Health Behavior Change Counseling in Surgery for Degenerative Lumbar Spinal Stenosis. Part I: Improvement in Rehabilitation Engagement and Functional Outcomes

Richard Skolasky, Anica M. Maggard, David Li, Lee H Riley, Stephen T Wegener

Research output: Contribution to journalArticle

Abstract

Abstract Objective To examine whether a brief motivational interviewing [MI]-based health behavior change counseling (HBCC) intervention increased patient participation in physical therapy and/or home exercise programs (HEPs), reduced disability, and improved health status after surgery for degenerative lumbar spinal stenosis. Design Prospective clinical trial. Setting Academic medical center. Participants From December 2009 through August 2012, consecutive patients (N=122) underwent surgery for degenerative lumbar spinal stenosis and, based on enrollment date, were prospectively assigned to a control (n=59) or HBCC intervention (n=63) group in a prospective, lagged-control clinical trial. Interventions Brief MI-based HBCC versus attention control. Main Outcome Measures Rehabilitation participation (primary); disability and health status (secondary). Therapists assessed engagement in, and patients reported attendance at, postoperative rehabilitation (physical therapy and/or HEP). At 3 and 6 months, disability and health status were assessed (Oswestry Disability Index [ODI] and Medical Outcomes Study 12-Item Short-Form Health Survey, version 2 [SF-12v2]) (significance, P

Original languageEnglish (US)
Article number56145
Pages (from-to)1200-1207
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number7
DOIs
StatePublished - Jul 1 2015

Fingerprint

Spinal Stenosis
Health Behavior
Motivational Interviewing
Health Status
Patient Participation
Counseling
Rehabilitation
Outcome Assessment (Health Care)
Clinical Trials
Exercise
Health Surveys
Therapeutics

Keywords

  • Laminectomy
  • Motivational interviewing
  • Rehabilitation
  • Spinal stenosis
  • Spine

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Cite this

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abstract = "Abstract Objective To examine whether a brief motivational interviewing [MI]-based health behavior change counseling (HBCC) intervention increased patient participation in physical therapy and/or home exercise programs (HEPs), reduced disability, and improved health status after surgery for degenerative lumbar spinal stenosis. Design Prospective clinical trial. Setting Academic medical center. Participants From December 2009 through August 2012, consecutive patients (N=122) underwent surgery for degenerative lumbar spinal stenosis and, based on enrollment date, were prospectively assigned to a control (n=59) or HBCC intervention (n=63) group in a prospective, lagged-control clinical trial. Interventions Brief MI-based HBCC versus attention control. Main Outcome Measures Rehabilitation participation (primary); disability and health status (secondary). Therapists assessed engagement in, and patients reported attendance at, postoperative rehabilitation (physical therapy and/or HEP). At 3 and 6 months, disability and health status were assessed (Oswestry Disability Index [ODI] and Medical Outcomes Study 12-Item Short-Form Health Survey, version 2 [SF-12v2]) (significance, P",
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