (P = .007). The CDSMP affected emotional well-being (7.6, P = .037) and energy-fatigue (5.1, P = .274). There were no differences for self-efficacy, pain days, and general health. Conclusion: There was no advantage for the CDSMP over a wait-list control for improving pain, general health, self-efficacy, and self-care attitudes in older Americans with chronic LBP. A benefit was suggested for emotional well-being, fatigue, functional disability, and days with disability.

Original languageEnglish
Pages (from-to)228-237
Number of pages10
JournalJournal of Manipulative and Physiological Therapeutics
Volume28
Issue number4
DOIs
Publication statusPublished - May 2005

Fingerprint

Self Care
Disease Management
Low Back Pain
Chronic Disease
Pain
Self Efficacy
Fatigue
Health
Independent Living
Health Services
Arthritis
Randomized Controlled Trials
Control Groups

Keywords

  • Chronic Pain
  • Elderly
  • Low Back Pain
  • Patient Education
  • Self-Management
  • Utilization

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Health Professions(all)
  • Nursing(all)

Cite this

Chronic disease self-management program for low back pain in the elderly. / Haas, Mitchell; Groupp, Elyse; Muench, John; Kraemer, D.; Brummel-Smith, Ken; Sharma, Rajiv; Ganger, Bonnie; Attwood, Michael; Fairweather, Alisa.

In: Journal of Manipulative and Physiological Therapeutics, Vol. 28, No. 4, 05.2005, p. 228-237.

Research output: Contribution to journalArticle

Haas, M, Groupp, E, Muench, J, Kraemer, D, Brummel-Smith, K, Sharma, R, Ganger, B, Attwood, M & Fairweather, A 2005, 'Chronic disease self-management program for low back pain in the elderly', Journal of Manipulative and Physiological Therapeutics, vol. 28, no. 4, pp. 228-237. https://doi.org/10.1016/j.jmpt.2005.03.010
Haas, Mitchell ; Groupp, Elyse ; Muench, John ; Kraemer, D. ; Brummel-Smith, Ken ; Sharma, Rajiv ; Ganger, Bonnie ; Attwood, Michael ; Fairweather, Alisa. / Chronic disease self-management program for low back pain in the elderly. In: Journal of Manipulative and Physiological Therapeutics. 2005 ; Vol. 28, No. 4. pp. 228-237.
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