SHORT-TERM EFFECT OF WAITING TIME ON CLINICAL OUTCOMES IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN
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Abstract
Background / Purpose of the Study: Non-specific chronic low back pain (NSCLBP) is a leading cause of disability worldwide. Prolonged waiting in physiotherapy clinics may aggravate pain and influence treatment outcomes. This study examined the effect of waiting time on clinical outcomes of pain intensity and coping strategies (catastrophising, diverting attention, reinterpretation of pain, cognitive coping) in patients with NSCLBP attending physi therapy sessions at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Methods / Procedures: Sixty patients diagnosed with NSCLBP participated in this prospective study. Standardized instruments were used, including the Visual Analogue Scale (VAS) for pain intensity, the Coping Strategies Questionnaire (CSQ-24), and a 0–100 satisfaction score. Waiting time was measured as the interval between patient arrival and treatment start, using a Digital stopwatch. Descriptive statistics of mean and standard deviation were used to summarize participants’ characteristics, while inferential statistics of paired t-tests, MANOVA, Pearson’s correlation, and chi-square tests were used to analyse data at p < 0.05. Results: Most participants (73.3%) waited less than 30 minutes. Pain intensity slightly increased during waiting (p < 0.001) but significantly decreased post-treatment (p < 0.001). Waiting time had no significant effect on pain, catastrophizing, or cognitive coping but influenced reinterpretation of pain (p = 0.006). A strong association was found between shorter waiting periods and higher satisfaction levels (χ² = 51.74, p < 0.001). Longer waits showed weak but positive correlations with post-treatment cognitive coping (r = 0.285, p = 0.027).
Conclusion: Brief waiting times increased pre-treatment pain slightly but did not adversely affect overall outcomes. Physiotherapy effectively reduced pain and improved adaptive coping. Efficient scheduling, patient education, and supportive communication during waiting are recommended to enhance satisfaction and treatment success
Conclusion: Brief waiting times increased pre-treatment pain slightly but did not adversely affect overall outcomes. Physiotherapy effectively reduced pain and improved adaptive coping. Efficient scheduling, patient education, and supportive communication during waiting are recommended to enhance satisfaction and treatment success
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