Iles Ross A, Taylor Nicholas F, Davidson Megan, O'Halloran Paul
Department of Physiotherapy, La Trobe University, Melbourne, Australia.
Department of Physiotherapy, La Trobe University, Melbourne, Australia Eastern Health, Melbourne, Australia.
J Back Musculoskelet Rehabil. 2014;27(1):93-101. doi: 10.3233/BMR-130424.
A health coaching intervention in addition to usual physiotherapy care increased recovery expectation and activity in people with non-chronic NSLBP and low recovery expectation.
We aimed to fully describe the coaching intervention to allow replication and enable a deeper understanding of the mechanisms behind health coaching in this setting.
A qualitative analysis was conducted using notes taken by the coach during the health coaching intervention. Two researchers independently applied open coding and content analysis, using the factors of low recovery expectation identified in a previous qualitative investigation as a framework.
For the majority of participants coaching rapidly progressed to goal setting and action planning, with less time spent on increasing the importance and confidence to return to activity. The factors of the person, progression, pain, performance and treatment were addressed across all phases of the coaching intervention.
This effective health coaching intervention for people with non-chronic NSLBP and low recovery expectation concentrated on goal setting and action planning and addressed the essential factors of recovery expectations. This study suggests that coaching interventions are likely to be different in this population compared to similar interventions in chronic conditions due to pre-existing levels of readiness to change.
除常规物理治疗外，健康指导干预可提高非慢性非特异性下腰痛且康复期望较低者的康复期望及活动能力。
我们旨在全面描述该指导干预措施，以便能够进行复制，并更深入地理解在此背景下健康指导背后的机制。
利用健康指导干预期间教练所做的记录进行定性分析。两名研究人员以先前一项定性调查中确定的康复期望较低的因素为框架，独立应用开放编码和内容分析。
对于大多数参与者而言，指导迅速进入目标设定和行动计划阶段，而用于增强恢复活动的重要性和信心的时间较少。在指导干预的所有阶段都涉及了个人、进展、疼痛、表现和治疗等因素。
这种针对非慢性非特异性下腰痛且康复期望较低者的有效健康指导干预措施侧重于目标设定和行动计划，并涉及康复期望的关键因素。本研究表明，由于预先存在的改变意愿水平，与慢性疾病中的类似干预措施相比，该人群中的指导干预措施可能有所不同。
