Authors: Samuel S Myers Russell S Phillips Roger B Davis Daniel C Cherkin Anna Legedza Ted J Kaptchuk Andrea Hrbek Julie E Buring Diana Post Maureen T Connelly David M Eisenberg
Publish Date: 2007/12/08
Volume: 23, Issue: 2, Pages: 148-153
Abstract
Primary outcome was functional disability Roland score at 5 and 12 weeks Patients’ general expectations for improvement were associated with improvement in functional status β = 096 95 CI = 056 136 A 1point increase in general expectations was associated with a 096point improvement in Roland score The association of expectation with outcome was 2–3 times greater in the usual care group than the choice group However these differences did not reach statistical significanceIn patients with acute LBP higher expectations for recovery are associated with greater functional improvement Eliciting patient expectations for improvement may be a simple way to identify patients with the highest or lowest likelihood of experiencing functional improvement Incorporating questions about patient expectations in future trials may clarify the role of this important correlate of clinical outcomesThe project described was supported by Grant Number 1 R01 AT 00144 from the National Center for Complementary and Alternative Medicine This work has also been supported in part by a generous endowment from the Bernard Osher Foundation and an unrestricted educational grant from American Specialty Health Dr Myers was supported by an Institutional National Research Service Award T32AT0005106 from the National Institutes of Health when this research was performed Dr Phillips is supported by a MidCareer Investigator Award from the National Center for Complementary and Alternative Medicine National Institutes of Health K24AT000589 The funding organizations did not provide any input into the design and conduct of the study collection management analysis and interpretation of the data or preparation review or approval of the manuscript
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