Review article (meta-analysis)Evaluation of Cognitive Behavioral Interventions and Psychoeducation Implemented by Rehabilitation Specialists to Treat Fear-Avoidance Beliefs in Patients With Low Back Pain: A Systematic Review
Section snippets
Methods
This systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Literature search
The search and review process of articles is demonstrated in figure 1. After examining 30 articles, 513, 14, 15, 16, 17 met the inclusion criteria and were eligible for this systematic review. Of the 25 studies excluded, 20 of the studies were deemed ineligible because a rehabilitation specialist did not complete the intervention, and 1 study20 was excluded because of a crossover, randomized controlled trial study design. Four other articles21, 22, 23, 24 were excluded because their
Summary of results
The purpose of this systematic review was to evaluate the effectiveness of CBT and/or psychoeducation interventions implemented by rehabilitation specialists, compared with a control treatment, to treat fear-avoidance beliefs and/or kinesiophobia in patients with acute, subacute, or chronic LBP. Two13, 17 of 5 studies included in this systematic review demonstrated significant and clinically meaningful improvements in fear-avoidance beliefs for patients who underwent a CBT and/or
Conclusions
There is inconsistent, patient-oriented evidence (grade B) that CBT and/or psychoeducation interventions implemented by a rehabilitation specialist to treat fear-avoidance beliefs and/or kinesiophobia in patients with LBP are effective. Patient-centered interventions, such as classification-based CFT with psychosocial patient education, demonstrated favorable outcomes, while patient education techniques alone were not sufficient to reduce these psychosocial factors in this population. However,
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Disclosures: none.