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Prognostic factors for the effect of a myofeedback-based teletreatment service

Artikel i vetenskaplig tidskrift
Författare Pernilla Larsman
Monika Hasenbring
Leif Sandsjö
Rianne Huis in ´t Veld
Erik Witvrouw
Stephanie Kosterink
Roland Kadefors
M Vollenbroek-Hutten
Publicerad i Journal of Telemedicine and Telecare
Volym 16
Nummer/häfte 6
Sidor 336-343
ISSN 1357-633X
Publiceringsår 2010
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för arbetsvetenskap
Psykologiska institutionen
Sidor 336-343
Språk en
Länkar dx.doi.org/10.1258/jtt.2010.006008
Ämneskategorier Yrkesmedicin, Tillämpad psykologi

Sammanfattning

We investigated the potential prognostic factors for clinically relevant improvements in pain intensity and pain-related disability after myofeedback-based teletreatment. Sixty-five female computer users, 56 female patients with whiplash-associated disorders and 18 female patients with non-specific neck and shoulder pain participated in the study. They received myofeedback-based teletreatment or usual treatment. Questionnaires concerning prognostic factors, pain and disability were completed before the start of the intervention (baseline) and at follow-ups at the end of the intervention, and after 3 and 6 months. Logistic regression analyses were performed in order to investigate prognostic factors for clinically relevant improvement. In the intervention group, improvement in pain intensity was predicted by baseline pain intensity. Baseline pain intensity and disability, and fear-avoidance and endurance related pain coping responses were prognostic factors for outcome in pain-related disability in this group. Therewere few differences between the intervention groups; fear avoidance coping responses influenced the outcome after teletreatment only.Myofeedback-based teletreatment appears to be an useful telemedicine intervention, especially for participants with moderate to high levels of pain and disability, high perceived help/ hopelessness, and those who tend to deal with their pain by avoiding social and physical activities.

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