Physical Therapy Informed by Acceptance and Commitment Therapy (PACT) Versus Usual Care Physical Therapy for Adults With Chronic Low Back Pain: A Randomized Controlled Trial

Journal of Pain

Volumn 21, Issue 1-2, 2020, Pages 71-81

  Godfrey, Emma ^a,d   Wileman, Vari ^a   Galea Holmes, Melissa ^a   McCracken, Lance M ^a   Norton, Sam ^a   Moss Morris, Rona ^a   Noonan, Sandra ^b   Barcellona, Massimo ^c   Critchley, Duncan ^d  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b ST THOMAS HOSPITAL   (United Kingdom)

^c KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST   (United Kingdom)

^d KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

acceptance and commitment therapy; Chronic low back pain; physical therapy; randomized controlled trial

Indexed keywords

ACCEPTANCE AND COMMITMENT THERAPY; ADULT; ARTICLE; CLINICIAN; COGNITIVE BEHAVIORAL THERAPY; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DISEASE DURATION; FEMALE; FOLLOW UP; HEALTH; HEALTH CARE COST; HUMAN; LIFE SATISFACTION; LOW BACK PAIN; MAJOR CLINICAL STUDY; MALE; MANIPULATIVE MEDICINE; MIDDLE AGED; MULTICENTER STUDY; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PHASE 2 CLINICAL TRIAL; PHYSIOTHERAPIST; PHYSIOTHERAPY; PUBLIC HOSPITAL; RANDOMIZED CONTROLLED TRIAL; ROLAND MORRIS DISABILITY QUESTIONNAIRE; SHORT FORM 12; SOCIAL ADAPTATION; UNITED KINGDOM; CHRONIC PAIN; CLINICAL TRIAL; FEASIBILITY STUDY; KINESIOTHERAPY; MULTIMODALITY CANCER THERAPY; SINGLE BLIND PROCEDURE;

ACCEPTANCE AND COMMITMENT THERAPY; ADULT; CHRONIC PAIN; COMBINED MODALITY THERAPY; EXERCISE THERAPY; FEASIBILITY STUDIES; FEMALE; FOLLOW-UP STUDIES; HUMANS; LOW BACK PAIN; MALE; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT, HEALTH CARE; SINGLE-BLIND METHOD;

EID: 85068956844     PISSN: 15265900     EISSN: 15288447     Source Type: Journal    
DOI: 10.1016/j.jpain.2019.05.012     Document Type: Article

References (48)

1. Alexanders, J, Anderson, A, Henderson, S, Musculoskeletal physiotherapists' use of psychological interventions: A systematic review of therapists' perceptions and practice. Physiotherapy 101 (2015), 95–102, 10.1016/j.physio.2014.03.008.
2. Artus, M, van der Windt, DA, Jordan, KP, Hay, EM, Low back pain symptoms show a similar pattern of improvement following a wide range of primary care treatments: A systematic review of randomized clinical trials. Rheumatology 49 (2010), 2346–2356, 10.1093/rheumatology/keq245.
3. Barker, E, McCracken, LM, From traditional cognitive-behavioural therapy to acceptance and commitment therapy for chronic pain: A mixed-methods study of staff experiences of change. Br J Pain 8 (2014), 98–106, 10.1177/2049463713498865.
4. Bombardier, C, Outcome assessments in the evaluation of treatment of spinal disorders: Summary and general recommendations. Spine 25 (2000), 3100–3103.
5. Borokovec, TD, Nau, SD, Credibility of analogue therapy rationales. J Behav Ther Exp Psychiatry 3 (1972), 257–260.
6. Borrelli, B, The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. J Public Health Dent 71:Suppl 1 (2011), S52–S63, 10.1111/j.1752-7325.2011.00233.x.
7. Brunner, E, Dankaerts, W, Meichtry, A, O'Sullivan, K, Probst, M, Physical therapists' ability to identify psychological factors and their self-reported competence to manage chronic low back pain. Phys Ther 98 (2018), 471–479, 10.1093/ptj/pzy01.
8. Brunner, E, De Herdt, A, Minguet, P, Baldew, SS, Probst, M, Can cognitive behavioural therapy based strategies be integrated into physiotherapy for the prevention of chronic low back pain? A systematic review. Disabil Rehabil 35 (2013), 1–10, 10.3109/09638288.2012.683848.
9. Buchbinder, R, van Tulder, M, Oberg, B, Costa, LM, Woolf, A, Schoene, M, Croft, P, Low back pain: A call for action. Lancet 391 (2018), 2384–2388, 10.1016/S0140-6736(18)30488-4.
10. Carvalho, SA, Gillanders, D, Palmeira, L, Pinto-Gouveia, J, Castilho, P, Mindfulness, selfcompassion, and depressive symptoms in chronic pain: The role of pain acceptance. J Clin Psychol 74 (2018), 2094–2106, 10.1002/jclp.22689.
11. Chen, Y, Campbell, P, Strauss, VY, Foster, NE, Jordan, KP, Dunn, KM, Trajectories and predictors of the long-term course of low back pain: Cohort study with 5-year follow-up. Pain 159 (2018), 252–260, 10.1097/j.pain.0000000000001097.
12. Critchley, DJ, Ratcliffe, J, Noonan, S, Jones, RH, Hurley, MV, Effectiveness and cost-effectiveness of three types of physiotherapy used to reduce chronic low back pain disability: A pragmatic randomized trial with economic evaluation. Spine 32 (2007), 1474–1481, 10.1097/BRS.0b013e318067dc26.
13. de Campos, TF, Low back pain and sciatica in over 16s: Assessment and management NICE Guideline [NG59]. J Physiother, 63, 2017, 120, 10.1016/j.jphys.2017.02.012de.
14. Du, S, Hu, L, Dong, J, Xu, G, Chen, X, Jin, S, Zhang, H, Yin, H, Self-management program for chronic low back pain: A systematic review and meta-analysis. Patient Educ Couns 100 (2017), 37–49, 10.1016/j.pec.2016.07.029.
15. Dworkin, RH, Turk, DC, Farrar, JT, Haythornthwaite, JA, Jensen, MP, Katz, NP, Kerns, RD, Stucki, G, Allen, RR, Bellamy, N, Carr, DB, Chandler, J, Cowan, P, Dionne, R, Galer, BS, Hertz, S, Jadad, AR, Kramer, LD, Manning, DC, Martin, S, McCormick, CG, McDermott, MP, McGrath, P, Quessy, S, Rappaport, BA, Robbins, W, Robinson, JP, Rothman, M, Royal, MA, Simon, L, Stauffer, JW, Stein, W, Tollett, J, Wernicke, J, Witter, J, Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. Pain 113 (2005), 9–19, 10.1016/j.pain.2004.09.012.
16. Fish, RA, McGuire, B, Hogan, M, Morrison, TG, Stewart, I, Validation of the chronic pain acceptance questionnaire (CPAQ) in an internet sample and development and preliminary validation of the CPAQ-8. Pain 149 (2010), 435–443, 10.1016/j.pain.2009.12.016.
17. Foster, NE, Anema, JR, Cherkin, D, Chou, R, Cohen, SP, Gross, DP, Ferreira, PH, Fritz, JM, Koes, BW, Peul, W, Turner, JA, Maher, CG, Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet 391 (2018), 2368–2383, 10.1016/S0140-6736(18)30489-6.
18. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet 390 (2017), 1211–1259, 10.1016/S0140-6736(17)32154-2.
19. Godfrey, E, Galea Holmes, M, Wileman, V, McCracken, L, Norton, S, Moss-Morris, R, Pallet, J, Sanders, D, Barcellona, M, Critchley, D, Physiotherapy informed by acceptance and commitment therapy (PACT): Protocol for a randomised controlled trial of PACT versus usual physiotherapy care for adults with chronic low back pain. BMJ Open, 6, 2016, e011548, 10.1136/bmjopen-2016-011548.
20. Gore, M, Sadosky, A, Stacey, BR, Tai, KS, Leslie, D, The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine 37 (2012), E668–E677, 10.1097/BRS.0b013e318241e5de.
21. Hall, A, Richmond, H, Copsey, B, Hansen, Z, Williamson, E, Jones, G, Fordham, B, Cooper, Z, Lamb, S, Physiotherapist-delivered cognitive-behavioural interventions are effective for low back pain, but can they be replicated in clinical practice? A systematic review. Disabil Rehabil 40 (2018), 1–9, 10.1080/09638288.2016.1236155.
22. Hay, EM, Mullis, R, Lewis, M, Vohora, K, Main, CJ, Watson, P, Dziedzic, KS, Sim, J, Minns Lowe, C, Croft, PR, Comparison of physical treatments versus a brief pain-management programme for back pain in primary care: A randomised clinical trial in physiotherapy practice. Lancet 365 (2005), 2024–2030, 10.1016/S0140-6736(05)66696-2.
23. Hayes, SC, Strosahl, KD, Wilson, KG, Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. 1999, Guilford Press, New York, NY, US.
24. Herdman, M, Gudex, C, Lloyd, A, Janssen, M, Kind, P, Parkin, D, Bonsel, G, Badia, X, Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res 20 (2011), 1727–1736, 10.1007/s11136-011-9903-x.
25. Hoy, D, Bain, C, Williams, G, March, L, Brooks, P, Blyth, F, Woolf, A, Vos, T, Buchbinder, R, A systematic review of the global prevalence of low back pain. Arthritis Rheum 64 (2012), 2028–2037, 10.1002/art.34347.
26. Hudak, PL, Wright, JG, The characteristics of patient satisfaction measures. Spine 25 (2000), 3167–3177, 10.1097/00007632-200012150-00012.
27. Hughes, LS, Clark, J, Colclough, JA, Dale, E, McMillan, D, Acceptance and commitment therapy (ACT) for chronic pain: A systematic review and meta-analyses. Clin J Pain 33 (2017), 552–568, 10.1097/AJP.0000000000000425.
28. Kamper, SJ, Haanstra, TM, Simmons, K, Kay, M, Ingram, TGJ, Byrne, J, Roddick, JM, Setliff, A, Hall, AM, What do patients with chronic spinal pain expect from their physiotherapist?. Physiother Can 70 (2018), 36–41, 10.3138/ptc.2016-58.
29. Katz, JN, Lumbar disc disorders and low-back pain: Socioeconomic factors and consequences. J Bone Joint Surg 88:Suppl 2 (2006), 21–24, 10.2106/JBJS.E.01273.
30. Keefe, FJ, Main, CJ, George, SZ, Advancing psychologically informed practice for patients with persistent musculoskeletal pain: Promise, pitfalls, and solutions. Phys Ther 98:5 (2018), 398–407 https://doi.org/10.1093/ptj/pzy024.
31. Kroenke, K, Spitzer, RL, Williams, JB, The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16 (2001), 606–613, 10.1046/j.1525-1497.2001.016009606.x.
32. Main, CJ, George, SZ, Psychologically informed practice for management of low back pain: Future directions in practice and research. Phys Ther 91 (2011), 820–824, 10.2522/ptj.20110060.
33. McCracken, LM, Chilcot, J, Norton, S, Further development in the assessment of psychological flexibility: A shortened committed action questionnaire (CAQ-8). Eur J Pain 19 (2015), 677–685, 10.1002/ejp.589.
34. McCracken, LM, Morley, S, The psychological flexibility model: A basis for integration and progress in psychological approaches to chronic pain management. J Pain 15 (2014), 221–234, 10.1016/j.jpain.2013.10.014.
35. Mundt, JC, Marks, IM, Shear, MK, Greist, JH, The work and social adjustment scale: A simple measure of impairment in functioning. Br J Psychiatry 180 (2002), 461–464, 10.1176/appi.ajp.163.1.28.
36. National Low Back and Radicular Pain Pathway 3.0 3rd ed, 2017.
37. Nicholas, MK, The pain self-efficacy questionnaire: Taking pain into account. Eur J Pain 11 (2007), 153–163, 10.1016/j.ejpain.2005.12.008.
38. Nicholas, MK, George, SZ, Psychologically informed interventions for low back pain: An update for physical therapists. Phys Ther 91 (2011), 765–776, 10.2522/ptj.20100278.
39. Pincus, T, Anwar, S, McCracken, LM, McGregor, A, Graham, L, Collinson, M, McBeth, J, Watson, P, Morley, S, Henderson, J, Farrin, AJ, Delivering an optimised behavioural intervention (OBI) to people with low back pain with high psychological risk; results and lessons learnt from a feasibility randomised controlled trial of contextual cognitive behavioural therapy (CCBT) vs. physiotherapy. BMC Musculoskelet Disord, 16, 2015, 147, 10.1186/s12891-015-0594-2.
40. Richmond, H, Hall, AM, Copsey, B, Hansen, Z, Williamson, E, Hoxey-Thomas, N, Cooper, Z, Lamb, SE, The effectiveness of cognitive behavioural treatment for non-specific low back pain: A systematic review and meta-analysis. PLoS One, 10, 2015, e0134192, 10.1371/journal.pone.0134192.
41. Roland, M, Fairbank, J, The Roland–Morris disability questionnaire and the Oswestry disability questionnaire. Spine 25 (2000), 3115–3124, 10.1097/00007632-200012150-00006.
42. Roland, M, Morris, R, A study of the natural history of back pain. Part I: Development of a reliable and sensitive measure of disability in low-back pain. Spine 8 (1983), 141–144.
43. Smeets, RJ, Beelen, S, Goossens, ME, Schouten, EG, Knottnerus, JA, Vlaeyen, JW, Treatment expectancy and credibility are associated with the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. Clin J Pain 24 (2008), 305–315, 10.1097/AJP.0b013e318164aa75.
44. Spitzer, RL, Kroenke, K, Williams, JB, Lowe, B, A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 166 (2006), 1092–1097, 10.1001/archinte.166.10.1092.
45. Stratford, P, Gill, C, Westaway, M, Binkley, J, Assessing disability and change on individual patients: A report of a patient specific measure. Physiother Can 47 (1995), 258–263, 10.3138/ptc.47.4.258.
46. Vowles, KE, McCracken, LM, O'Brien, JZ, Acceptance and values-based action in chronic pain: A three-year follow-up analysis of treatment effectiveness and process. Behav Res Ther 49 (2011), 748–755, 10.1037/0022-006X.76.3.397.
47. Ware, J Jr., Kosinski, M, Keller, SD, A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care 34 (1996), 220–233, 10.2307/3766749.
48. White, IR, Horton, NJ, Carpenter, J, Pocock, SJ, Strategy for intention to treat analysis in randomised trials with missing outcome data. BMJ, 342, 2011, d40, 10.1136/bmj.d40.