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

Publication ,  Conference
Davidson, CA; Coronado, RA; Vanston, SW; Blade, EG; Henry, AL; Obremskey, WT; Wegener, ST; Archer, KR
Published in: Journal of Applied Biobehavioral Research
June 1, 2019

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.

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Published In

Journal of Applied Biobehavioral Research

DOI

EISSN

1751-9861

ISSN

1071-2089

Publication Date

June 1, 2019

Volume

24

Issue

2

Related Subject Headings

  • Social Psychology
  • 5203 Clinical and health psychology
  • 5202 Biological psychology
  • 1799 Other Psychology and Cognitive Sciences
  • 1701 Psychology
 

Citation

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Chicago
ICMJE
MLA
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Davidson, C. A., Coronado, R. A., Vanston, S. W., Blade, E. G., Henry, A. L., Obremskey, W. T., … Archer, K. R. (2019). Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury. In Journal of Applied Biobehavioral Research (Vol. 24). https://doi.org/10.1111/jabr.12163
Davidson, C. A., R. A. Coronado, S. W. Vanston, E. G. Blade, A. L. Henry, W. T. Obremskey, S. T. Wegener, and K. R. Archer. “Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury.” In Journal of Applied Biobehavioral Research, Vol. 24, 2019. https://doi.org/10.1111/jabr.12163.
Davidson CA, Coronado RA, Vanston SW, Blade EG, Henry AL, Obremskey WT, et al. Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury. In: Journal of Applied Biobehavioral Research. 2019.
Davidson, C. A., et al. “Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury.” Journal of Applied Biobehavioral Research, vol. 24, no. 2, 2019. Scopus, doi:10.1111/jabr.12163.
Davidson CA, Coronado RA, Vanston SW, Blade EG, Henry AL, Obremskey WT, Wegener ST, Archer KR. Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury. Journal of Applied Biobehavioral Research. 2019.
Journal cover image

Published In

Journal of Applied Biobehavioral Research

DOI

EISSN

1751-9861

ISSN

1071-2089

Publication Date

June 1, 2019

Volume

24

Issue

2

Related Subject Headings

  • Social Psychology
  • 5203 Clinical and health psychology
  • 5202 Biological psychology
  • 1799 Other Psychology and Cognitive Sciences
  • 1701 Psychology