Department
Year of Publication
Publication Type
Abstract
Background: The number of persons suffering from low back pain will rise in the future, especially in low- and middle-income countries. The treatments available for low-back pain are not sufficient enough to cause an effective change in the long-term. Hence, there is a growing recognition of the need for a more comprehensive, patient-centered and behavioral-changing approach.
Objective: To determine the effectiveness of motivational interview on patients with low back pain.
Method: Included in this review were study population of adults aged 18 and above. Randomized Controlled Trials (RCTs) and Non-Randomized Controlled Trials (non-RCTs) that explored the effectiveness of Motivational Interview on Low Back Pain. A detailed search of 7 databases was conducted. Data were selected and extracted using the Microsoft Excel Spreadsheet 2010 version following the eligibility criteria. To assess the potential risk of bias in each study, two assessors independently assessed the eligible studies using the revised Cochrane risk of bias tool for parallel RCTs. A review protocol was developed and registered in the PROSPERO database (IDCRD42023444806). A narrative synthesis was used to present findings.
Results: 2 RCTs and 1 non-RCT was eligible from the narrative synthesis. Motivational interview
interventions included counselling, motivational programs and group/individual discussion sessions. Motivational interview had a significant effect on pain among patients with low back pain relative to the control interventions. All the studies had a good methodological quality.
Conclusion: Motivational Interview shows a beneficial effect in reducing low back pain and in increasing functional status in patients with low-back pain in comparison with other interventions used in the systematic review. However, current evidence is insufficient on the effect of motivational interview on pain in patients with low back pain. More large scale RCTs are needed to evaluate motivational interview on pain in patients with low back pain.
Keywords: Low back pain, motivational interview, quality of life, functional status.
Objective: To determine the effectiveness of motivational interview on patients with low back pain.
Method: Included in this review were study population of adults aged 18 and above. Randomized Controlled Trials (RCTs) and Non-Randomized Controlled Trials (non-RCTs) that explored the effectiveness of Motivational Interview on Low Back Pain. A detailed search of 7 databases was conducted. Data were selected and extracted using the Microsoft Excel Spreadsheet 2010 version following the eligibility criteria. To assess the potential risk of bias in each study, two assessors independently assessed the eligible studies using the revised Cochrane risk of bias tool for parallel RCTs. A review protocol was developed and registered in the PROSPERO database (IDCRD42023444806). A narrative synthesis was used to present findings.
Results: 2 RCTs and 1 non-RCT was eligible from the narrative synthesis. Motivational interview
interventions included counselling, motivational programs and group/individual discussion sessions. Motivational interview had a significant effect on pain among patients with low back pain relative to the control interventions. All the studies had a good methodological quality.
Conclusion: Motivational Interview shows a beneficial effect in reducing low back pain and in increasing functional status in patients with low-back pain in comparison with other interventions used in the systematic review. However, current evidence is insufficient on the effect of motivational interview on pain in patients with low back pain. More large scale RCTs are needed to evaluate motivational interview on pain in patients with low back pain.
Keywords: Low back pain, motivational interview, quality of life, functional status.
Supervisor(s)
co-supervisor