Swipe om te navigeren naar een ander artikel
Disclaimer The views expressed in this article are those of the authors and do not reflect the official policy of the Department of Army/Navy/Air Force, Department of Defense, Department of Veterans Affairs or U.S. Government.
Patient-generated treatment goals describe what patients value, yet the content of these goals, and the relationship among goal types, goal accomplishment, and treatment outcomes has received little examination. We used inductive sorting to categorize patient-generated goals made by 147 adults receiving cognitive-behavioral therapy for chronic pain. The resulting goal categories were: Physical Activity (29.0%), Functional Status (24.6%), Wellness (16.3%), Recreational Activities (11.3%), House/Yard Work (9.7%), Socializing (7.1%), and Work/School (2.0%). Next, we examined associations between number of goals by category, goal accomplishment, and clinically meaningful improvements in pain-related interference, pain intensity and depressive symptoms. Improvement in all outcome domains was related to goal accomplishment. Additionally, depressive symptoms were related to number of Physical Activity, House/Yard Work, Recreational Activities, and Wellness goals, whereas improved pain-intensity was significantly related to House/Yard Work. Classifying patient-generated goals facilitates investigation of the relationships among goal type, goal accomplishment and treatment outcomes.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Battle, C. L., Uebelacker, L., Friedman, M. A., Cardemil, E. V., Beevers, C. G., & Miller, I. W. (2010). Treatment goals of depressed outpatients: A qualitative investigation of goals identified by participants in a depression treatment trial. Journal of Psychiatric Practice, 16, 425–430. CrossRefPubMedPubMedCentral
Cherkin, D. C., Sherman, K. J., Balderson, B. H., Cook, A. J., Anderson, M. L., Hawkes, R. J., et al. (2016). Effect of mindfulness-based stress reduction versus cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: A randomized clinical trial. Jama, 315, 1240–1249. doi: 10.1001/jama.2016.2323 CrossRefPubMedPubMedCentral
IOM. (2011). Relieving pain in America a blueprint for transforming prevention, care, education, and research. Retrieved from http://site.ebrary.com/lib/yale/Doc?id=10520732
Kerns, R. D., Burns, J. W., Shulman, M., Jensen, M. P., Nielson, W. R., Czlapinski, R., et al. (2014). Can we improve cognitive-behavioral therapy for chronic back pain treatment engagement and adherence? A controlled trial of tailored versus standard therapy. Health Psychology, 33, 938–947. doi: 10.1037/a0034406 CrossRefPubMed
Kerns, R. D., Turk, D. C., Holzman, A. D., & Rudy, T. E. (1986). Comparison of cognitive-behavioral and behavioral approaches to the outpatient treatment of chronic pain. The Clinical Journal of Pain, 1, 195–203.
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., et al. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46, 81–95. doi: 10.1007/s12160-013-9486-6 CrossRefPubMed
Turk, D. C., Meichenbaum, D., & Genest, M. (1983). Pain and behavioral medicine: A cognitive-behavioral perspective. New York City: Guilford Press.
Viera, A. J., & Garrett, J. M. (2005). Understanding interobserver agreement: The kappa statistic. Family Medicine, 37, 360–363. PubMed
- Developing a typology of patient-generated behavioral goals for cognitive behavioral therapy for chronic pain (CBT-CP): classification and predicting outcomes
Alicia A. Heapy
Mary A. Driscoll
Brenda T. Fenton
John D. Piette
James E. Aikens
Mary R. Janevic
Robert D. Kerns
- Springer US