Abstract
Objectives To examine whether the addition of motivational enhancement treatment (MET) to conventional physical therapy (PT) produces better outcomes than PT alone in people with chronic low back pain (LBP). Design A double-blinded, prospective, randomized, controlled trial. Setting PT outpatient department. Participants Participants (N=76) with chronic LBP were randomly assigned to receive 10 sessions of either MET plus PT or PT alone. Intervention MET included motivational interviewing strategies and motivation-enhancing factors. The PT program consisted of interferential therapy and back exercises. Main Outcome Measures Motivational-enhancing factors, pain intensity, physical functions, and exercise compliance. Results The MET-plus-PT group produced significantly greater improvements than the PT group in 3 motivation-enhancing factors; proxy efficacy (P<.001), working alliance (P<.001), and treatment expectancy (P=.011). Furthermore, they performed significantly better in lifting capacity (P=.015), 36-Item Short Form Health Survey General Health subscale (P=.015), and exercise compliance (P=.002) than the PT group. A trend of a greater decrease in visual analog scale and Roland-Morris Disability Questionnaire scores also was found in the MET-plus-PT group than the PT group. Conclusion The addition of MET to PT treatment can effectively enhance motivation and exercise compliance and show better improvement in physical function in patients with chronic LBP compared with PT alone.
| Original language | English |
|---|---|
| Pages (from-to) | 176-183 |
| Number of pages | 8 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 92 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2011 Feb 1 |
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All Science Journal Classification (ASJC) codes
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
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Motivational enhancement therapy in addition to physical therapy improves motivational factors and treatment outcomes in people with low back pain : A randomized controlled trial. / Vong, Sinfia K.; Cheing, Gladys L.; Chan, Fong; So, Eric M.; Chan, Chetwyn C.
In: Archives of Physical Medicine and Rehabilitation, Vol. 92, No. 2, 01.02.2011, p. 176-183.Research output: Contribution to journal › Article
TY - JOUR
T1 - Motivational enhancement therapy in addition to physical therapy improves motivational factors and treatment outcomes in people with low back pain
T2 - A randomized controlled trial
AU - Vong, Sinfia K.
AU - Cheing, Gladys L.
AU - Chan, Fong
AU - So, Eric M.
AU - Chan, Chetwyn C.
PY - 2011/2/1
Y1 - 2011/2/1
N2 - Objectives To examine whether the addition of motivational enhancement treatment (MET) to conventional physical therapy (PT) produces better outcomes than PT alone in people with chronic low back pain (LBP). Design A double-blinded, prospective, randomized, controlled trial. Setting PT outpatient department. Participants Participants (N=76) with chronic LBP were randomly assigned to receive 10 sessions of either MET plus PT or PT alone. Intervention MET included motivational interviewing strategies and motivation-enhancing factors. The PT program consisted of interferential therapy and back exercises. Main Outcome Measures Motivational-enhancing factors, pain intensity, physical functions, and exercise compliance. Results The MET-plus-PT group produced significantly greater improvements than the PT group in 3 motivation-enhancing factors; proxy efficacy (P<.001), working alliance (P<.001), and treatment expectancy (P=.011). Furthermore, they performed significantly better in lifting capacity (P=.015), 36-Item Short Form Health Survey General Health subscale (P=.015), and exercise compliance (P=.002) than the PT group. A trend of a greater decrease in visual analog scale and Roland-Morris Disability Questionnaire scores also was found in the MET-plus-PT group than the PT group. Conclusion The addition of MET to PT treatment can effectively enhance motivation and exercise compliance and show better improvement in physical function in patients with chronic LBP compared with PT alone.
AB - Objectives To examine whether the addition of motivational enhancement treatment (MET) to conventional physical therapy (PT) produces better outcomes than PT alone in people with chronic low back pain (LBP). Design A double-blinded, prospective, randomized, controlled trial. Setting PT outpatient department. Participants Participants (N=76) with chronic LBP were randomly assigned to receive 10 sessions of either MET plus PT or PT alone. Intervention MET included motivational interviewing strategies and motivation-enhancing factors. The PT program consisted of interferential therapy and back exercises. Main Outcome Measures Motivational-enhancing factors, pain intensity, physical functions, and exercise compliance. Results The MET-plus-PT group produced significantly greater improvements than the PT group in 3 motivation-enhancing factors; proxy efficacy (P<.001), working alliance (P<.001), and treatment expectancy (P=.011). Furthermore, they performed significantly better in lifting capacity (P=.015), 36-Item Short Form Health Survey General Health subscale (P=.015), and exercise compliance (P=.002) than the PT group. A trend of a greater decrease in visual analog scale and Roland-Morris Disability Questionnaire scores also was found in the MET-plus-PT group than the PT group. Conclusion The addition of MET to PT treatment can effectively enhance motivation and exercise compliance and show better improvement in physical function in patients with chronic LBP compared with PT alone.
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UR - http://www.scopus.com/inward/citedby.url?scp=79251623590&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2010.10.016
DO - 10.1016/j.apmr.2010.10.016
M3 - Article
C2 - 21272712
AN - SCOPUS:79251623590
VL - 92
SP - 176
EP - 183
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 2
ER -