School of Psychology, University of Queensland, Brisbane, Australia.
Research School of Psychology, The Australian National University, Canberra, Australia.
Disabil Rehabil. 2023 Apr;45(8):1332-1342. doi: 10.1080/09638288.2022.2057602. Epub 2022 Apr 10.
There is increasing recognition of the contribution that group processes, particularly identification and cohesion, make to outcomes of group delivered health treatments. This study examined the role that these particular group processes play in the treatment of lower back pain, and a theorised mechanism of personal control through which group treatment might enhance outcomes.
Participants ( = 85) elected to either receive NeuroHAB, a defined functional movement therapy of 8 weeks duration, or continue with treatment-as-usual (TAU). Pain intensity and disability were assessed at baseline (T1) and post-intervention or 8 weeks later (T2), as well as at a 1-month follow-up (T3). Only the NeuroHAB participants additionally completed weekly questionnaires that measured treatment group identification, cohesion, and personal control.
NeuroHAB was significantly more effective than TAU in reducing pain intensity and disability at T2 and T3. Furthermore, among NeuroHAB recipients, stronger treatment group identification and cohesion early in the program predicted better pain outcomes over time, and this relationship was fully mediated by perceptions of personal control.
These data provide further support for the role of group identification and cohesion as a contributing mechanism of change in group-based treatments and extend this to the domain of pain management.Implications for RehabilitationA focus on defined functional movement therapy, as offered by the NeuroHAB group program, was found to improve pain outcomes in patients with lower back pain.A key ingredient in the NeuroHAB rehabilitation program was its group delivery.Group delivery supported treatment group identification and cohesion which, through enhancing the perception of personal control, reduced pain intensity and disability.
越来越多的人认识到群体过程，特别是认同和凝聚力，对群体提供的健康治疗结果的重要贡献。本研究探讨了这些特定的群体过程在治疗下腰痛中的作用，以及通过群体治疗增强结果的个人控制的理论机制。
参与者（n=85）选择接受 NeuroHAB，这是一种为期 8 周的特定功能运动治疗，或继续接受常规治疗（TAU）。在基线（T1）和干预后或 8 周后（T2），以及 1 个月随访时（T3）评估疼痛强度和残疾程度。只有 NeuroHAB 参与者还每周完成一次问卷，测量治疗组认同、凝聚力和个人控制。
NeuroHAB 在 T2 和 T3 时显著降低疼痛强度和残疾程度优于 TAU。此外，在 NeuroHAB 接受者中，早期治疗组认同和凝聚力越强，随着时间的推移，疼痛结果越好，这种关系完全由个人控制的感知来介导。
这些数据进一步支持了群体认同和凝聚力作为群体治疗中变化的促成机制的作用，并将其扩展到疼痛管理领域。
专注于由 NeuroHAB 小组计划提供的特定功能运动治疗，被发现可以改善下腰痛患者的疼痛结果。
NeuroHAB 康复计划的一个关键要素是其小组交付。
小组交付支持治疗组认同和凝聚力，通过增强个人控制感，降低疼痛强度和残疾程度。
