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Non-specific Mechanisms in Orthodox and CAM management of back pain (MOCAM)

Non-specific Mechanisms in Orthodox and CAM management of back pain (MOCAM)
Non-specific Mechanisms in Orthodox and CAM management of back pain (MOCAM)
Introduction: Non-specific effects can have substantial effects on pain and disability. We have designed a major mixed-methods cohort study to investigate and compare non-specific components in physiotherapy, osteopathy, and acupuncture for low back pain (LBP). This project will extend current evidence by identifying the most powerful non-specific components, providing a deeper understanding of the pathways through which they generate positive patient outcomes.

Aims:

• Identify the most powerful non-specific treatment components (largest effect on patient outcomes)

• Compare the magnitude of non-specific effects across orthodox and CAM therapies

• Test which theoretically-derived mechanistic pathways explain their effects

• Compare patient-practitioner interactions across the three therapies

Methods: We will recruit 1548 adults with LBP attending acupuncturists, physiotherapists, and osteopaths in private and NHS clinics. A quantitative longitudinal questionnaire-based study will use multi-level modelling to test hypothesized relationships between non-specific components, key theoretically derived mediators and patient outcomes. A randomised sample of 63 consultations (21 per treatment) will be audio-recorded and analysed using the quantitative Roter Interactional Analysis System and inductive qualitative analysis, to identify treatment-enhancing communication practices.

Conclusions: Evidence suggests that non-specific components are important for patient outcomes across diverse conditions including LBP. The context of CAM therapies may contribute to their effectiveness and CAMs might be particularly good at enhancing non-specific components. To better understand the role of non-specifics in the management of LBP we will study multiple non-specific factors simultaneously, comparing them within different treatments and relating the findings to pain theories, to understand to how they contribute to the consultation.
1876-3820
682-683
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Bishop, Felicity
1f5429c5-325f-4ac4-aae3-6ba85d079928
Lewith, George
0fc483fa-f17b-47c5-94d9-5c15e65a7625
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Leach, Janine
c54bcc73-db65-476d-99c3-6b5702b0393a
Roberts, Lisa
0a937943-5246-4877-bd6b-4dcd172b5cd0
MacPherson, Hugh
6485cd22-1dc3-4600-9e00-d3187e981663
Dimitrov, Borislav
366d715f-ffd9-45a1-8415-65de5488472f
Eardley, Susan
2983322f-6118-4dad-86ea-238aaac10ee8
Greville-Harris, Maddy
15fdf3ab-d129-4191-bfd4-9c14c910bfef
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Bishop, Felicity
1f5429c5-325f-4ac4-aae3-6ba85d079928
Lewith, George
0fc483fa-f17b-47c5-94d9-5c15e65a7625
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Leach, Janine
c54bcc73-db65-476d-99c3-6b5702b0393a
Roberts, Lisa
0a937943-5246-4877-bd6b-4dcd172b5cd0
MacPherson, Hugh
6485cd22-1dc3-4600-9e00-d3187e981663
Dimitrov, Borislav
366d715f-ffd9-45a1-8415-65de5488472f
Eardley, Susan
2983322f-6118-4dad-86ea-238aaac10ee8
Greville-Harris, Maddy
15fdf3ab-d129-4191-bfd4-9c14c910bfef

Bradbury, Katherine, Bishop, Felicity, Lewith, George, Yardley, Lucy, Leach, Janine, Roberts, Lisa, MacPherson, Hugh, Dimitrov, Borislav, Eardley, Susan and Greville-Harris, Maddy (2015) Non-specific Mechanisms in Orthodox and CAM management of back pain (MOCAM). European Journal of Integrative Medicine, 7 (6), 682-683. (doi:10.1016/j.eujim.2015.07.013).

Record type: Article

Abstract

Introduction: Non-specific effects can have substantial effects on pain and disability. We have designed a major mixed-methods cohort study to investigate and compare non-specific components in physiotherapy, osteopathy, and acupuncture for low back pain (LBP). This project will extend current evidence by identifying the most powerful non-specific components, providing a deeper understanding of the pathways through which they generate positive patient outcomes.

Aims:

• Identify the most powerful non-specific treatment components (largest effect on patient outcomes)

• Compare the magnitude of non-specific effects across orthodox and CAM therapies

• Test which theoretically-derived mechanistic pathways explain their effects

• Compare patient-practitioner interactions across the three therapies

Methods: We will recruit 1548 adults with LBP attending acupuncturists, physiotherapists, and osteopaths in private and NHS clinics. A quantitative longitudinal questionnaire-based study will use multi-level modelling to test hypothesized relationships between non-specific components, key theoretically derived mediators and patient outcomes. A randomised sample of 63 consultations (21 per treatment) will be audio-recorded and analysed using the quantitative Roter Interactional Analysis System and inductive qualitative analysis, to identify treatment-enhancing communication practices.

Conclusions: Evidence suggests that non-specific components are important for patient outcomes across diverse conditions including LBP. The context of CAM therapies may contribute to their effectiveness and CAMs might be particularly good at enhancing non-specific components. To better understand the role of non-specifics in the management of LBP we will study multiple non-specific factors simultaneously, comparing them within different treatments and relating the findings to pain theories, to understand to how they contribute to the consultation.

Full text not available from this repository.

More information

e-pub ahead of print date: 20 December 2015
Published date: 31 December 2015

Identifiers

Local EPrints ID: 414380
URI: https://eprints.soton.ac.uk/id/eprint/414380
ISSN: 1876-3820
PURE UUID: a8e44737-78c5-497d-a3d0-34c2f880adc5
ORCID for Katherine Bradbury: ORCID iD orcid.org/0000-0001-5513-7571
ORCID for Felicity Bishop: ORCID iD orcid.org/0000-0002-8737-6662
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X
ORCID for Maddy Greville-Harris: ORCID iD orcid.org/0000-0001-8191-9614

Catalogue record

Date deposited: 28 Sep 2017 16:31
Last modified: 19 Jun 2019 00:38

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