• Wiebke Göhner and Wolfgang Schlicht.
• University of Freiburg, Department of Sport and Sport Sciences, Schwarzwaldstr. 175, 79117 Freiburg, Germany. wiebke.goehner@sport.uni-freiburg.de
• Patient Educ Couns. 2006 Dec 1;64(1-3):87-95.

ObjectiveFor long-term treatment effects, patients with subacute back pain need to adhere to treatment recommendations beyond the prescribed exercise treatment. Adherence rates are as low as 30%, so we developed a cognitive-behavioural training programme to enhance patients' self-efficacy, maximise severity perceptions and reduce barrier perceptions.MethodA 2 x 4 (group x time) repeated measurement design was applied. Forty-seven patients with non-specific, subacute back pain were randomly assigned to a training group (exercise treatment plus cognitive-behavioural training programme) or a control group (exercise treatment only).ResultsRepeated measures ANOVA revealed significant main and interaction effects; the training group reported enhanced self-efficacy and severity perceptions, reduced barrier perceptions, and self-reported that they exercised more often than the control group over time. However, no group differences regarding pain intensity emerged.ConclusionOur findings demonstrate that a short and inexpensive cognitive-behavioural training programme is an effective tool to enable back pain patients to follow treatment recommendations on a regular basis.Practice ImplicationsThe short and simple intervention can easily be conducted by personnel, other than psychologists, i.e., physiotherapists.

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