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Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings.

Publication ,  Journal Article
Zeppieri, G; Lentz, TA; Atchison, JW; Indelicato, PA; Moser, MW; Vincent, KR; George, SZ
Published in: Arch Phys Med Rehabil
March 2012

OBJECTIVES: (1) To investigate patient-defined parameters of treatment success in an outpatient physical therapy setting with musculoskeletal pain, (2) to determine whether patient-defined treatment success was influenced by selected demographic and clinical factors, and (3) to examine whether patient subgroups existed for ratings of importance for each treatment outcome domain. DESIGN: Cross-sectional study. SETTING: Outpatient physical therapy clinic. PARTICIPANTS: Consecutive patients (N=110) with complaints of musculoskeletal pain. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: We reported patient-defined treatment success targets for pain, fatigue, emotional distress, and interference with daily activities using the Patient-Centered Outcomes Questionnaire (PCOQ). We also investigated whether patient subgroups existed based on perceived importance of improvement for these same outcome domains. RESULTS: Patient-defined criteria for treatment success included mean reductions (from baseline scores) in pain of 3.0 points, in fatigue of 2.3 points, in emotional distress of 1.4 points, and in interference with daily activities of 3.4 points. There were no differences in patient-defined criteria for treatment success based on sex, age, postoperative rehabilitation, prior physical therapy, other prior health care interventions, duration of symptoms, and anatomical location of symptoms (P>.01). Cluster analysis of the PCOQ importance ratings indicated a 2-cluster solution. The multifocused subgroup demonstrated higher importance for improvement ratings in each treatment outcome domain when compared with the pain-focused subgroup (P>.05). CONCLUSIONS: These data indicate that patient-defined criteria for treatment success required greater reductions in the studied outcome domains to be considered successful. These data suggest the potential existence of patient subgroups that either rate improvement in all outcome domains as important or rate pain relief as the most important outcome.

Duke Scholars

Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

March 2012

Volume

93

Issue

3

Start / End Page

434 / 440

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Stress, Psychological
  • Socioeconomic Factors
  • Sex Factors
  • Rehabilitation
  • Physical Therapy Modalities
  • Outpatients
  • Outcome Assessment, Health Care
  • Musculoskeletal Pain
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zeppieri, G., Lentz, T. A., Atchison, J. W., Indelicato, P. A., Moser, M. W., Vincent, K. R., & George, S. Z. (2012). Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings. Arch Phys Med Rehabil, 93(3), 434–440. https://doi.org/10.1016/j.apmr.2011.10.007
Zeppieri, Giorgio, Trevor A. Lentz, James W. Atchison, Peter A. Indelicato, Michael W. Moser, Kevin R. Vincent, and Steven Z. George. “Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings.Arch Phys Med Rehabil 93, no. 3 (March 2012): 434–40. https://doi.org/10.1016/j.apmr.2011.10.007.
Zeppieri G, Lentz TA, Atchison JW, Indelicato PA, Moser MW, Vincent KR, et al. Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings. Arch Phys Med Rehabil. 2012 Mar;93(3):434–40.
Zeppieri, Giorgio, et al. “Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings.Arch Phys Med Rehabil, vol. 93, no. 3, Mar. 2012, pp. 434–40. Pubmed, doi:10.1016/j.apmr.2011.10.007.
Zeppieri G, Lentz TA, Atchison JW, Indelicato PA, Moser MW, Vincent KR, George SZ. Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings. Arch Phys Med Rehabil. 2012 Mar;93(3):434–440.
Journal cover image

Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

March 2012

Volume

93

Issue

3

Start / End Page

434 / 440

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Stress, Psychological
  • Socioeconomic Factors
  • Sex Factors
  • Rehabilitation
  • Physical Therapy Modalities
  • Outpatients
  • Outcome Assessment, Health Care
  • Musculoskeletal Pain