Integrative care for the management of low back pain: use of a clinical care pathway

Integrative care for the management of low back pain: use of a clinical care pathway

For the treatment of chronic back pain, it has been theorized that integrative care plans can lead to better outcomes than those achieved by monodisciplinary care alone, especially when using a collaborative, interdisciplinary, and non-hierarchical team approach. This paper describes the use of a ca...

Full description

Saved in:
Bibliographic Details
Published in:BMC health services research Vol. 10; no. 1; p. 298
Main Authors: Maiers, Michele J, Westrom, Kristine K, Legendre, Claire G, Bronfort, Gert
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 29-10-2010
BioMed Central
BMC
Subjects:
Activities of daily living
Acupuncture
Back pain
Behavior modification
Benchmarking
Biomechanics
Care and treatment
Chiropractic medicine
Chronic Disease
Chronic illnesses
Clinical trials
Collaboration
Correspondence
Cost analysis
Critical Pathways
Design
Disease Management
Evidence-Based Medicine
Female
Group dynamics
Health aspects
Health care
Health sciences
Hospitals
Human subjects
Humans
Integrative medicine
Integrative Medicine - education
Integrative Medicine - organization & administration
Interprofessional Relations
Intervention
Low back pain
Low Back Pain - therapy
Male
Massage
Medicine
Orthopedics
Outcome and Process Assessment (Health Care)
Patient Care Team - organization & administration
Patients
Physicians
Practice
Teams
Workshops
United States
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:For the treatment of chronic back pain, it has been theorized that integrative care plans can lead to better outcomes than those achieved by monodisciplinary care alone, especially when using a collaborative, interdisciplinary, and non-hierarchical team approach. This paper describes the use of a care pathway designed to guide treatment by an integrative group of providers within a randomized controlled trial. A clinical care pathway was used by a multidisciplinary group of providers, which included acupuncturists, chiropractors, cognitive behavioral therapists, exercise therapists, massage therapists and primary care physicians. Treatment recommendations were based on an evidence-informed practice model, and reached by group consensus. Research study participants were empowered to select one of the treatment recommendations proposed by the integrative group. Common principles and benchmarks were established to guide treatment management throughout the study. Thirteen providers representing 5 healthcare professions collaborated to provide integrative care to study participants. On average, 3 to 4 treatment plans, each consisting of 2 to 3 modalities, were recommended to study participants. Exercise, massage, and acupuncture were both most commonly recommended by the team and selected by study participants. Changes to care commonly incorporated cognitive behavioral therapy into treatment plans. This clinical care pathway was a useful tool for the consistent application of evidence-based care for low back pain in the context of an integrative setting. ClinicalTrials.gov NCT00567333.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-News-2
ObjectType-Feature-3
content type line 23
ObjectType-Feature-2
ISSN:1472-6963
1472-6963
DOI:10.1186/1472-6963-10-298