Heather A Hankin1, Clyde B Killian. 1. Krannert School of Physical Therapy, University of Indianapolis, Indianapolis, IN 46225, USA. hahankin@vayoger.net
Abstract
UNLABELLED: This prospective study determined the extent to which demographic factors, pain levels, psychological factors, and readiness to change predicted functional outcomes in patients with chronic pain. METHOD: Participants were 26 patients referred for evaluation to a multidisciplinary pain management program. The Pain Disability Index (PDI), Pain Patient Profile (P-3), and Pain Stages of Change Questionnaire (PSOCQ) measured function, psychological factors and readiness to change respectively. Patients completed the battery of tests upon initial evaluation and 3 months into treatment. RESULTS: A regression analysis using only initial assessment measures as predictors of functional outcome indicated a 2-variable prediction model (work status and contemplation) that accounted for 49% of the variance in 3-month functional outcome. Regression analysis using data at initial and follow-up assessment found that work status, contemplation, and best and worst pain at follow-up predicted 84.4% of the variance in 3-month functional outcome. CONCLUSION: These findings provide good models for prediction of 3-month functional outcome based on demographic, psychological, and readiness to change indicators.
UNLABELLED: This prospective study determined the extent to which demographic factors, pain levels, psychological factors, and readiness to change predicted functional outcomes in patients with chronic pain. METHOD:Participants were 26 patients referred for evaluation to a multidisciplinary pain management program. The Pain Disability Index (PDI), PainPatient Profile (P-3), and Pain Stages of Change Questionnaire (PSOCQ) measured function, psychological factors and readiness to change respectively. Patients completed the battery of tests upon initial evaluation and 3 months into treatment. RESULTS: A regression analysis using only initial assessment measures as predictors of functional outcome indicated a 2-variable prediction model (work status and contemplation) that accounted for 49% of the variance in 3-month functional outcome. Regression analysis using data at initial and follow-up assessment found that work status, contemplation, and best and worst pain at follow-up predicted 84.4% of the variance in 3-month functional outcome. CONCLUSION: These findings provide good models for prediction of 3-month functional outcome based on demographic, psychological, and readiness to change indicators.
Authors: Carolin Donath; Lisa Dorscht; Elmar Graessel; Reinhard Sittl; Christoph Schoen Journal: BMC Health Serv Res Date: 2015-07-17 Impact factor: 2.655