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Feasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injury

dc.contributor.authorDavidson, Claudia A.
dc.contributor.authorCoronado, Rogelio A.
dc.contributor.authorVanston, Susan W.
dc.contributor.authorBlade, Elizabeth G.
dc.contributor.authorHenry, Abigail L.
dc.contributor.authorObremskey, William T.
dc.contributor.authorWegener, Stephen T.
dc.contributor.authorArcher, Kristin R.
dc.identifier.citationDavidson CA, Coronado RA, Vanston SW, et al. Feasibility and acceptability of telephone‐delivered cognitive‐behavioral‐based physical therapy for patients with traumatic lower extremity injury. J Appl Behav Res. 2019;24:e12163.
dc.description.abstractPurpose To determine feasibility and acceptability of a telephone-based Cognitive-Behavioral-Based Physical Therapy program for patients following traumatic lower extremity injury (CBPT-Trauma). Methods Patients were screened for high psychosocial risk factors and then completed the 6-week CBPT-Trauma program. Physical function, pain, and psychosocial outcomes were assessed at baseline and 6-months follow-up. Descriptive statistics assessed change in outcomes. Results Recruitment rate was 59%. Twenty-seven patients (73%) had a high psychosocial risk profile. Twelve patients completed the program and the follow-up assessment at 6 months and found the program to be very or extremely helpful to their overall recovery. All demonstrated a clinically meaningful increase in physical function. Six patients demonstrated a clinically relevant decrease in pain intensity, pain catastrophizing, and fear of movement. Seven patients reported a clinically meaningful increase in pain self-efficacy. Discussion Findings suggest that recruitment is feasible for CBPT-Trauma program. However, engagement in the CBPT-Trauma study was low. For those that completed the program, patients were satisfied with the CBPT-Trauma program and experienced meaningful improvement in psychosocial factors and patient-reported outcomes. This open pilot study highlights the importance of targeted treatment for patients at high-risk for poor outcomes and the potential for increased access to services through telephone-delivery.en_US
dc.description.sponsorshipThis work was funded in part by the Department of Defense through the Peer Reviewed Orthopaedic Research Program of the Congressional Directed Medical Research Programs (CDMRP) under Award No. W81XWH-16-2-0060. Opinions, interpretations, conclusions, and recommendations are those of the authors and are not necessarily endorsed by the Department of Defense.en_US
dc.publisherJournal of Applied Biobeahvioral Researchen_US
dc.rightsThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2019 The Authors. Journal of Applied Biobehavioral Research Published by Wiley Periodicals, Inc.
dc.subjectcognitive therapyen_US
dc.subjectpain managementen_US
dc.titleFeasibility and acceptability of telephone-delivered cognitive-behavioral-based physical therapy for patients with traumatic lower extremity injuryen_US

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