Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury

Published

Conference Paper

© 2019 The Authors. Journal of Applied Biobehavioral Research Published by Wiley Periodicals, Inc. Purpose: To determine feasibility and acceptability of a telephone-based Cognitive-Behavioral-Based Physical Therapy program for patients following traumatic lower extremity injury (CBPT-Trauma). Methods: Patients were screened for high psychosocial risk factors and then completed the 6-week CBPT-Trauma program. Physical function, pain, and psychosocial outcomes were assessed at baseline and 6-months follow-up. Descriptive statistics assessed change in outcomes. Results: Recruitment rate was 59%. Twenty-seven patients (73%) had a high psychosocial risk profile. Twelve patients completed the program and the follow-up assessment at 6 months and found the program to be very or extremely helpful to their overall recovery. All demonstrated a clinically meaningful increase in physical function. Six patients demonstrated a clinically relevant decrease in pain intensity, pain catastrophizing, and fear of movement. Seven patients reported a clinically meaningful increase in pain self-efficacy. Discussion: Findings suggest that recruitment is feasible for CBPT-Trauma program. However, engagement in the CBPT-Trauma study was low. For those that completed the program, patients were satisfied with the CBPT-Trauma program and experienced meaningful improvement in psychosocial factors and patient-reported outcomes. This open pilot study highlights the importance of targeted treatment for patients at high-risk for poor outcomes and the potential for increased access to services through telephone-delivery.

Full Text

Duke Authors

Cited Authors

  • Davidson, CA; Coronado, RA; Vanston, SW; Blade, EG; Henry, AL; Obremskey, WT; Wegener, ST; Archer, KR

Published Date

  • January 1, 2019

Published In

Electronic International Standard Serial Number (EISSN)

  • 1751-9861

International Standard Serial Number (ISSN)

  • 1071-2089

Digital Object Identifier (DOI)

  • 10.1111/jabr.12163

Citation Source

  • Scopus