TY - JOUR
T1 - Challenges to early prevention and intervention
T2 - Personal experiences with adherence
AU - Pulliam, Carla
AU - Gatchel, Robert J.
AU - Robinson, Richard C.
PY - 2003/3
Y1 - 2003/3
N2 - Objective: To describe potential adherence-related difficulties encountered in the implementation of a secondary prevention, early intervention study with acute low back pain patients. An additional goal is to provide recommendations, based on the authors' experience, on how best to overcome these potential obstacles for future research. Design: The study used a predictive algorithm, identified through previous research, to identify which patients presenting with acute low back pain were at risk for developing chronic problems. These subjects were then treated prophylactically with an interdisciplinary intervention. Specific difficulties initially encountered during the pilot stage of implementation of this intervention included securing adequate physician referrals to the study and helping patients to progress through treatment in the most efficient manner. Conclusions: Potential difficulties are discussed in the contextual framework of treatment adherence and factors affecting it, including the impact of personality factors, satisfaction, comprehension, side effects, financial issues, length of treatment, type of regimen, social issues, patient beliefs, and biologic factors. It is hoped that the present authors' experience will enable future investigators to anticipate these common problems, and structure their research endeavors accordingly.
AB - Objective: To describe potential adherence-related difficulties encountered in the implementation of a secondary prevention, early intervention study with acute low back pain patients. An additional goal is to provide recommendations, based on the authors' experience, on how best to overcome these potential obstacles for future research. Design: The study used a predictive algorithm, identified through previous research, to identify which patients presenting with acute low back pain were at risk for developing chronic problems. These subjects were then treated prophylactically with an interdisciplinary intervention. Specific difficulties initially encountered during the pilot stage of implementation of this intervention included securing adequate physician referrals to the study and helping patients to progress through treatment in the most efficient manner. Conclusions: Potential difficulties are discussed in the contextual framework of treatment adherence and factors affecting it, including the impact of personality factors, satisfaction, comprehension, side effects, financial issues, length of treatment, type of regimen, social issues, patient beliefs, and biologic factors. It is hoped that the present authors' experience will enable future investigators to anticipate these common problems, and structure their research endeavors accordingly.
KW - Adherence
KW - Back pain
KW - Early intervention
KW - Secondary prevention
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U2 - 10.1097/00002508-200303000-00006
DO - 10.1097/00002508-200303000-00006
M3 - Article
C2 - 12616181
AN - SCOPUS:0037335822
SN - 0749-8047
VL - 19
SP - 114
EP - 120
JO - Clinical Journal of Pain
JF - Clinical Journal of Pain
IS - 2
ER -